2017 04 healthstance-ibs_44

2017 04 healthstance-ibs_44

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  Senior Healthstance: Irritable BowelSyndrome (IBS) AWARE – Just Clinical©
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  Welcome to SeniorHealthstance - a developing health and wellness library from ARCpoint Labs of Schaumburg Presentations to educate, motivate and inform on health messages, health interventions, and health behaviors. AWARE – Just Clinical© DISCLAIMER:This module is intended for informational purposes only and should not be relied upon as medical advice.
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  AWARE – JustClinical© @ARCpointSchaumburg Join the conversation using hashtags: #arcpointawareness #healthstancearcpoint Follow us on Facebook at ARCpoint-Labs-of-Schaumburg ARCpoint Schaumburg • Anne Kurilich, President/Owner 847.306.6011 ARCpoint Schaumburg 1375 Remington Rd Suite A Schaumburg, IL 60173 Contact Us
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  What is IBS? •Irritable bowel syndrome (IBS) is a disorder in which abdominal pain is associated with a range of symptoms. • Irritable bowel syndrome (IBS) affects up to 10–15% of adults. • Studies have shown that IBS patients have an increased number of outpatient health care visits, diagnostic tests, and surgeries. • IBS is second only to the common cold as a cause of absenteeism from work. AWARE – Just Clinical© April is IBS Awareness Month
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  • Abdominal painis the key symptom of irritable bowel syndrome (IBS) and is associated with a change in bowel habits.This change in bowel habits may be diarrhea and/or constipation. • Symptoms can be mostly one type, or both (mixed) including: • Bloating (a sensation of fullness in the belly) • Urgency (the need to use a restroom in a hurry) • Mucus (white or yellow liquid) in the stool • Sensation of incompletely passing stools Symptoms of IBS * *Adapted from IFFGD Publication #101 revised and updated by Douglas A. Drossman, MD, Drossman Gastroenterology PLLC, Chapel Hill, NC. AWARE – Just Clinical©
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  What Causes IBS? Possiblefactors: • Genetics • disturbances in colonic motility (muscle contractions) due to increased sensitivity to food; emotional stress; GI infections; menstrual period; or gaseous distension. Brain-gut interactions: • Communication interactions between the brain and gut become altered which leads to changes in motility and sensation within the bowel. Bowel Bacteria: • Normally trillions of bacteria exist in the bowel. It may be that alteration in the number or kind of bacteria contributes to IBS in some people. AWARE – Just Clinical©
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  Medications Used inIBS • Anything you take for a therapeutic effect counts as a medicine. It can be readily available over-the-counter or limited by prescription only. • All medicines have potential side effects. Before taking any medication, whether over- the-counter or prescription, talk to your healthcare provider or pharmacist about dosage, other medicines you are taking, or any other questions you might have about the treatment. AWARE – Just Clinical© • Laxatives • Bulking agents - (bran, psyllium) – may ease stool passage • Anticholinergics/Antispasmodics - (Bentyl, Levsin) • Anti-diarrheal agents - (Imodium, Lomotil) • Anti-anxiety medications – may be helpful for IBS caused by emotional stress • Anti-depressants – in low doses, may reduce the intensity of pain signals going from gut to brain
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  Newer Prescription Medicines Drugsused to treat overall symptoms of IBS, including pain, are prescribed based on the dominant bowel symptom being experienced. Dominant Symptom Possible Prescribed Medication Constipation (IBS-C) Amitiza (Lubiprostone) – may reduce overall IBS symptoms including pain, especially in women Constipation Linzess (Linactlotide) – may improve multiple symptoms including discomfort bloating, bowel function. Diarrhea (IBS-D) Lotronex (Alosetron) - currently available to women only through a special Prescribing Program because of potential side effects Diarrhea Xifaxan (Rifaximin) – an antibiotic FDA approved for treatment of IBS-D in adults Diarrhea (IBS-D) Viberzi (Eluxadoline) – works by decreasing bowel activity – prescribed for adult men & women. [Note: On March 15, 2017, the FDA issued a warning that due to increased risk for serious, potentially life-threatening, pancreatitis eluxadoline (Viberzi) should not be used in patients who do not have a gallbladder.] AWARE – Just Clinical©
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  IBS Diet* • Theinfluence of diet is unique to each person. There is no generalized dietary advice that will work for everyone. • Foods most likely to cause problems: • Foods high in fat • Some milk products • Drinks with alcohol, caffeine • Add foods with fiber a little at a time to let your body get used to them • *IFFGD, the International Foundation for FunctionalGastrointestinal Disorders, is a Public Charity designated under the U.S. IRS code 501(c)(3). • https://www.niddk.nih.gov/health-information/digestive-diseases/irritable-bowel-syndrome/eating-diet-nutrition AWARE – Just Clinical© • Eat smaller meals, more often, spread throughout your day • Slow down; don't rush through meals • Avoid large meals or high fat foods • If you are constipated, make time for breakfast, as this meal is most likely to stimulate the colon and give you a bowel movement Tips for an IBS-Friendly Diet
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  • Start bygetting a definite diagnosis from your doctor. • Take an active role in learning all you can about IBS so you understand the nature of the disorder and different management and treatment options. Visit http://www.aboutibs.org/living-with-ibs.html Guidelines for Living with IBS AWARE – Just Clinical© • Investigate non-medication treatments to help reduce symptoms: diet, relaxation training or hypnosis. • Use over-the-counter medications to relieve or avoid symptoms. • Tell your doctor about anything you take to treat your IBS. Find a health care provider who will work with you over the long term to help you manage and treat your IBS.
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  IBS LaboratoryTesting Offeredat Schaumburg • Complete blood count (CBC) • C-reactive protein (CRP) test • Erythrocyte sedimentation rate (ESR) • IBSchek • Food & Chemical SensitivityTesting • The Celiac, IBS, and Crohn’s Array (CICA) AWARE – Just Clinical© Schedule an AppointmentToday Call 847.306.6011
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  AWARE – JustClinical© @ARCpointSchaumburg Join the conversation using hashtags: #arcpointawareness #healthstancearcpoint Follow us on Facebook at ARCpoint-Labs-of-Schaumburg ARCpoint Schaumburg • Anne Kurilich, President/Owner 847.306.6011 ARCpoint Schaumburg 1375 Remington Rd Suite A Schaumburg, IL 60173 Contact Us