The Difference Between A Healthy Gut And An Unhealthy Gut
Scientists estimate that there are 100 trillion or so microorganisms in the human body, and they say approximately half of these microbes live in the gut.
the number of microbial cells we carry can be as much as 10 times greater than the total cell number in the human body, and their genetic information is at least 150-fold greater than that of our human genome.
Dysbiosis is a gut flora imbalance. We now know that such an imbalance profoundly affects our wellbeing. We know that it can lead to neuropsychiatric symptoms and conditions, autoimmune disorders, allergies, cancer, bowel diseases, obesity, diabetes, and more. We know that a gut imbalance can exacerbate every chronic disease. On that note, I surmise that a gut imbalance is the cause of more than 99% of modern chronic diseases.
Scientists are just beginning to understand the importance of gut health and the connection it has with autoimmune;diseases. For a naturopath, its a pretty interesting time to be alive. While social media giants are censoring natural cures, credible scientists are busy discovering that gut microbes are found all over the body, and how an unhealthy gut may make one more likely to suffer from adverse vaccine reactions, mental disorders, and autoimmune diseases.
Allow me to take some liberties to explain whats really going on in the gut.
Ibs Before A Diagnosis Of Ibd
There is a lack of research into the subject, and the idea that both conditions can occur in the same person is still somewhat under debate and eludes widespread acceptance. One meta-analysis noted that some people with IBD continued to have digestive symptoms even when the IBD itself was found to be in remission. The patients in this study no longer had inflammation in their digestive system that could explain IBD symptoms. Why did those patients continue to experience diarrhea and urgency? The authors came to the conclusion that those patients who continued to experience symptoms consistent with IBS may benefit from treatment that takes both conditions into account. It was found that those patients who had active Crohns disease were more likely to experience IBS-type symptoms. Having active IBD was also associated with more prevalent IBS-type symptoms.
Another study done in Manitoba found that before being diagnosed with IBD, patients may have had IBS-like symptoms for 3 years or more. The authors estimate that as many as 14% of the 396 IBD patients in their study were likely or possible to also have IBS. Those patients who might also have IBS had digestive symptoms for a longer period of time before receiving a diagnosis of IBD. The authors concluded that the rate of IBS in patients who have IBD may be similar to the rate of IBS in the general public.
Symptoms Versus Inflammation Mismatch
Inherently, IBD is an organic disease, as evidenced by mucosal inflammation, whereas IBS lies more in the spectrum of a functional disorder, with no evidence of organic disease. IBS symptoms are nonspecific, and may precede diagnosis of both IBS and IBD by many years. Lack of mucosal inflammation results in a mismatch compared to the severity of the reported symptoms.
In IBD, mucosal inflammation is characteristic, but the symptoms do not necessarily correlate with endoscopic findings.
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A Functional Approach To Ibs Treatment
These are the most effective IBS treatments we believe in:
- Dietary changes to find the diet that works for your body, join our online6-week Elimination Diet
- Lifestyle changes
- Certain medications
Set up a complimentary phone consultation with us today!
Here at PrimeHealth, we believe this functional approach is how to cure IBS permanently. We have seen our functional methods and implemented medical advice work miracles with hundreds of patients who found no success in conventional medicine.
Whats The Difference Between Inflammatory Bowel Disease And Irritable Bowel Syndrome
IBD is a disease; IBS is a syndrome, or group of symptoms. The causes and treatments are different.
IBS is a type of functional gastrointestinal disease. It affects how the bowels function, causing them to contract more often than usual. IBS is also known as spastic colon or nervous stomach.
IBS doesnt inflame or damage the intestines like IBD, so imaging scans cant detect it and it doesnt increase the risk of colon cancer. People with IBS rarely need hospitalization or surgery.
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Doesnt Exercise Stimulate Symptoms
Yes, exercise can stimulate the gastrointestinal system and produce reactions. But this doesnt mean that all forms of exercise are bad for IBS patients. In fact, research shows that regular exercise can help with IBS symptoms. Even 20 to 30 minutes of exercise three times a week is already useful in improving a persons quality of life.;
Low-intensity exercises such as swimming, yoga, and pilates are perfect for burning fat without stressing out the gastrointestinal system. Just like food, its important to test out which physical activities result in aggravated symptoms so you dont end up eliminating all of them.;
Include The Following Information In The Cdhf App:
- Jot down key personal and medical information, including any recent changes or stressful events in your life in the notes section of the app.
- Make a list of the triggers that seem to make your symptoms worse in the notes section of the app.
- Track the medications are you taking, including the conditions you take them for. Also note if any of your medications seem to affect your symptoms.
- Talk to your family members and note if any relatives have been diagnosed with IBS, inflammatory bowel disease , celiac disease or colon cancer.
