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Abdominal bloating:What can you do to improve?

“Abdominal bloating every day doctor. I can’t find relief, I’ve done three diets and I don’t know what to eat. I’m afraid of having something wrong “

This surely sounds familiar to you if you suffer from this problem and that’s why I’m going to tell you today about bloating

What is abdominal bloating

Abdominal bloating is the feeling of bloating, fullness, or heaviness in the abdomen. It may or may not be accompanied by an increase in the diameter of the abdomen. Some patients tell me: I feel like a balloon or like I’m pregnant. For all people, the sensation or location may be different, but what is common is that it greatly affects the quality of life. Sometimes bloating comes alone but sometimes it accompanied by problems such as constipation or chronic diarrhea, bowel syndrome irritable or functional dyspepsia.

abdominal-bloating-dr mauricio.gonzalez-gastroenterologist-medellin
Abdominal bloating | Freepik photo

What causes abdominal bloating

There are many causes of abdominal bloating such as:

❇️ Small bowel Bacterial overgrowth (SIBO):

It is the increase in the number of bacteria in the small intestine. When this happens the carbohydrates that pass through this organ are fermented by these bacteria producing more gas and bloating of the bowel wall.

❇️Malabsorption of Carbohydrates:

It may happen that carbohydrates are not absorbed properly in the small bowel or that although this is done well they are not properly tolerated. The most common is malabsorption or lactose and fructose intolerance

❇️ Abnormal movement of the digestive tract:

There may be bloating when there is slower or abnormal movement of the digestive tract walls such as in these diseases: Gastroparesis, Diabetes, Scleroderma, chronic constipation or use of opiates or antidiarrheals

❇️Malfunction of the pelvic floor:

When there is weakness or discord in these muscles, there may be an inability to pass gas or stool and increase the feeling of bloating

❇️Digestive hypersensitivity: Nerve endings in the small intestine can cause perceived stimuli or normal activities with greater intensity. It may be related to anxiety, depression, hypervigilance or stress

❇️ Altered Microbiota:

Although the number of bacteria in the intestinal flora is normal, there may be a greater number of gas-producing bacteria or having a change in the flora that we had from just born

❇️Organic diseases:

Don’t panic but it can be due to cancer of the ovary or any part of the digestive tract, liver, kidney, pancreas, or abnormal fluid in the abdomen (Ascites)

❇️ Abdominophrenic dyssynergia:

In normal conditions our body accommodates the gas by relaxing the diaphragm (It takes it up) and contracting the muscles of the abdominal wall. In some people this pattern is reversed and in this case the diaphragm contracts or goes down and the musculature of the abdomen relaxes which causes the obvious distension to occur

How to diagnose the cause of abdominal bloating

1. Breath tests:

These tests measure safely and non invasive if a carbohydrate is not digested properly. Substances used to measure nclude fructose, lactose, or lactulose that when they are not absorbed by the small intestine they are degraded by bacteria from the colon or small intestine increasing the amount of hydrogen gas which passes into the circulation and then breathing, being able to measure with the breath.

1.1 Breath tests for malabsorption and lactose intolerance:

Lactose is the main carbohydrate in milk and is made up of two molecules: Glucose and Galactose. To be digested, there is on the surface of the cells of the small intestine a enzyme that breaks the bond between these allowing them to pass into the blood separately. Poor digestion of lactose produces symptoms such as bloating, abdominal cramps, flatulence or diarrhea. At first it seems unnecessary to do a breath test for intolerance to the lactose because most people with bloating the first thing they do is avoid dairy. But many times the problem continues or hardly improves and we have removed our life a very important food in the diet that is a source of protein, calcium and vitamin D.

Make the test helps us to define if it is of any use to eliminate milk or dairy products or if we can optimize their consumption

Schedule your appointment for this test Here:

1.2 Breath test for malabsorption and fructose intolerance:

Fructose is a natural sugar found in fruits, sweeteners, and in many foods. The ability of the small intestine to absorb fructose is thus limited that when we consume too much or do not digest it properly it will cause us distension.

