1 IBS A patient s guide to living with irritable bowel syndrome a program of the aga institute
2 IBS Basics Irritable bowel syndrome (IBS) is a common disorder of the intestines with symptoms that include crampy pain, gassiness, bloating and changes in bowel habits. Some people with IBS have constipation (difficult or infrequent bowel movements), others have diarrhea (frequent loose stools, often with an urgent need to move the bowels), and some people experience both. Sometimes the person with IBS has a crampy urge to move the bowels, but cannot do so. IBS does not cause permanent harm to the intestines and does not lead to cancer. For many people, eating a proper diet and living a healthy lifestyle may lessen IBS symptoms. The information in this brochure will give you some basic facts about IBS. It will help you better understand and manage your condition and will serve as a starting point for discussions with your doctor.
3 Most people with IBS are able to control their symptoms through diet, stress management and, sometimes, medication prescribed by their doctors. Living with IBS The cause of IBS is unknown, and likely there are many causes; as a result, there is no one treatment for everyone. Doctors call it a functional disorder because the symptoms result from an oversensitivity of the muscles and nerves of the intestine affecting the way in which they function. There is no sign of disease when the colon is examined and, much like a headache or muscle strain, IBS can cause a great deal of discomfort and distress, even though no structural abnormalities are identified. The good news is that IBS does not cause permanent harm to the intestines and does not lead to intestinal bleeding of the bowel or to a life-threatening disease, such as cancer. Often IBS is just a mild annoyance, but for some people it can be disabling. They may be afraid to go to social events, to go out to a job or to travel even short distances. Most people with IBS, however, are able to control their symptoms through diet, stress management and, sometimes, with medications prescribed by their doctor. Through the years, IBS has been called by many names colitis, mucous colitis, spastic colon, spastic bowel and functional bowel disease. Most of these terms are inaccurate. Colitis, for instance, means inflammation of the large intestine (colon). IBS, however, does not cause inflammation and should not be confused with ulcerative colitis, which is a more serious disorder.
4 The Normal Colon The colon, which is about six feet long, connects to the small intestine at one end and to the rectum and anus at the other end. The major function of the colon is to absorb water and salts from digestive products that enter from the small intestine. Two quarts of liquid matter enter the right colon from the small intestine each day. This material may remain there for several days until most of the fluid and salts are absorbed into the body. The stool then passes through the colon by a pattern of movements to the left side of the colon, where it is stored until a bowel movement occurs. Normal colon motility (contraction of intestinal muscles and movement of its contents) is controlled by nerves and hormones and by electrical activity in the colon muscle. The electrical activity serves as a pacemaker similar to the mechanism that controls heart function. Movements of the colon propel the contents slowly back and forth, but mainly from the right to left colon toward the rectum. A few times each day, strong muscle contractions move down the colon pushing fecal material ahead of them. Some of these strong contractions result in a bowel movement. A The Digestive System A. Esophagus B. Liver C. Stomach D. Gallbladder E. Small intestine F.Colon (Large intestine) G. Pancreas H. Rectum I. Anus E D B C G F H I
