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February 10, 2012

Patient Discussions: Irritable Bowel Syndrome - How Was Diagnosis Established

Question:How was the diagnosis of your irritable bowel syndrome established?

Comment from: Miller, 35-44 Female (Patient) Published: April 14

After several MRIs, Barium tests, X-Rays, and ultrasounds (including a gynecological ultrasound), I was told I had irritable bowel syndrome (IBS). I have had it now for three years and never get relief. I have had a chronic stomach ache since then. I go from diarrhea to constipation (hospitalized for three days once as I was full of poop). I always have a stomach ache. I am usually bloated, tired, and fearful of travelling. I cannot play with my kids properly. I have been given no real medication to try. I have been taking Metamucil and laxatives for a year now. I also have sharp pain in my right side, and I cannot sleep on any side any longer. I feel like I am being poked by something on my right side. I had my gallbladder removed seven years ago, and they think that is scar tissue. I wish someone could figure this thing out!

Comment from: paintbyno, 45-54 Female (Patient) Published: April 06

I have had problems with diarrhea, stomach pain, nausea and gas for many years. I have had ultra sounds, MRI's, and blood tests the whole gambit. My physician said a good guess would be an over active intestine since all my tests results were negative for any diseases. I was on Asacol and found relief for two years, but then developed pancreatitis from it. Now I am at the end of the road. No medicines are left available to me. All my symptoms have returned and it is very difficult to live a normal life. Besides knowing where every bathroom is located at every moment, I have eliminated lactose, high fructose corn syrup, and any sugars ending in -ose from my diet. If I dare drink coffee, I use a diluted formula of 25% coffee to 75% hot water and add 2 tsp. of benefiber. If I travel, I take Imodium the night before I leave. I am also using 'Digestive Advantage-IBS', a pro biotic capsule. I am now looking into immune system products. I don't know if stress has caused symptoms or if the symptoms caused my stress. Last advice, find a good doctor.

Related Reading: MRI | pancreatitis | stress

Comment from: cbriget, 25-34 Female (Patient) Published: April 01

I was diagnosed with IBS about 3 years ago, after approximately 4 prior years of dealing with it. I have had no testing. I have, at my doctor's advice, tried many different types of diets. None of these helped. My doctor has tried several different medications and not one has helped. My doctor has basically said he can not do anything else to help. My doctor also stated that is will get better in time, a long time. I have just learned to adapt, I eat only at home because know I will be running for the bathroom soon after I eat on most days. Some days are not so bad. It is embarrassing to have this problem and I can not go out to eat with my family without finding a bathroom and hoping it will be empty as soon as I eat. I avoid eating in any social situation if possible. I have tried eating and not eating certain foods to no avail. I honestly have just given up on getting any relief.

Comment from: califcrickette, Female Published: March 23

It seems my stomach has always been an issue for me. I had three ulcers by age 13. However, over the years, the ulcers would come and go with life's stresses. Around 10 years ago, I realized something was different. I was told I had IBS. I lived with it like we all seem to be doing. On a family trip to Disneyland a few years back, my daughter-in-law told me she had the same problem, mostly constipation. She was taking Hyoscyamine sulfate, 0.125 mg. I have been using it for years now. Hey, it does work most of the time. I have no idea what the long-term usage is. I just know that this has been the only thing that has helped besides a super great veggie diet. That really does work the best. I have no motivation, nor the money to go that direction at the moment. Anyway, it is something that does work for me. Best of luck to all of us bloated ones!

Related Reading: constipation

Comment from: berly, 45-54 Female (Patient) Published: March 09

I have suffered from what I think might be IBS, but I do not have the cramping or pain that seems to be associated with IBS. I can go from constipation to diarrhea in a flash. The diarrhea can almost be explosive at times. Foods, especially ones with MSB, fatty, etc., seem to trigger a bowel movement that makes me run for the bathroom. Salad bars seem to be a big contributor to my symptoms. I just avoid them when possible. I seem to be affected by smells, too. I can go into certain stores and have to go to the bathroom. I have had colonoscopies, drank barium and have only been told that I have a spastic colon. Another person that listed comments talked about having to have a bowel movement if they wait a bit to urinate. I have that problem, too. I hate having to always know where every bathroom is!!!!

Comment from: bvi1998, 45-54 Female (Patient) Published: March 06

Though it seems I have always had these symptoms, it seems my first clue was when my doctor was doing a quick rectal exam and told me I had a spastic colon. Years later, I went to a gastroenterologist because I was having a lot of pain in my intestines. From my described symptoms, it was determined I had IBS but was also given a colonoscopy. Nothing was found with the exception of inflammation in my large intestine, which he thought could have occurred because of the prep. When he was performing the colonoscopy and got to that area, it was very painful and made me clearly say "ouch" out loud to him. I was prescribed Nulev, which allows me to have about five minutes to get to the bathroom: a fantastic emergency drug, just great. Other than that, no other tests have been performed.