Schedule your appointment for this test Here:

1.3 Breath test for bacterial overgrowth:

This is done by administering lactulose and when it is positive it is necessary to evaluate if there are predisposing causes in the small intestine such as diverticula, tumors, narrowing or inflammatory diseases in the small intestine. Sometimes it is necessary to carry out a small bowel examination with endoscopic capsule or enteroresonance

Schedule your appointment for this test Here:

2. Upper digestive endoscopy:

It is done to rule out obstruction to the passage of food through the stomach or to take biopsies in the intestine and thus know if there is inflammation that suggests celiac disease or other inflammatory problems of the small intestine

3. Colonoscopy:

It is used in people in whom it is necessary to rule out cancer of this organ or in the evaluation of chronic constipation. In this exam we can evaluate the functioning of the pelvic floor

4. Ultrasound of the abdomen:

It is used to rule out if there is fluid in the abdomen (Ascites), tumors or problems in the ovaries or liver

5. Other tests:

According to the prevailing symptoms, I can also request a gastric emptying scan to rule out gastroparesis or laboratory tests such as fecal calprotectin or tests for celiac disease, among others

What is the treatment of bloating?

As you can see, the causes of abdominal bloating are multiple and therefore there is no single intervention for all people. Treatment should be directed at finding and

correct the cause or causes of the problem. While you consult with your Gastroenterologist you can do things like:

Avoid or reduce the consumption of sweets (Candies, caramels, dulce de leche, snack, chocolates among others). It also limits the consumption of sodas, soft drinks or artificial juices

Don’t restrict yourself unnecessarily. If you have already removed several things from your diet and you see improvement food is most likely not the cause of the problem. If you stop eating everything can make you sicker. I have patients who have removed many things from their diet and this makes them lose weight weight which in turn scares them and makes them sicker

If you have constipation or chronic diarrhea, you must find the solution to these problems

Exercising and improving mood are key to feeling better even if they are not the causes of problem. Don’t despair if you can’t find the solution f you have bloating, I help you find the solution to this problem.

Program your Appointment for Consultation / Endoscopy / Colonoscopy here: http://wa.me/573207571313

Learn more at https://endoscopiaycolonoscopia.com

Cheers,

Mauricio González Hernández

Your Gastroenterologist in Medellín

Video Capsule Colonoscopy: If you are afraid of colonoscopy

Video Capsule colonoscopy? What is that ? I need a colonoscopy but it gives me fear and terror make it to me. I’m going to resign myself to doing nothing. Today I am going to show you that the solution to these dilemmas is the Video Capsule Colonoscopy (the video of the colon taken with the capsule endoscopy).

 

We are all afraid and anxious about the unknown, but sometimes this fear is greater than our own will and we cannot overcome it. I know that many people are afraid of colonoscopy for several reasons:

1. They think the test is painful and uncomfortable even if they are sedated.

2. They hate the idea of ​​falling asleep with sedation. That means losing control and arousing fear of don’t wake up again. Many have heard that when they get up they will be dizzy all day, They will have nightmares or they can get secret information from them. Others are scared because they were told that with sedation there are patients who had cardiac arrest and had to be taken to intensive care

3. They know patients who have had a perforated colon and now have a bowel movement through a colostomy bag. That’s terrible. They also worry about all the risks involving a colonoscopy. Even informed consent says that a colonoscopy it can cause death.

4. Shame: I have patients that what they care about is what friends and neighbors of he. Manhood first of all tell me. Women do not want a stranger or several look at the private parts.

5. They are terrified to be told that they have something wrong

How the capsule Colonoscopy is done

Video Capsule Colonoscopy is a high-tech capsule or pill device that has two HD cameras on each side. It is PillCam brand and marketed by the multinational Medtronic.

Colon capsule

I am going to tell you the steps for a capsule colonoscopy procedure:

1️⃣ We program the day and time of your exam. We separate the input which will be exclusive to you and we will explain what is the exam preparation   Schedule your appointment here

2️⃣The night before and the morning of the exam you will take laxatives so that the intestines are very clean and the best images can be taken.

3️⃣You come to our center and sign the consent of the exam

4️⃣My assistant Catalina or Marcela put a wide belt over your clothes, in which a tape recorder data and very thin cables

Belt capsule colonoscopy

5️⃣Open the PillCam COLON 2 capsule case. Doing so will activate and start recording.

 

6️⃣ You take the capsule with a glass of water.

This is very small, it measures about 3 centimeters and you can easily pass it despite the impression it gives you.