5 Causes of IBS IBS results from a combination of several factors that can affect gastrointestinal (GI) functioning. This includes poor regulation of the muscle contractions of the GI tract causing abnormal movement (referred to as dysmotility), increased sensitivity of the nerves attached to the intestinal tract that produce the electrical activity (called visceral hypersensitivity), or problems in the communication between the nerves of the brain and gut (known as brain-gut dysfunction). Any or all of these factors lead to the symptoms that we can recognize as IBS. u Colonic dysmotility. Researchers have found that the colon muscle of a person with IBS contracts and can even go into spasm after only mild stimulation. There are two sets of muscles in the colon, longitudinal and circular, that can lead either to non-propulsive (also called segmental contractions) or propulsive contractions. Propulsive contractions can move stool through quickly, producing diarrhea, while non-propulsive segmental contractions will hold back stool and produce constipation. The person with IBS seems to have a colon that is more sensitive and reactive than usual, so it responds by producing more diarrhea or constipation than normal. That is why someone with IBS can have both types of symptoms, even in the same day. u Visceral hypersensitivity (increased sensitivity of intestinal nerves). When the intestines are stimulated or stretched, the nerves attached to the intestines fire signals that go to the brain, where they are experienced as discomfort or pain, depending on the degree of stimulation. Persons with IBS will feel discomfort or pain with less stimulation than healthy individuals; this is called visceral hypersensitivity. These nerves can be made more sensitive because of an infection or inflammation of the intestines or injury, such as from an operation or in response to psychological stress. u Brain-gut dysfunction. The nerves in the intestinal tract come from the same origins as the nerves in the brain and spinal cord in the fetus, and are closely connected to each other in adult life. Stimulation of the bowel can affect areas in the brain producing emotional distress, which in turn can affect bowel functioning. This occurs because various chemicals, including hormones or medications (like antidepressants), can release substances that influence both brain and intestinal functioning. This relationship is called the brain-gut connection. Emotional conflict can lead to greater IBS symptoms; therefore, treatments directed at emotional distress, like hypnosis or relaxation methods and antidepressants, can help reduce symptoms. This understanding can help eliminate concerns by patients or their families about IBS being a psychiatric disorder. Rather, it is a condition in which the gut is sensitive to a variety of stimuli to the bowel, including psychological distress, which can affect anyone.
6 Symptoms & Diagnosis It is important to realize that normal bowel function varies from person to person. Normal bowel movements range from as many as three stools a day to as few as three a week. A normal movement is one that is formed, but not hard, contains no blood, and is passed without cramps or pain. People with IBS usually have crampy abdominal pain that is associated with constipation and/or diarrhea or abdominal bloating. In some people, constipation predominates (IBS-C); in others diarrhea is more common (IBS-D). Some people have both (IBS- M for mixed ) or neither (IBS-U for unspecified ). Over time, constipation and diarrhea can even alternate (IBS- A). Sometimes, people with IBS pass mucus with their bowel movements. Bleeding, fever, weight loss and persistent severe pain are not symptoms of IBS and may indicate other problems. IBS Triggers u Many people report that their symptoms occur following a meal. Eating causes contractions of the colon. Normally, this response may cause an urge to have a bowel movement within 30 to 60 minutes after a meal. In people with IBS, the urge may come sooner and may be associated with pain, cramps and diarrhea. Certain foods may trigger spasms in some people. Sometimes the spasm delays the passage of stool, leading to constipation. u Certain food substances, like complex carbohydrates and caffeine, fatty foods, or alcoholic drinks, can cause loose stools in many people, but are more likely to affect those with IBS. u Researchers have found that women with IBS may have more symptoms during their menstrual periods, suggesting that reproductive hormones can increase IBS symptoms. u Emotional distress, like preparing for a speech, taking an examination or traveling, can produce intestinal symptoms of diarrhea, constipation or pain in everyone, but more so in those with IBS who seem more sensitive to these events.
