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.
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
Learn more about my services at https://endoscopiaycolonoscopia.com
I wait for you
Mauricio González Hernández