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Re: Do I have IBS?

Re: Do I have IBS?

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Posted by MikeNL on October 03, 2000 at 17:08:04:

In Reply to: Do I have IBS? posted by Karen on October 02, 2000 at 22:02:10:

: I have been dealing with this problem for years, but never realized that it might have a name and that other people suffer from it too. Practically every time I'm in a social situation or a new place, I get what I refer to as an "upset stomach" (very loose bowels and a feeling of total panic if there's no bathroom or I don't know where the bathroom is). It especially happens on long car rides where I know a bathroom isn't available or if I'm out in the woods or something. I always tell myself that it won't happen this time, but it always does. Just this weekend my boyfriend & I were celebrating our 5th anniversary out of town and the night was ruined by me because I got an upset stomach and had to go back to the hotel when we were supposed to go out and have a good time. I told myself that there was no reason for it to happen, but it did anyway. What is wrong with me? Is this IBS? What can I do to prevent this from happening or is it totally out of my hands? I'd prefer not to have to go on any sort of medication, but it keeps getting worse and worse. Advice anyone?

:People with IBS suffer from a neuroimmune mediated hyperreactivity of the myenteric plexus (the nerve-immune-gut structure interface network) that makes the smooth muscle of the gut unstable, or "twitchy", like the airways of an asthmatic child are "twitchy" and easier to send into spasm. Assuming that a Board certified GI doc had cleared you of all organic disease, this problem is best resolved by a (3) pronged approach of isolating foods and additives which are causing the abnormal reactivity and removing them, supportive pharmacotherapy to reduce the tendency to 'spasming" and "diarrhea you describe while the dietary work is in progress, and in many patients (esp. patients whose reactivity is "set of" by stress and/or who have coping issues from the disease) cognitive therapy designed for IBS victims (some have reported success with cognitive behavior modification with hypnotherapy as well). For you, I would first recommend a differential workup by a certifed GI doc to start.

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