7 How IBS is Diagnosed IBS is usually diagnosed after doctors identify certain symptoms that are typical for the condition and are present after excluding other diseases. The doctor will take a complete medical history that includes a careful description of symptoms. Recently, the use of specific symptom criteria (known as the Rome Criteria see table 1) can help make a diagnosis of IBS with confidence. In addition, a physical examination and a laboratory test will be done. A stool sample may be tested for evidence of bleeding or to exclude the possibility of infection. Certain findings during the evaluation, called alarm signs, may lead to further testing because they may signal other medical disorders. These alarm signs can include rectal bleeding, significant weight loss, low blood count or a family history of cancer. The doctor may order other diagnostic procedures, such as X-rays or colonoscopy (viewing the colon Table 1 Rome III Diagnostic Criteria * for IBS Recurrent abdominal pain or discomfort ** at least three days/month in last three months associated with two or more of the following: 1. Improvement with defecation 2. Onset associated with a change in frequency of stool. 3. Onset associated with a change in form (appearance) of stool. * Criteria fulfilled for the last three months with symptom onset at least six months prior to diagnosis. ** Discomfort means an uncomfortable sensation not described as pain. Published in Rome III: The Functional Gastrointestinal Disorders Third Edition through a flexible tube inserted through the anus), to find out if there is another disease. To learn more about colonoscopy, read the AGA Institute brochure on that topic in your gastroenterologist s office or visit Is IBS Linked to More Serious Problems? IBS does not lead to more serious diseases, such as cancer or inflammatory bowel disease (ulcerative colitis or Crohn s disease). It is important to have an appropriate initial evaluation to exclude other diseases and then treat the IBS while staying vigilant to any new findings that may arise over time. Some patients have severe IBS, and the pain, diarrhea or constipation and resultant impairment in quality of life may cause them to withdraw from normal activities. In such cases, doctors may recommend behavioralhealth counseling.
8 Treatment Start with a Good Diet For many people, eating a proper diet that also avoids eating large amounts of food items at one time may help lessen IBS symptoms. Before changing your diet, it is a good idea to keep a journal noting which foods seem to cause distress, and discuss your findings with your doctor. For instance, if dairy products cause your symptoms to flare up, you can try eating less of those foods. High fat can stimulate the bowels and produce nausea or cramping. Sometimes, it is not what you eat, but the amount you eat that activates IBS symptoms. Many find that reducing the amount of food and eating smaller portions more frequently can reduce symptoms. IBS is a condition in which there is an overreaction to stimuli to the bowel, and this can include dietary substances. Some individuals may be more sensitive to food items that in larger quantities can affect everyone. Recent attention has been drawn to the FODMAP (FODMAP= fermentable oligo-, di- and mono-saccharides and polyols) concept; this relates to avoiding the ingestion of fermentable sugars, such as fructose or lactose, sorbitol, and fructans present in wheat. These food items, if poorly absorbed, are broken down by bacteria to produce symptom s of gaseousness, bloating, abdominal discomfort and diarrhea, which are seen in IBS. There are many websites that discuss the types of items to be avoided with the FODMAP diet. You also may want to consult a registered dietitian, who can help you make changes in your diet. Fiber Insoluble dietary fiber or fiber supplements, such as psyllium or polycarbophil, which helps move bulk through the intestines and promotes bowel movements, may lessen constipation if associated with IBS symptoms. Whole-grain breads, cereals and beans are good sources of fiber for patients with IBS. High-fiber diets keep the colon mildly distended, which may help to prevent spasms from developing. Some forms of fiber also keep water in the stools, thereby preventing hard stools that are difficult to pass. Doctors usually recommend that you eat just enough fiber so that you have soft, easily passed, painless bowel movements. However, high-fiber diets may also cause gas and bloating and thus should be taken in moderation. Table 2 High-Fiber Foods Food Grams of Fiber 1/2 cup All-Bran 9.6 1/2 cup navy beans 9.5 1/2 cup of kidney beans 8.2 1/2 cup of black beans 7.5 3/4 cup bran flakes medium sweet potato with skin 4.8 1/2 cup green peas medium pear with skin 4.3 Source: digestive.niddk.nih.gov/ddiseases/pubs/ diverticulosis/
9 Role of Medicines in Relieving IBS Symptoms There is no standard way of treating IBS, and treatment choices often depend on the predominant set of symptoms that are present. For example, if chronic constipation is predominant (IBS-C), prescription drugs or over-the-counter products, such as polyethylene glycol solutions that increase intestinal fluid to help pass stool, may be appropriate. When diarrhea is more prominent (IBS- D), over-the-counter loperamide or several different types of prescription drugs may be used. Probiotics may also help IBS symptoms and are safe. Occasionally, antibiotics can be used with certain patients, but overtreatment should be avoided. Finally, antidepressant drugs are used when abdominal pain is more severe, because they can help reduce visceral sensitivity and brain-gut dysfunction that contribute to the symptoms. Psychological Treatments There are several psychological treatments that can help reduce the symptoms of IBS. These include: u Cognitive-behavioral treatment. u Hypnosis. u Stress management. u Meditation. u Other relaxation methods. These treatments seem to reduce abdominal discomfort and the psychological distress associated with IBS symptoms, improve coping skills, and help patients adapt to their symptoms. There are no harmful effects and these treatments can be used in addition to or instead of the usual medical treatments. Psychological treatments seem to reduce abdominal discomfort and the psychological stress associated with IBS symptoms.