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Prevalence Of Ibs In General Population
A number of epidemiological studies have reported the prevalence of IBS in a variety of populations in various countries . In an evaluation presented by Manning, prevalence based on Rome I or Rome II criteria ranged from 2.3 to 22% . Furthermore, we recently reported that the prevalence of IBS in subjects who underwent general medical check-ups was 4.8% . On the contrary, a Japanese study conducted by Miwa revealed that the prevalence of IBS was 13.1% . Although such heterogeneity may be dependent on the enrolled population, as well as sample size and the criteria used for diagnosis, the prevalence of IBS in the general population based on numerous previous studies is estimated to be approximately 10%.
Q What Are The Causes Of Ibs And Ibd
Researchers are still working to understand the exact causes. Some people develop IBS after a GI infection. Other potential causes include diet, environmental or psychological factors, such as stress, and frequent use of antibiotics.
With IBD, stress may worsen the condition and studies suggested that your genes, immune system and environmental factors may also play a role. Those with IBD are known to have an overactive immune system, which causes inflammation in the GI tract.
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Subtle Physiologic Differences In Ibs
For decades, IBS symptoms were often seen by the medical profession as largely psychosomatic all in ones head which frequently caused sufferers to be labeled as neurotic, anxious, or depressed.12
Chronic stress is known to contribute to and worsen the disease.13 And anxiety and depression are often natural responses to a condition that can cause fear of public embarrassment or undermine quality of life especially when the symptoms are dismissed as psychological by doctors.14
How To Know If You Have Irritable Bowel Syndrome
Doctors call IBS a functional disease. A person with IBS will have many or all of the following symptoms, but current medical testing wont show any physical explanation for these symptoms. IBS is also sometimes called spastic colon or spastic bowel. Symptoms will often fade or even become nonexistent for a period of time.
Symptoms of IBS can include:
- Abdominal pain
- The feeling that a bowel movement may be incomplete
- Stools that contain mucus, which may be white in color
- Nausea after eating
- For women, symptoms tend to flare up during their menstrual period
There is no test to definitively diagnose IBS. Doctors generally look at medical history and perform a physical exam along with other tests to rule out other conditions. If you have IBS with chronic diarrhea, the doctor should also test for celiac disease.
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Are Ibd Patients Considered Immunosuppressed
The answer may depend on your current level of disease activity.
According to the American College of Gastroenterology , simply having Crohns disease or ulcerative colitis does not raise your risk of COVID-19, but certain related factors might.
IBD is a condition in which the immune system is in a dysregulated state, which means that it malfunctions in a way that makes it difficult to control inflammation in the intestines, says gastroenterologist Ryan Ungaro, MD, assistant professor at The Susan and Leonard Feinstein IBD Center at the Icahn School of Medicine at Mount Sinai in New York City. But we dont think that IBD in and of itself is a major risk factor for viral infections like COVID-19.
Inflammatory bowel disease patients whose condition is not well-controlled, however, may very well face an increased risk, says Bradley Morganstern, MD, co-director of the IBD Center at Stony Brook Medicine in Stony Brook, New York.
If there is too much immune activity in the gut, there might not be enough elsewhere in the body, he explains. He adds that people with IBD who are not properly treated may be malnourished, which could, in turn, make them more susceptible to catching a viral infection such as COVID-19.
It is also important to note that many medications that are commonly used to treat IBD can suppress the immune system, so patients who take them may be considered immunosuppressed.
How Is Ibd Diagnosed
Crohns disease and ulcerative colitis cause similar symptoms. No single test can diagnose either condition.
To make a diagnosis, your healthcare provider will ask about your symptoms. Your workup may start with a complete blood count and stool test to look for signs of intestinal inflammation.
You may also get one or more of these diagnostic tests:
- Colonoscopy to examine the large and small intestines.
- EUS to check the digestive tract for swelling and ulcers.
- Flexible sigmoidoscopy to examine the inside of the rectum and anus.
- Imaging scan, such as a CT scan or MRI, to check for signs of inflammation or an abscess.
- Upper endoscopy to examine the digestive tract from the mouth to the start of the small intestine.
- Capsule endoscopy using a small camera device that you swallow. The camera captures images as it travels through the digestive tract.
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Weight Gain Vs Bloating
Bloating is a common symptom of IBS and could be interpreted as weight gain. While the actual cause of bloating is still unknown, excessive gas does not actually cause bloating.
Other causes could be impaired motility , bacterial growth in the small intestine, and sensitive abdominal walls to name a few.