Related Reading: colonoscopy


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Irritable Bowel Syndrome (IBS) - Treatments Question: What was your treatment for irritable bowel syndrome?

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Suggested Reading on Irritable Bowel Syndrome (IBS) by Our Doctors

  • Related Diseases & Conditions

    • Abdominal Pain
      • Abdominal pain is pain in the belly and can be acute or chronic. Causes include inflammation, distention of an organ, and loss of the blood supply to an organ. Abdominal pain can reflect a major problem with one of the organs in the abdomen such as the appendix, gallbladder, large and small intestine, pancreas, liver, colon, duodenum, and spleen.
    • Diarrhea
      • Diarrhea is a change is the frequency and looseness of bowel movements. Cramping, abdominal pain, and the sensation of rectal urgency are all symptoms of diarrhea. Absorbents and anti-motility medications are used to treat diarrhea.
    • Intestinal Gas
      • Gas or "intestinal gas" means different things to different people. Everyone has gas and eliminates it by belching or farting (passing it through the rectum).
    • Constipation
      • Constipation is defined medically as fewer than three stools per week and severe constipation as less than one stool per week. Constipation usually is caused by the slow movement of stool through the colon. There are many causes of constipation including medications, poor bowel habits, low fiber diets, abuse of laxatives, hormonal disorders, and diseases primarily of other parts of the body that also affect the colon.
    • Fibromyalgia
      • Fibromyalgia, formerly known as fibrositis, causes chronic pain, stiffness, and tenderness of muscles, tendons, and joints without detectable inflammation. Fibromyalgia patients have an unusually low pain threshold. Symptoms of fibromyalgia include fatigue, abnormal sleep, mental/emotional disturbances, abdominal pain, migraine and tension headaches, and irritable bladder. Treatment of fibromyalgia involves patient education, medication, exercise, and stress reduction.
    • Lactose Intolerance
      • In lactose intolerance, the digestive system cannot digest lactose (the main sugar in milk). Symptoms of lactose intolerance include diarrhea, flatulence, abdominal pain, abdominal bloating, abdominal distention, and nausea. There are several tests to diagnose lactose intolerance. Treatment is generally made with dietary changes, supplements, and adaptation to small amounts of milk.
    • Small Intestinal Bacterial Overgrowth
      • Small intestinal bacterial overgrowth (SIBO) refers to a condition in which abnormally large numbers of bacteria (at least 100,000 bacteria per ml of fluid) are present in the small intestine and the types of bacteria in the small intestine resemble more the bacteria of the colon than the small intestine. There are many conditions associated with small intestinal bacterial overgrowth, to include: diabetes, scleroderma, Crohn's disease, and others. There is a striking similarity between the symptoms of irritable bowel syndrome and SIBO. It has been theorized that SIBO may be responsible for the symptoms of at least some patients with irritable bowel syndrome. Symptoms of SIBO include: excess gas, abdominal bloating, diarrhea, and abdominal pain.
    • Indigestion (Dyspepsia, Upset Stomach)
      • Dyspepsia (indigestion) is a functional disease in which the gastrointestinal organs, primarily the stomach and first part of the small intestine, function abnormally. It is a chronic disease in which the symptoms fluctuate infrequency and intensity. Symptoms of dyspepsia include upper abdominal pain, belching, nausea, vomiting, abdominal bloating, early satiety, and abdominal distention (swelling). These symptoms are most often provoked by eating.
    • The Digestive System
      • Digestion is the complex process of turning food you eat into the energy you need to survive. The digestive process also involves creating waste to be eliminated, and is made of a series of muscles that coordinate the movement of food.
    • Irritable Bowel Syndrome (IBS) Triggers and Prevention
      • Irritable bowel syndrome (IBS) is a functional disease that can affect the quality of those who suffer from this condition. Individuals with IBS can make lifestyle changes that may modify or control the number and severity of episodes. Certain foods, medications, and hormone levels may trigger IBS episodes. Learn how to prevent the number and severity of IBS episodes of diarrhea and constipation.
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Symptom Checker: Your Guide to Symptoms & Signs: Pinpoint Your Pain


Irritable Bowel Syndrome (IBS)

What is colonoscopy?

Colonoscopy is a procedure that enables an examiner (usually a gastroenterologist) to evaluate the inside of the colon (large intestine or large bowel). The colonoscope is a four foot long, flexible tube about the thickness of a finger with a camera and a source of light at its tip. The tip of the colonoscope is inserted into the anus and then is advanced slowly, under visual control, into the rectum and through the colon usually as far as the cecum, which is the first part of the colon.

Why is colonoscopy done?

Colonoscopy may be done for a variety of reasons. Most often it is done to investigate the cause of blood in the stool, abdominal pain, diarrhea, a change in bowel habit, or an abnormality found on colonic X-rays or a computerized tomographic (CT) scan. Individuals with previous history of polyps or colon cancer and certain individuals with a family history of some types of non-colonic cancers or co...

Read the Colonoscopy article »




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