10 IBS Symptom Tracker Keep track of your symptoms. Fill out the chart below (make copies for future use) and bring the completed charts to your next doctor s visit. See below for an example of how to use this chart. Date Symptom Type & Severity (1-10) 4/18 Diarrhea (9 out of 10) Describe Watery & loose, every 30 minutes What made it better/worse (food, stress, period)? Better food How did it affect you? (Thoughts, feelings or activity restrictions)? Couldn t leave house angry
11 IBS Notes & Patterns Keep track of how you feel, what you eat, what stress you are feeling and what exercise you are getting. Noticing patterns in your activities can guide your gastroenterologist in helping you avoid your personal IBS triggers. By keeping a log of your behaviors, you and your physician will have a head start on alleviating the symptoms. Get started by answering the following questions. 1. What are the main symptoms that are bothering you and how would you describe them? a. Pain (describe: steady, cramping, burning)? What is the location? b. Diarrhea or constipation (or both)? Do they affect the pain? c. Bloating? d. Nausea or vomiting? 2. What are the experiences that make your symptoms worse (and describe)? a. Eating (what type, how often)? b. Stress (what type)? c. Physical activity? d. Menstrual cycle? 3. What medicines are you taking and which ones help or don t help?
12 For more information on IBS. Go to for general information on digestive health and disorders, tests performed by gastroenterologists and to find an AGA member physician in your area. If IBS is significantly affecting your life, the AGA publishes a book, Master Your IBS, that will show you how to reduce the severity and frequency of your symptoms. It can be ordered from Amazon.com and Barnes & Noble.com. Go to for medical information about the diagnosis and management of IBS and other functional gastrointestinal disorders. Go to for educational brochures and patient forums on IBS. The American Gastroenterological Association is the trusted voice of the GI community. Founded in 1897, the AGA has grown to include 17,000 members from around the globe who are involved in all aspects of the science, practice and advancement of gastroenterology. The AGA Institute administers the practice, research and educational programs of the organization. Thanks to the following members who guided development of this brochure: CONTRIBUTOR Douglas A. Drossman, MD Co-Director UNC Center for Functional GI and Motility Disorders Division of Gastroenterology and Hepatology University of North Carolina at Chapel Hill REVIEWERS Sandee Bernklau, APRN-BC, CGRN Nurse Practitioner/Director Midwest Endoscopy Center Fay Kastrinos, MD, MPH Assistant Professor in Clinical Medicine College of Physi cians and Surgeons Division of Digestive and Liver Diseases Columbia University This brochure was produced by the AGA Institute and supported by grants from Forest Laboratories, Inc. and Ironwood Pharmaceuticals, Inc. The AGA Institute offers the information in these brochures for educational purposes to provide accurate and helpful health information for the general public. This information is not intended as medical advice and should not be used for diagnosis. The information in these brochures should not be considered a replacement for consultation with a health-care professional. If you have questions or concerns about the information found in these brochures, please contact your health-care provider. We encourage you to use the information and questions in these brochures with your health-care provider(s) as a way of creating a dialogue and partnership about your condition and your treatment. IBS.0811 a program of the aga institute
Irritable Bowel Syndrome National Digestive Diseases Information Clearinghouse National Institute of Diabetes and Digestive and Kidney Diseases NATIONAL INSTITUTES OF HEALTH U.S. Department of Health and
FUNCTIONAL BOWEL DISORDERS Contributed by the International Foundation for Functional Gastrointestinal Disorders (IFFGD) and edited by the Patient Care Committee of the ACG. INTRODUCTION Doctors use the
