Download - Irritable Bowel Syndrome (IBS) Awareness Month April 2017

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Page 1: Irritable Bowel Syndrome (IBS) Awareness Month April 2017

Senior Healthstance:

Irritable Bowel Syndrome (IBS)

AWARE – Just Clinical©

Page 2: Irritable Bowel Syndrome (IBS) Awareness Month April 2017

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.

Page 3: Irritable Bowel Syndrome (IBS) Awareness Month April 2017

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@ARCpointMilwaukeeNorth

Join the conversation using hashtags:

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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

Page 4: Irritable Bowel Syndrome (IBS) Awareness Month April 2017

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 10–15% 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.

AWARE – Just Clinical©

April is IBS Awareness Month

Page 5: Irritable Bowel Syndrome (IBS) Awareness Month April 2017

• 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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Page 6: Irritable Bowel Syndrome (IBS) Awareness Month April 2017

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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Page 7: Irritable Bowel Syndrome (IBS) Awareness Month April 2017

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

Page 8: Irritable Bowel Syndrome (IBS) Awareness Month April 2017

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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Page 9: Irritable Bowel Syndrome (IBS) Awareness Month April 2017

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

AWARE – Just Clinical©

• 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

Page 10: Irritable Bowel Syndrome (IBS) Awareness Month April 2017

• 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.

Page 11: Irritable Bowel Syndrome (IBS) Awareness Month April 2017

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 Crohn’s Array (CICA)

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Schedule an Appointment Today

Call 262.289.1664

Page 12: Irritable Bowel Syndrome (IBS) Awareness Month April 2017

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