Colon Capsule size

The capsule starts recording a video of the digestive tract and sends the data to the recorder. You will walk about twenty minutes and then return. You will be in my company for a while until we give note that the capsule has passed from the stomach to the small intestine. We do this by looking at the small screen of the data recorder. This may take a few minutes but sometimes it takes a little longer

7️⃣ After it has reached the small intestine you will take a small dose of a laxative (Usually travad) to accelerate the passage of the device through the intestines and to improve the preparation. Once this is done we will tell you what you can eat and when to start.

 

You will go home or work and return when you feel that the capsule fell to the toilet or at a fixed time that we agreed. Sometimes you will have to take a second dose of oral travad. While the capsule completes the exam you can continue with your normal life taking care that it does not come loose or let go of the belt or tape recorder. It will take care that these are not going to hit or lose. The entire route of the capsule on average takes about 5 hours but there are patients who expel it in 2 or 3 hours

8️⃣ When you return we will remove everything. We download the information to a computer so that I can carefully review and make the report which is usually within 48 hours.

Advantages of Video Capsule Colonoscopy

✅Non Invasive: You are not going to see a needle or have a colonoscope inserted. In the colon by enema they have  you than introduce a contrast through the anus and without sedation. In the case of CT colonoscopy you have to apply contrast and you have to enter the tomograph or the resonator which can cause claustrophobia

✅ No risks: You will avoid the risks of sedation and colonoscopy. It is recommended in people who are delicate health or are many years old

✅ Reliable: Colonoscopy is the most recommended for prevention and diagnosis of colon diseases but when this cannot be done, the most advisable thing is to do a capsule colonoscopy because you can see directly inside this organ. It is more reliable than other tests such as the enema colon, the CT or MRI colonoscopy

✅ More complete: In addition to the colon we will examine the small intestine which is an organ of about 8 meters that very few people have the possibility to be examined and where there can also be diseases that are not they could detect by other diagnostic tests.

✅ You will have a diagnosis despite fear.

Disadvantages

*You have to take laxatives. It is necessary for the intestines to be clean and the chambers to have the better  pictures. If you choose another diagnostic method you also need to prepare with laxatives and even apply enemas for the anus

* It´s impossible to take biopsies or remove a polyp. This is a disadvantage that the enema shares with the colon, the MRI or CT colonoscopy

* There is a small chance that passage through the intestines will take a long time and the colon inspection before the capsule battery runs out which is about 15 hours

What other indications have?

❇️ Your Colonoscopy was incomplete. It happens many times because of the anatomy of the colon that prevents the colonoscope from advancing. In these cases it is preferable to avoid complications

❇️ You had a colonoscopy complication in the past, such as a perforation. I think few have lived this experience they would be willing to repeat the colonoscopy

❇️ There are risks for sedation or examination

❇️Non-invasive prevention of colon and small intestine cancer

Schedule your appointment for capsule colonoscopy in this link. Here we will give you more information and we will tell you how is the preparation for the procedure. Continue to learn more about my services at  https://endoscopiaycolonoscopia.com

Cheers,

Mauricio González Hernández

Your Gastroenterologist in Medellín

Online Consultation with Gastroenterologist

Online Consultation with Gastroenterologist? What is that and who benefits from it?

For a long time and especially now I have heard many times:

Here in Colombia it doesn’t work

– That’s weird, I like to be examined by the specialist

– Umm… sounds suspicious to me

– Calm doctor that I travel so that he reviews the exams

At the time of writing this article, our health services are thinking of the worst case scenario of how

care for patients who become infected and develop a moderate or severe illness from infection of the

coronavirus. We see the news from Colombia and the world and they only show us that hospitals in Spain, Italy

and surprisingly the United States is overwhelmed. I think we all wish from the bottom of our

heart that nothing happens and with the favor of God it will be like that. Meanwhile we accept that for now the

Social distancing and proper hygiene and disinfection is the best we can do against this virus.

But even in our house life goes on and we can get sick from other things. A heart attack or childbirth don’t know

about virus or quarantine. Neither digestive discomfort.  Meanwhile the ambulatory care of Gastroenterology and

other specialties have stopped or are slower than usual. The form of care in Endoscopy and

Colonoscopy has also changed (Endoscopy and Colonoscopy in the Coronavirus era)

This is where the online consultation can help many people to solve their problems and not

they have to go to emergencies or expose themselves to contagion or not be treated. Nor do you have to hold on until

everything back to normal.