Irritable Bowel Syndrome National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is irritable bowel syndrome (IBS)? Irritable
3888-IBS Consumer Bro 5/8/03 10:38 AM Page 1 TAKE THE IBS TEST Do you have recurrent abdominal pain or discomfort? YES NO UNDERSTANDING IRRITABLE BOWEL SYNDROME A Consumer Education Brochure Do you often
IRRITABLE BOWEL SYNDROME What is Irritable Bowel Syndrome (IBS)? IBS is one of more than twenty functional gastrointestinal disorders (FGID). These are disorders in which the gastrointestinal (GI) tract
Constipation What is constipation? Constipation is a condition in which a person has uncomfortable or infrequent bowel movements. Generally, a person is considered to be constipated when bowel movements
The Use of Antidepressants in the Treatment of Irritable Bowel Syndrome and Other Functional GI Disorders Christine B. Dalton, PA-C Douglas A. Drossman, MD What are functional GI disorders? There are more
Constipation Why Am I Constipated? Constipation is passage of small amounts of hard, dry bowel movements, usually fewer than three times a week. People who are constipated may find it difficult and painful
The American College of Obstetricians and Gynecologists f AQ FREQUENTLY ASKED QUESTIONS FAQ120 WOMEN S HEALTH Problems of the Digestive System What are some common digestive problems? What is constipation?
Since the birth of my baby, I can t control my bowel movements Normally bowel movements (stools) are stored in the rectum until the bowel sends a message to the brain that it is full, and the person finds
NICE quality standard for irritable bowel syndrome in adults (QS114) QS114 NICE approved the reproduction of its content for this booklet. The production of this booklet is sponsored by Thermo Fisher Scientific,
Leicestershire Nutrition and Dietetic Services DIETARY ADVICE FOR CONSTIPATION What is constipation? Constipation is one of the most common digestive complaints. Normal bowel habits vary between people.
Bowel Control Problems WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Bowel control problems affect at least 1 million people in the United States. Loss of normal control of the bowels is
IRRITABLE BOWEL SYNDROME CONTENTS Digestive Health Foundation What Is? How Big is the Problem? What Causes? Diagnosis of Other Gut Symptoms in Non Gut Symptoms in Differential Diagnosis of How To Manage
IRRITABLE BOWEL SYNDROME (IBS) INTRODUCTION IBS is the most commonly diagnosed gastrointestinal condition and is second only to the common cold as a cause of absence from work. An estimated 10 to 20 percent
Information about Irritable Bowel Syndrome What causes IBS? Why is it painful? What is Irritable Bowel Syndrome? Are there different sorts of IBS? How can I help myself? Is it common? Is IBS serious? Irritable
It s A Gut Feeling: Abdominal Pain in Children David Deutsch, MD Pediatric Gastroenterology Rockford Health Physicians Introduction Common Symptom Affects 10-15% of school-aged children Definition (Dr.
IBS Understanding Constipation A patient s guide to living with irritable bowel syndrome a program of Constipation Basics } Constipation has different definitions, and individuals define it based on family
Dietary Fiber Introduction Fiber is a substance in plants. Dietary fiber is the kind of fiber you get from the foods you eat. Fiber is an important part of a healthy diet. Fiber helps get rid of excess
Managing Constipation The following information is based on the general experiences of many prostate cancer patients. Your experience may be different. If you have any questions about what prostate cancer
Irritable Bowel Syndrome National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is irritable bowel syndrome (IBS)? Irritable
Probiotics for the Treatment of Adult Gastrointestinal Disorders Darren M. Brenner, M.D. Division of Gastroenterology Northwestern University, Feinberg School of Medicine Chicago, Illinois What are Probiotics?
