Irritable Bowel Syndrome (IBS) Awareness Month April 2017

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Transcript of Irritable Bowel Syndrome (IBS) Awareness Month April 2017

  • Senior Healthstance:

    Irritable Bowel Syndrome (IBS)

    AWARE Just Clinical

  • Welcome to Senior Healthstance -a developing health and wellness library from

    ARCpoint Labs of Milwaukee North

    Presentations to educate, motivate and inform on health messages, health interventions, and health behaviors.

    AWARE Just Clinical DISCLAIMER: This module is intended for informational purposes only and should not be relied upon as medical advice.

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    @ARCpointMilwaukeeNorth

    Join the conversation using hashtags:

    #arcpointawareness#healthstancearcpoint

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    ARCpoint Milwaukee North Alan Wedal, Owner

    262.289.1664

    ARCpoint Milwaukee North

    4125 N 124th StSuite GBrookfield, WI 53005

    Contact Us

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  • What is IBS?

    Irritable bowel syndrome (IBS) is a disorder in which abdominal pain is associated with a range of symptoms.

    Irritable bowel syndrome (IBS) affects up to 1015% of adults.

    Studies have shown that IBS patients have an increased number of outpatient health care visits, diagnostic tests, and surgeries.

    IBS is second only to the common cold as a cause of absenteeism from work.

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    April is IBS Awareness Month

  • Abdominal pain is the key symptom of irritable bowel syndrome (IBS) and is associated with a change in bowel habits. This change in bowel habits may be diarrhea and/or constipation.

    Symptoms can be mostly one type, or both (mixed) including: Bloating (a sensation of fullness in the belly)

    Urgency (the need to use a restroom in a hurry)

    Mucus (white or yellow liquid) in the stool

    Sensation of incompletely passing stools

    Symptoms of IBS*

    *Adapted from IFFGD Publication #101 revised and updated by Douglas A. Drossman, MD, Drossman Gastroenterology PLLC, Chapel Hill, NC.

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  • What Causes IBS?

    Possible factors:

    Genetics

    disturbances in colonic motility (muscle contractions) due to increased sensitivity to food; emotional stress; GI infections; menstrual period; or gaseous distension.

    Brain-gut interactions:

    Communication interactions between the brain and gut become altered which leads to changes in motility and sensation within the bowel.

    Bowel Bacteria:

    Normally trillions of bacteria exist in the bowel. It may be that alteration in the number or kind of bacteria contributes to IBS in some people.

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  • Medications Used in IBS

    Anything you take for a therapeutic effectcounts as a medicine. It can be readily available over-the-counter or limited by prescription only.

    All medicines have potential side effects. Before taking any medication, whether over-the-counter or prescription, talk to your healthcare provider or pharmacist about dosage, other medicines you are taking, or any other questions you might have about the treatment.

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    Laxatives Bulking agents - (bran, psyllium)

    may ease stool passage

    Anticholinergics/Antispasmodics -(Bentyl, Levsin)

    Anti-diarrheal agents - (Imodium, Lomotil)

    Anti-anxiety medications may be helpful for IBS caused by emotional stress

    Anti-depressants in low doses, may reduce the intensity of pain signals going from gut to brain

  • Newer Prescription Medicines

    Drugs used to treat overall symptoms of IBS, including pain, are prescribed based on the dominant bowel symptom being experienced.

    Dominant Symptom Possible Prescribed Medication

    Constipation (IBS-C) Amitiza (Lubiprostone) may reduce overall IBS symptoms including pain, especially in women

    Constipation Linzess (Linactlotide) may improve multiple symptoms including discomfort bloating, bowel function.

    Diarrhea (IBS-D) Lotronex (Alosetron) - currently available to women only through a special Prescribing Program because of potential side effects

    Diarrhea Xifaxan (Rifaximin) an antibiotic FDA approved for treatment of IBS-D in adults

    Diarrhea (IBS-D) Viberzi (Eluxadoline) works by decreasing bowel activity prescribed for adult men & women. [Note: On March 15, 2017, the FDA issued a warning that due to increased risk for serious, potentially life-threatening, pancreatitis eluxadoline (Viberzi) should not be used in patients who do not have a gallbladder.]

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    https://www.fda.gov/Drugs/DrugSafety/ucm546154.htm

  • IBS Diet*

    The influence of diet is unique to each person. There is no generalized dietary advice that will work for everyone.

    Foods most likely to cause problems: Foods high in fat

    Some milk products

    Drinks with alcohol, caffeine

    Add foods with fiber a little at a time to let your body get used to them

    *IFFGD, the International Foundation for Functional Gastrointestinal Disorders, is a Public Charity designated under the U.S. IRS code 501(c)(3). https://www.niddk.nih.gov/health-information/digestive-diseases/irritable-bowel-syndrome/eating-diet-nutrition

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    Eat smaller meals, more often, spread throughout your day

    Slow down; don't rush through meals

    Avoid large meals or high fat foods

    If you are constipated, make time for breakfast, as this meal is most likely to stimulate the colon and give you a bowel movement

    Tips for an IBS-Friendly Diet

  • Start by getting a definite diagnosis from your doctor.

    Take an active role in learning all you can about IBS so you understand the nature of the disorder and different management and treatment options.

    Visit http://www.aboutibs.org/living-with-ibs.html

    Guidelines for Living with IBS

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    Investigate non-medication treatments to help reduce symptoms: diet, relaxation training or hypnosis.

    Use over-the-counter medications to relieve or avoid symptoms.

    Tell your doctor about anything you take to treat your IBS. Find a health care provider who will work with you over the long term to help you manage and treat your IBS.

    http://www.aboutibs.org/living-with-ibs.html

  • IBS Laboratory Testing Offered at Milwaukee North

    Complete blood count (CBC) C-reactive protein (CRP) test Erythrocyte sedimentation rate (ESR) IBSchek Food & Chemical Sensitivity Testing The Celiac, IBS, and Crohns Array (CICA)

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    Schedule an Appointment Today

    Call 262.289.1664

  • AWARE Just Clinical

    @ARCpointMilwaukeeNorth

    Join the conversation using hashtags:

    #arcpointawareness#healthstancearcpoint

    Follow us on Facebook atARCpoint-Labs-of-Milwaukee-North

    ARCpoint Milwaukee North Alan Wedal, Owner

    262.289.1664

    ARCpoint Milwaukee North

    4125 N 124th StSuite GBrookfield, WI 53005

    Contact Us

    https://www.facebook.com/ARCpoint-Labs-of-Milwaukee-North-571224153064382https://www.linkedin.com/in/alanwedal/https://milwaukee-wi-north.arcpointlabs.com/