How is the online consultation with the Gastroenterologist

A video consultation is very similar to what I do in my face-to-face consultation. You are going to tell me what you

It happens, for how long and what have you done so far. I’m going to ask you the questions you consider

relevant to make a diagnosis. I will ask you about your personal, family history and if you are taking

medications or you have had tests. What changes is that I will not examine you nor will we have

that interaction that gives the face-to-face consultation. It is literally more distant and it shows. However, what you

tell i´ts very valuable to make a diagnosis and propose the best recommendations for your symptoms to go

improving and discovering the root of the problem. I will send you my formulation and the order of the exams that

you need. Everything you tell me is stored in the digital medical record that we have enabled for our

query. Your data will be saved with the same responsibility as we do in the face-to-face consultation.

As you can see, it is a serious thing that I tell you, it even generates more work in logistics and development than

consultation normal. The video consultation is done by Zoom because it is very easy to download and use. We can

also do by WhatsApp if you prefer. Online consultation is a service that I have in my portfolio

for several years although it was not as necessary as it is now. I have been happy to see patients from

other parts of Colombia and even other countries such as Peru, Argentina, the United States, among others

Online Consultation with Gastroenterologist

How is the procedure for the video consultation

1️⃣Contact us by WhatsApp at this link http://wa.me/573207571313 or call us at (+57) 3207571313.

2️⃣Schedule the date and time of your appointment.

3️⃣ We will send you the QR code or the account number so that you can transfer the value of your query. A

Once this is verified you will receive the invitation to the appointment.

4️⃣At the scheduled time we start the video consultation

5️⃣Your orders for exams or the medical formula are sent to you by WhatsApp. If you need we will make a

revision video consultation or we will do it in person if necessary.

✳️ If you live outside of Colombia and do not have access to Bancolombia transfer you can make the Payment by

Paypal. Tell us and we will send you the link to the email so you can pay with your credit card. This is a secure

platform and used worldwide. I have used it myself as a client and it has gone well for me.

What is the online consultation for?

Although not everything will be the same, we will live our life in the best way. I see that online consultation

after this crisis, they will have earned people’s trust or at least they will know it. I will use them in these

cases:

If you live far away and want to do the consultation and exams at my Endoscopy and Colonoscopy Center. I have

patients who live in other countries, other regions of Colombia or Antioquia. You can make the consultation before

traveling to Medellin with that I realize what or the exams you need and we can schedule them for the

date you have estimated to be in Medellín. With this we save time and optimize your time allowing

save money on expenses.

To review exams or follow up on discomfort if you live far from Medellín.

You traveled to another country and there you started digestive discomfort. We may already know each other or it

is the first time that we will see each other but I can advise you so that you do not damage your trip.

You live in Medellín or in the metropolitan area but it is not easy for you to go to my office due to work hours or

because they do not give you permission or because you are far away

I was very pleased to have told you this. Schedule your appointment for Online Consultation with Gastroenterologist

so that even in the distance you

help find the solution to your digestive problems

Get to know my services at https://endoscopiaycolonoscopia.com

Cheers,

Mauricio González Hernández

Your Gastroenterologist in Medellín

Endoscopy or Colonoscopy and the coronavirus

Endoscopy or Colonoscopy and the coronavirus. They are very frequent concerns today.

I have never seen or faced such a challenge as this Coronavirus COVID 19 pandemic.

It is something that makes us nervous and crazy when we see what has happened in other countries and

knowing how fragile our health system is. This virus affects all areas and endoscopy or

Colonoscopy are not the exception. Today I want to share with you how the presence in the

world of this virus

Endoscopy and Coronavirus

What we know so far about the Coronavirus COVID 19

✳️ The main form of transmission is through saliva drops and respiratory secretions.

✳️Most common symptoms of infection are cough, fever, or fatigue. However, there are also many patients

without symptoms.