F FIBER FACTS Straight Talk About Dietary Fiber WHAT IS DIETARY FIBER? HOW CAN I INCREASE MY FIBER INTAKE? WHO NEEDS TO INCREASE DIETARY FIBER? HOW WILL INCREASED FIBER BENEFIT YOU? WHEN SHOULD A FIBER
What Is Clostridium Difficile (C. Diff)? Clostridium difficile, or C. diff for short, is an infection from a bacterium, or bug, that can grow in your intestines and cause bad GI symptoms. The main risk
Irritable bowel syndrome (IBS) Kok-Ann Gwee, Uday C Ghoshal* Associate Professor, National University of Singapore, and *Associate Professor, Dept. of Gastroenterology, SGPGI, Lucknow, India Story of a
PROBIOTICS what they are and what they can do for you A patient s guide from your doctor and Probiotics Products containing probiotics have flooded the market in recent years. As more people seek natural
Constipation in the older child Definition Constipation in children is a common problem. Constipation in children is often characterized by infrequent bowl movements or hard, dry stools. Various factors
Care and Problems of the Digestive System Chapter 18 Lesson 2 Care of the Digestive System Good eating habits are the best way to avoid or minimize digestive system problems. Eat a variety of foods Avoid
Chronic Diarrhea in Children National Digestive Diseases Information Clearinghouse What is chronic diarrhea? Diarrhea is loose, watery stools. Chronic, or long lasting, diarrhea typically lasts for more
Bulimia Nervosa Introduction Bulimia nervosa, or bulimia, is an eating disorder. A person with bulimia eats a large amount of food in a short amount of time. To prevent weight gain, the person then purges.
HIGH FIBER DIET (Article - Web Site) August 20, 2003 Dietary fiber, found mainly in fruits, vegetables, whole grains and legumes, is probably best known for its ability to prevent or relieve constipation.
Diverticulosis and Diverticulitis National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What are diverticulosis and diverticulitis?
WEIGHT LOSS BEGINS WITH DIGESTIVE HEALTH Your digestive system is one of the most essential components of your entire body. According to a recent survey, people have a keen interest in digestive health
Information about Constipation in Adults What are the commonest causes? What are the unusual causes? Constipation in Adults Will I need to have tests? What does constipation mean? What research is needed?
Dr. Susan Plank s Report: 7 Reasons You Can t Eat the Foods You Love! Betsy Coltrain sat feeling miserable on the couch. She had just finished eating dinner and began to feel the uncomfortable fullness,
Peptic Ulcer Introduction A peptic ulcer is a sore in the lining of your stomach or duodenum. The duodenum is the first part of your small intestine. Peptic ulcers may also develop in the esophagus. Nearly
July 1, 2012 Welcome to our first newsletter which will address the issue of fiber in your diet. If you are not regular or are having difficulty going to the bathroom then you should consider eating more
Colonic Stenting Your Procedure Explained Patient Information Introduction This leaflet tells you about the procedure known as colonic stenting. It explains what is involved and some of the common complications
Diarrhea National Digestive Diseases Information Clearinghouse National Institute of Diabetes and Digestive and Kidney Diseases NATIONAL INSTITUTES OF HEALTH U.S. Department of Health and Human Services
RADIATION THERAPY SYMPTOM MANAGEMENT Managing Acute Side Effects of Colorectal & Anal Radiation Therapy In this booklet you will learn about: Common side effects when you receive radiation therapy to your
Recovery After Stroke: Bladder & Bowel Function Problems with bladder and bowel function are common but distressing for stroke survivors. Going to the bathroom after suffering a stroke may be complicated
Peak Development Resources, LLC P.O. Box 13267 Richmond, VA 23225 Phone: (804) 233-3707 Fax: (804) 233-3705 After reading the newsletter, the nursing assistant should be able to: 1. Describe the normal
IRRITABLE BOWEL SYNDROME - a patient's guide Dr Ishy Maharaj - Gastroenterologist What is it? The irritable bowel syndrome is the most common gastrointestinal disease in clinical practice. It is a condition
