IBS Irritable Bowel Syndrome A Gastroenterologist Answers Your Questions: What Is It? Why Do I Have It? How Can I Get Well?
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About this ebook
“IF YOU HAVE IBS, you'll find the answers to three questions on a short journey through this ebook, which includes 90 photographs and illustrations to help you see and understand clearly:
What is it?
What causes it?
How can I get well?
AND, IBS is one of over 30 Functional GI Disorders (FGIDs), including heartburn that does not respond to treatment with powerful acid reducing drugs, upper abdominal pain (epigastric pain and/or dyspepsia) unresponsive to ulcer treatment, and abdominal bloating (with or without abdominal enlargement, called distention). IBS and FGIDs are all interrelated and commonly occur together. They share common causes.
SO this ebook will help if you suffer with any FGID.
AND, most patients with IBS and other FGIDs also have one or more symptom syndromes, such as fibromyalgia, fatigue, headaches, back pain, and interstitial cystitis (painful bladder). Medical tests are usually normal. Nevertheless, these diseases are real. They are not imagined, and they are not mental illnesses. They are all interrelated and share common causes.
SO this ebook can help.
This ebook was written for patients of the Ohio Gastroenterology Group in Columbus, Ohio. but it is now available in online bookstores. The ebook will be continually updated.”
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Book preview
IBS Irritable Bowel Syndrome A Gastroenterologist Answers Your Questions - William B. Salt II, M.D.
IBS
Irritable Bowel Syndrome
A Gastroenterologist Answers Your Questions
Author: William B. Salt II, M.D.
Cover design: Susan Edison, Edison Design
Illustrations: William B. Salt II, M.D.
Photography and editing: Susan S. Salt
Copyright © 2014 William B. Salt II, M.D.
ISBN: 978-0-9657038-1-9
Parkview Publishing
http://www.IBSAnswersForYou.com
Version 1.01. All rights reserved. Without limiting the rights under copyright reserved above, no part of this publication may be reproduced, stored in or introduced into a retrieval system, or transmitted, in any form, or by any means (electronic, mechanical, photocopying, recording, or otherwise) without the prior written permission of both the copyright holder and the publisher of this book. Purchase only authorized editions.
This book is not intended as a medical manual. The information provided is designed to assist you in making informed decisions regarding your health. It cannot serve as a substitute for consultation with a medical doctor. The author and publisher recommend that you be aware of your condition and seek competent medical help before you begin any health program, including making dietary changes and undertaking an exercise plan.
Table of Contents
Dedication
Foreword
Introduction
Case Presentations
1) What Is It?
2) What Causes It?
3) How Can I Get Well?
4) IBS-D (Diarrhea)
5) IBS-C (Constipation)
6) Belching and Gas
Afterword
About the Author
Updates
Resources
Biopsychosocial Models
IBS
Dedicated to You, the Patient
IF YOU HAVE IBS, you'll find the answers to three questions on a short journey through this ebook, which includes 90 photographs and illustrations to help you see and understand clearly:
What is it?
What causes it?
How can I get well?
AND, IBS is one of over 30 Functional GI Disorders (FGIDs), including heartburn that does not respond to treatment with powerful acid reducing drugs, upper abdominal pain (epigastric pain and/or dyspepsia) unresponsive to ulcer treatment, and abdominal bloating (with or without abdominal enlargement, called distention). IBS and FGIDs are all interrelated and commonly occur together. They share common causes.
SO this ebook will help if you suffer with any FGID.
AND, most patients with IBS and other FGIDs also have one or more symptom syndromes, such as fibromyalgia, fatigue, headaches, back pain, and interstitial cystitis (painful bladder). Medical tests are usually normal. Nevertheless, these diseases, are real. They are not imagined, and they are not mental illnesses. They are all interrelated and share common causes.
SO this ebook can help.
This ebook was written for patients of the Ohio Gastroenterology Group in Columbus, Ohio, but it is now available in online bookstores. The ebook will be continually updated.
Foreword
Life is difficult.
M. Scott Peck, M.D. opens The Road Less Traveled with this great truth. While beautiful and mysterious, life is also complicated. We have pain and symptoms, negative thoughts and memories of old hurts, stress, and emotional distress. As many as 1 in 5 of us has IBS, and life has a lot to do with causing it. By contrast, the disease of IBS makes life even more difficult. It’s a vicious circle.
I’m a M.D. gastroenterologist in a group of 36 ( Ohio Gastroenterology Group in Columbus, Ohio) with 35 years of experience caring for patients with IBS while teaching both medical students and doctors in training. I’m going to answer your IBS questions in this book. You’ll become an IBS expert,
so you can work effectively with your doctor and other caregivers to get better. Join me on a short journey through the pages of this book. It will change your life.
It’s go time!
Introduction
On your IBS journey, you’ll want to keep in mind:
IBS involves your entire body: GUT (gastrointestinal tract or GI tract), HEAD (mind/brain), and their CONNECT (intercommunications).
You have two brains: one in your HEAD and one in your GUT.
Your two brains are in 24/7 communication with one another through the CONNECT; they are both independent and interdependent.
IBS is a disease — it’s a disturbance of how your body and brains function and work together.
Medical tests do not detect this disturbance, or dysfunction.
IBS often occurs with other diseases.
You can get better by changing both brains with your mind AND by applying the latest medical treatment.
Case Presentations
Anne (name changed to protect confidentiality) is a 26 year old woman referred to the Ohio Gastroenterology Group IBS Clinic with IBS.
She began having symptoms sometime in high school, with cramping pain in her lower abdomen associated with diarrhea. Sometimes she describes abdominal discomfort rather than pain. The diarrhea is often loose and even watery brown. Both diarrhea and pain/discomfort are often triggered by eating and unrelated to specific foods. She feels better following defecation. While she does not awaken from sleep with diarrhea, urgency can be very distressing, and she prefers to know the location of the bathroom wherever she may go. She has not lost any weight or noticed blood in the stool. She suffers from abdominal bloating and even distention, which is abdominal enlargement that worsens throughout the day. She has had blood tests and even a colonoscopy by another gastroenterologist showing no cause for her distressing symptoms, which very much interfere with the quality of her life. Her physical examination is normal.
Author comment:
Anne describes the typical symptoms of IBS-D (diarrhea), which is the first of two main IBS subtypes. Some patients describe abdominal discomfort rather than pain, which may or may not be the same symptom, but there is an association of pain and/or discomfort with bowel function. Symptoms commonly occur after eating. While not part of the current definition of IBS, abdominal bloating and distention are commonly present.
John (name changed to protect confidentiality) is a 35 year old man referred to the Ohio Gastroenterology Group IBS Clinic with constipation. He has been suffering with constipation much of his life, but the problem has worsened over the past several years. He has cramping abdominal pain