✳️Between 5 and 50% of infected people may have nausea, vomiting, or diarrhea before the start of the

fever and cough

✳️ Genetic material of the virus has been found in the fecal matter of infected people, which is why

suspects that there is also Fecal – Oral transmission. So you have to wash your hands after entering the bathroom

✳️This virus can spread even without symptoms, in what we call the prodromal phase, which lasts

on average 5 days (0 to 14 days)

✳️People most likely to have severe disease are those over 60 years, especially if they have

underlying diseases such as diabetes, heart or kidney failure, cirrhosis, COPD, asthma or hypertension. They are also

in risk immunosuppressed patients such as infected with HIV and low levels of CD4, who take corticosteroids or use

biological therapies and those in cancer treatment

✳️We must take measures to prevent the transmission of the virus. The most important are to wash your hands, not

touching your face, not kissing or waving, avoiding meetings and protecting yourself when coughing. To prevent

spread of the virus, social distancing and staying home are key, especially if you are sick

 

How Coronavirus affects my Upper endoscopy or Colonoscopy

1. An endoscopy or colonoscopy are procedures in which there is a risk of transmission of the virus to the

patients, companions and health personnel. The risk is higher in upper digestive endoscopy because

even with sedation there is a higher probability that saliva sprays or respiratory secretions will be expelled

to the environment and there is also close contact between the patient and the health personnel. There are also those

who have cough after the procedure.

2. If you currently have a cough or an active respiratory infection (Think of it as just a flu), if you have been in

contact with people infected with Coronavirus or if you suspect you have the infection, schedule your endoscopy or

Colonoscopy for another date. It is not discrimination, it is an act of good will.

3. These days and while the acute phase of the pandemic passes, I advise you if you have an endoscopy or

colonoscopy it is not urgent (for example it will be done for surveillance or prevention) reschedule it until the

risky conditions improve. If due to your health conditions these procedures are necessary (Example: there is

bleeding, suspected cancer, has a foreign body in your digestive system, your symptoms do not improve or are

severe) can be performed without problem. In my Endoscopy and Colonoscopy Center as well as in other

institutions adopt the risk prevention measures recommended for this case. Keep in mind that it is likely that, due to

the current situation, the movement of people in the city ​​or non-urgent health services are closed for a few days

4. Fewer companions:

When you come to your procedure do it only with a companion who is under 60 years old and hopefully you do not

have no disease that puts you at risk. If you have to come with more people they should wait in the areas

common. The objective is not to congest the waiting room and thus be able to maintain the safety distance. This is

I say why it is common that for endoscopy or colonoscopy the patient comes with all the family and friends

to give you morale. That no more.

5. Our habits have changed.

We will call you the day before to ask if you have symptoms of respiratory infection or contact with people.

with confirmed diagnosis of coronavirus. Sometimes that bothers but it is necessary to guarantee the safety of

everyone. Unlike other times, your companion will not go to the recovery room or the endoscopy area.

Neither are we going to say hello or kiss or hug but that does not mean that we are not loved or that we do not

we want to help.

6. All with protection:

If you do not have symptoms of respiratory infection, you and your companion should come to our care center with

masks. As there are currently shortages we cannot give you a mask but if you do not have it you can

come with handmade face masks or something to cover your mouth.

7. Patience and understanding:

No one has ever experienced this and we are hardly adapting. The safest thing is that our mood is sensitive and

anything can obfuscate or alter us. We want to help you but with the idea of ​​reducing risks

some things are unusual and so I ask for your patience for more patience and understanding. If you see that

we can do something better tell us your idea and we will take it into account

We can’t let ourselves go down

It is true that there is uncertainty and fear. We do not know until when all this continues. At some point

We will have to continue with normal life so that the risk is not completely eliminated. Already from a personal point

of view I know that God knows the situation and that he is going to show us his goodness. What we cannot do he can

do. We have to continue breathing and struggling but without forgetting that life is not just coronavirus.

“Success is not final, failure is not fatal, it is the courage to continue what counts”

Online consultation with your Gastroenterologist

If you need an appointment with your Gastroenterologist and do not want to leave home, schedule an Online

Consultation (Video Consultation) at this link http://wa.me/573207571313. In it we talk about everything he feels, as

if be with me in the office. If what worries you is that you do not examine it, I tell you that very rarely this

it changes what I plan to say or recommend to you. Like when all this happens, in the review appointment I will

complete the Physical exam. I also like the interaction of the consultation more, but this is a service option.