Crohn's disease and ulcerative colitis Summary Crohn s disease and ulcerative colitis are collectively known as inflammatory bowel disease (IBD). Crohn s disease can appear in any part of a person s digestive
Diarrhea National Digestive Diseases Information Clearinghouse National Institute of Diabetes and Digestive and Kidney Diseases NATIONAL INSTITUTES OF HEALTH Diarrhea Diarrhea loose, watery stools occurring
School of Social Work The Digestive System Undergraduate researcher: Nancy D. Bergerson (2010). 1 The Digestive System breaks down and absorbs food. When food is eaten, it is not in a form the body can
Learning Objectives Introduction to Medical Careers Digestive System Chapter 16 Define at least 10 terms relating to the digestive Describe the four functions of the digestive Identify different structures
Breath Hydrogen Tests Breath hydrogen tests are very useful to help plan a low FODMAP diet. The tests have been around for many years - decades, in fact. However they were not regularly used in routine
Altru HEALTH SYSTEM Gas in the Digestive Tract What is gas? Everyone has gas and eliminates it by burping or passing it through the rectum. However, many people think they have too much gas when they really
Reversible Cause Urinary incontinence is a loss of control over the passing of urine. Urine loss can occur in very small amounts (enough only to dampen underwear) to very large amounts (requiring a change
Dietary Fiber and Alcohol Nana Gletsu Miller, PhD Fall 2-13 Dietary Fiber It is the complex carbohydrate in plants that can not be broken down by human digestive enzymes Sources Grains Fruits and Vegetables
What is Ai-Detox? Frequently Asked Questions: Ai-Detox Ai-Detox is a Chinese herbal medicinal formula, produced using state of the art biotechnology, which ensures the utmost standards in quality and safety.
Effects of Daily Habits on the Bladder Many aspects of our daily life influence bladder and bowel function. Sometimes our daily habits may not be in the best interest of the bladder. A number of surprisingly
YOUR DIGESTIVE SYSTEM FUELS YOUR LIFE. Respect It. Protect It. Learn More About It. Digestive disorders can happen to anyone, at any age. The Canadian Digestive Health Foundation (CDHF) estimates 20 million
Department of colorectal surgery Reversal of ileostomy A guide for patients Introduction This booklet is designed to tell you about your reversal of ileostomy operation and how your bowels might work after
COLORECTAL CANCER SCREENING By Douglas K. Rex, M.D., FACG & Suthat Liangpunsakul, M.D. Division of Gastroenterology and Hepatology, Department of Medicine Indiana University School of Medicine Indianapolis,
Colorectal Cancer: Preventable, Beatable, Treatable American Cancer Society Reviewed January 2013 What we ll be talking about How common is colorectal cancer? What is colorectal cancer? What causes it?
Colon and Rectal Cancer What is colon or rectal cancer? Colon or rectal cancer is the growth of abnormal cells in your large intestine, which is also called the large bowel. The colon is the last 5 feet
Dietary Fiber and Alcohol Nana Gletsu Miller, PhD Spring 2014 Dietary Fiber It is the complex carbohydrate in plants that can not be broken down by human digestive enzymes Sources Grains Fruits and Vegetables
Laparoscopic Surgery of the Colon and Rectum (Large Intestine) A Simple Guide to Help Answer Your Questions What are the Colon and Rectum? The colon and rectum together make up the large intestine. After
Bladder Health Promotion Community Awareness Presentation Content contributions provided by the Society of Urologic Nurses (SUNA) National Association for Continence (NAFC) Simon Foundation for Continence
Flexible Sigmoidoscopy National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is flexible sigmoidoscopy? Flexible sigmoidoscopy
Information about Diverticular Disease www.corecharity.org.uk How common is it? Can I prevent it? What is Diverticular Disease? What tests will I need? What symptoms might I get? What should I eat? How
Bowel problems after pelvic radiotherapy This information is an extract from the booklet Understanding pelvic radiotherapy in men - possible long-term side effects. You may find the full booklet helpful.
Controlling Pain Part 2: Types of Pain Medicines for Your Prostate Cancer The following information is based on the general experiences of many prostate cancer patients. Your experience may be different.
Colorectal Cancer: Preventable, Beatable, Treatable American Cancer Society Reviewed January 2016 What we ll be talking about How common is colorectal cancer? What is colorectal cancer? What causes it?
X-Plain Hypoglycemia Reference Summary Introduction Hypoglycemia is a condition that causes blood sugar level to drop dangerously low. It mostly shows up in diabetic patients who take insulin. When recognized
Bile Duct Diseases and Problems Introduction A bile duct is a tube that carries bile between the liver and gallbladder and the intestine. Bile is a substance made by the liver that helps with digestion.
What I need to know about Crohn s Disease NATIONAL INSTITUTES OF HEALTH National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services What I need to know about Crohn
Microscopic Colitis: Collagenous Colitis and Lymphocytic Colitis National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is
Normal Gastrointestinal Motility and Function "Motility" is an unfamiliar word to many people; it is used primarily to describe the contraction of the muscles in the gastrointestinal tract. Because the
Patient information WHAT TO EXPECT WHILE RECEIVING RADIATION THERAPY FOR PROSTATE CANCER Oncology Vitalité Zone : 1B 4 5 6 Facility : Dr. Léon-Richard Oncology Centre The following document includes information
Narcotic Bowel Syndrome Alvin Zfass M.D. M.D. Professor of Medicine Toufic Kachaamy M.D. GI Fellow Chronic Pain 110 million Americans suffer from chronic pain according to the NIH Cost of untreated t or
Geriatric Medicine Advice on Constipation and Laxatives 1 Constipation Constipation is defined as having bowel movements less than three times a week. Stools are usually hard, dry, small in size and difficult
Bowel Obstruction and Constipation Robert Baldor, MD Department of Family Medicine & Community Health UMass Medical School. 3 Welcome & Introduction Gail Grossman, Assistant Commissioner for Quality Management
1 Infections in the urinary tract are relatively common. These infections are often referred to as bladder infections. They are also known as UTI s or urinary tract infections. When an infection is confined
Preparing for your Colonoscopy You must have someone and/or a driver accompany you and stay with you for 24 hours after your procedure. Patients who fail to bring a driver/someone to stay with them for
Information for Patients having a Colonic Stent Placement Information for Patients having a Colonic Stent Placement The Digestive System To understand the procedure you are about to have, it helps to have
FOOD FOR THOUGHT Diet and Nutrition for Adults Living with Crohn s Disease & Ulcerative Colitis www.crohnsandcolitis.ca So you or someone you know has been diagnosed with either Crohn s disease or ulcerative
PREPARING FOR YOUR STOMA REVERSAL Information Leaflet Your Health. Our Priority. Page 2 of 6 Introduction- What you need to know As part of your bowel operation you may have had a temporary stoma formed.
ENDOSCOPIC ULTRASOUND (EUS) What you need to know before your procedure Your Doctor has decided that an EUS is necessary for further evaluation and treatment of your condition. This information sheet has
Page 1 of 6 Chemotherapy Side Effects Worksheet Medicines or drugs that destroy cancer cells are called cancer chemotherapy. It is sometimes the first choice for treating many cancers. Chemotherapy differs
Cancer Expert Working Group on Cancer Prevention and Screening Prevention and Screening for Colorectal Cancer 1 What is colorectal cancer? Colorectum (colon and rectum, or the large bowel or large intestine)
C. difficile Infections Introduction C. difficile is a type of bacteria that can cause diarrhea and infection of the colon. This bacterium is more likely to infect patients at hospitals and other healthcare