Another potential advantage is that if we solve problems at home we will avoid congesting the emergency services

that these days are focused on other things. Learn more about the online consultation Here:

https://endoscopiaycolonoscopia.com/consulta-en-linea-con-tu-gastroenterologo/

Schedule the appointment for Endoscopy / Colonoscopy / Consultation at http://wa.me/573207571313

or on the phone 3207571313. Learn more about my services at https://endoscopiaycolonoscopia.com

Cheers,

Mauricio González Hernández

Your Gastroenterologist in Medellín

Does the irritable colon have a cure?

Does the irritable colon have a cure?

Does the irritable colon have a cure doctor? My life is no longer the same, help me please!

This is something I hear almost every day and it breaks my heart to see so much helplessness and anguish in people.

In this article I will give you my perspective on some of the most common concerns regarding this issue.

What are the symptoms of irritable bowel syndrome?

As a Gastroenterologist I begin to think of irritable bowel syndrome (IBS) or irritable bowel when a person tells me

that they have pain in their abdomen. It is more common to be below the navel but it can be throughout the

abdomen. It doesn’t convince me much when the pain is under the ribs or in the pit of my stomach. In that case I

think of other things. This pain must be accompanied by changes in the stool. It may be that my patient has diarrhea

or constipation or both. You don’t need to go to the bathroom 30 times to say it’s diarrhea. It is enough that the stool

becomes soft or liquid, even once or twice a day. Nor is it necessary to make a bowel movement every 8 days. Only if

it is difficult or uncomfortable even if it is enough for me every day. These symptoms may be accompanied by

bloating in the abdomen, flatulence, sounds in the abdomen, weakness, headache or back pain, among others. It is

also common that there are other problems such as reflux, pain in the pit of the stomach or dyspepsia among others.

But be careful what I just said:

The discomfort must be frequent, must take more than three months in a row or intermittently.

If these symptoms appeared over the weekend after a party, even if it feels as it is, what I just wrote is not an irritable

bowel. Nor is it an irritable bowel that only feels inflated or flatulent or any pain that we don’t know the cause

What are the causes of IBS?

A lot of research has been done on this subject but we still don’t have a concrete answer. We know that in people with

irritable bowel the digestive system is hypersensitive, it moves differently, the intestinal flora has changed, the brain

and the nervous system perceive things differently and alter the functioning of the intestines, hormones change and

can even have a state of microscopic inflammation.

What I do tell you is that the symptoms I talked about previously are not exclusive to irritable bowel and that there

are many diseases that share these same discomforts.

Does the irritable colon have a cure ? It has a solution?

For all the years that I’ve been seeing patients with irritable bowel syndrome, I almost always hear the same story.

They have visited clinics, hospitals, several famous doctors and there they are told:

You have an irritable bowel and that doesn’t heal. So get used to living sick

You are too young to need an exam

Your colonoscopy was normal. So what you should have is stress

If you have pain take antispasmodics, if you have diarrhea antidiarrheals, if you have laxative constipation

They also tell me that they don’t like everything and they don’t know what to eat. They have taken milk, gluten, meat,

many things and still sick

Now I think that irritable bowel syndrome is only an intermediate diagnosis. As I tell you, there are many diseases

that can share the same symptoms. What about what you have been told for many years that is irritable bowel is for

example Crohn’s disease? In this case, the appropriate treatment eliminates the inconvenience and allows us to

return to our normal life.

Personally, I think we should always seek to be better and cannot lose hope. What happens is that the solution

implies patience, perseverance and a lot of work for you. I understand that you always want things to be easy, but in

these cases it is not always the case.

In conclusion,  Does the irritable colon have a cure? The answer is YES as long as we discover and solve the problem’s root or problem.

Does the irritable colon have a cure Mauricio González Gastroenterologist Endoscopy and Colonoscopy center in Medellín

If it is not irritable colon what can it be?

I’m just going to give you some examples of everyday life. If what accompanies your pain is diarrhea there are things

that we should always think of as Crohn’s disease, microscopic colitis, allergies in the intestines, parasites, poor

carbohydrate absorption, celiac disease, overgrowth of bacteria in the small intestine, among many other diseases

If what predominates is that there is constipation we must rule out for example problems of your pelvic floor,

endometriosis, strictures or tumors in the intestines, altered intestinal flora, medications and other things

What tests should we do?

There is no test that should always be done. Each case is different and the exams that I request can vary according to

what people tell me or have lived. Even sometimes I don’t request any. There are several tests that can help us in the

search for the solution such as:

 ✳️  Colonoscopy with ileoscopy: allows you to see how the colon and the last part of the small intestine called the

distal ileum. In addition, biopsies can be taken to know if there are allergies or microscopic inflammations

 ✳️ Examination of the small intestine with capsule: this allows us to rule out diseases of the small intestine such as

Crohn’s disease, tumors, polyps, diverticula or strictures.

 ✳️ Breath tests for lactose or fructose intolerance. These are very common foods and knowing if we really do not

digest well guides us with regard to diet

 ✳️ Breath test for bacterial overgrowth. This diagnoses an abnormal intestinal flora in the small intestine and allows

us to guide the treatment

 ✳️ Upper digestive endoscopy: sometimes I need to take biopsies in the duodenum that is the first part of the small

intestine to rule out inflammatory diseases

 ✳️ Resonances or CT scans when you want to rule out a problem inside the abdomen

 ✳️ Laboratory tests such as tests for the initial diagnosis of celiac disease. Fecal tests to find out if there are

parasites, problems in the functioning of the pancreas or inflammation in the intestines

What is the treatment of irritable colon (IBS)?

If you have been diagnosed with irritable bowel, I give you the following recommendations:

1️⃣ Do not resign yourself to living sick. Rebel against your illness.

2️⃣ Take it easy. On the first date I am not going to ask you for the hundred exams. You may also have to come to the

office several times. Be patient and persevere. Do not be discouraged or let your doctor get discouraged (This happens).

3️⃣Commit yourself with you. So it is not the cause of the problem or doing it or not doing the same, it is very

important that you sleep well, exercise, clear your mind and eat healthy. If diets or restrictions have not served you,

chances are that food is not the cause of the problem. There are times that even the water can fall badly but not for

that reason you should avoid it

4️⃣There is no specific medication to treat irritable bowel. None of those that exist cures the problem (Neither

trimebutine, nor otilonium, nor pinaverio, nor omeprazole). What one looks for when formulating them is that the

inconveniences are happening. That is why what served the neighbor is not necessarily what is best for you. It can

also happen that a medication that is very famous is not serving you and it is key that you talk to me or your doctor to

make the necessary adjustments

5️⃣Always have to find and solve the roots of the problem

What is the irritable bowel diet?

On the internet and on the street one can see many diets for the irritable bowel. There is really no special diet

because each person is different when facing or treating this problem.

One of the most famous diets is FODMAP. Many scientific studies have been conducted and this diet improves

symptoms in up to two thirds of people with irritable bowel. There are also studies that show that it is not better than

leading a healthy lifestyle. Personally, I think we don’t solve the root of the problem, and it’s also so difficult and

challenging that I doubt that a person can keep it for a long time. On the other hand, restrictions have a negative

impact on our health and mental well-being. I think you have lived it for sure.

What if there are things that are not a good idea if you are in an irritable bowel crisis:

Eat grains such as beans, chickpeas or lentils. Milk and its derivatives. Bread and bakery especially if it is integral. It

is also not a good idea to consume processed things such as soda, energizing, canned, artificial juices or fast food. You

have to eat the house, the natural, prudently what we like and what we like best. Anyway in a future publication I will

talk about this widely

Is the irritable bowel syndrome emotional?

– Doctor tell me that everything is in my mind, that everything is emotional

– But if I feel good in my head

It is common for the irritable bowel to be related to emotions such as anxiety or depression. These moods can make

our body perceive digestive stimuli in another way. However, that does not mean that it is the only cause. As I tell

some of my patients Nervous people also get sick. Some people have a problem with the liar shepherd. They have

suffered for so long and have always been told that it is stress that when there really is something that requires

special treatment neither the family, nor the patient and even we doctors do not believe him.

 

If you want answer the question Does the irritable colon have a cure?  or you want me to orient you with this

problem, do not hesitate to contact us at the telephone ☎️3223087 / 3207571313 or by WhatsApp in this link

http://wa.me/573207571313

Learn more about my services at https://endoscopiaycolonoscopia.com

I wait for you

Mauricio González Hernández