Its fairly easy to differentiate bloating from weight gain: bloating often lasts for 1-5 days and is centered on the stomach, while weight gain is apparent in all areas of the body and usually does not recede on its own.;
Bloating also has the following characteristics:
- Commonly described as increased abdominal pressure
- Often gets worse immediately after meals
- Stomach can start flat out in the day and get bloated at night
- Usually subsides overnight;
It is one of the more manageable symptoms of IBS. Below are some tips for dealing with bloating:;
Crohns Disease And Constipation: Treatments And Causes
Constipation may be a less common problem than diarrhea in people with Crohns disease. Out of the more than 56,000 MyCrohnsAndColitisTeam members with Crohns, an inflammatory bowel disease , only about 4,000 report constipation as a symptom. Constipation is also sometimes a symptom of a serious IBD complication called a stricture. If you experience constipation with Crohns disease, there are several ways you can manage it, both at home and with your doctors help.
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What Is The Connection Between Gerd And Ibs
As many as 2 out of 3 people with IBS also have symptoms of GERD. GERD and IBS both impact segments of the digestive tract, but the connection between the two is unclear. Theories explaining the overlap include:
- âPain sensitivity: Both conditions arise when nerves in the gut become over-sensitive . This causes changes in the muscle contractions of the intestines and esophagus.
- âConfusion over symptoms: IBS patients with GERD symptoms may actually have functional dyspepsia . This is a milder form of GERD. Tests such as ambulatory oesophageal pH monitoring can confirm a diagnosis of GERD.â
- The broad definition of GERD: GERD symptoms vary in severity. IBS-like symptoms may be part of the same spectrum of GERD, leading to patients reporting symptoms of both conditions.
Ibs Is Very Common And Very Disruptive
Dr. Bourdua-Roy says that silence is very common among her patients. Most of my new patients dont even mention it. Theyve tried numerous modifications to their diet, so most think its useless to make another effort.
The key defining symptoms of IBS are recurrent abdominal bloating, pain, diarrhea and/or constipation. Excessive flatulence, cramping, heartburn, nausea, vomiting, exhaustion, sweating, shivering, anal itching, and sudden incontinence can be part of the not-so-pretty picture, too.9
A few serious medical conditions can have symptoms similar to IBS: celiac disease, inflammatory bowel disease , and certain types of cancer, especially colon or ovarian cancer.
While these conditions are much less common than IBS, they should be ruled out before settling on an IBS diagnosis, international IBS guidelines say.10
The key factor that distinguishes IBS from other gastrointestinal issues is that diagnostic tests cant find anything wrong. This is why its often called a functional disorder, meaning it is based on symptoms after other causes have been ruled out.11
The takeaway: If IBS is causing a lot of distress, especially if symptoms are new, have a doctor rule out other more serious health issues first. But if IBS is the eventual diagnosis, youre not alone. And a low-carb, high-fat diet may very well help.
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Preparing For Your Doctors Appointment To Diagnose Ibs
Here are 5 ways to prepare for a doctors appointment to diagnose IBS:
Your doctor may instruct you whether to change your dietary habits before the appointment.
Mentally prepare for the potential of a physical exam, whether it may be a rectal exam or taking a stool sample. These will be less uncomfortable if you mentally prepare yourself.
Causes Of Ibd And Ibs
Physical signs have helped doctors learn what causes IBD.
The long-lasting inflammation in the digestive tracts of people who have IBD can cause bleeding and ulcers . In turn, this irritation causes pain. That triggers the immune system, which leads to symptoms like fever and fatigue.
The causes of IBS arenât as clear. Scientists have found links to the immune system and how muscles move food through your gut. Many people have triggers that make their symptoms worse, including certain foods, stress, infections, and hormonal changes.
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Q How Are Ibs And Ibd Treated
Several medications are available and many promising drugs are under study as well. Doctors also recommend those with IBS communicate openly with to their caregivers about ongoing GI symptoms.
Medication to manage and prevent IBD flare-ups include biologics, which are medication therapies made from living organisms that help restore the bodys ability to fight the disease.
Surgery may be necessary when medications no longer control the symptoms of IBD. Surgical treatment removes the affected portion of the bowel, but occasionally a complete removal of the colon or rectum is considered.
Is It Ibs Or Ibd Learn The Differences Between These Two Digestive Diseases
When stomach pain strikes, many of us take to the internet for clues about whats going on. But the possible causes you read about might be confusing.
Irritable bowel syndrome and inflammatory bowel disease might sound the same, but theyre two very different conditions. Getting an accurate diagnosis and treatment is essential in managing both conditions. Anthony Lembo, MD, Director of the IBS and Motility Center Center at Beth Israel Deaconess Medical Center and an expert on IBS, shares an overview of both conditions.
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Bleeding From Peptic Ulcer Or From Esophagus:
Gastritis and peptic ulcers are commonly associated with IBS. Bleeding from ulcer in the wall of your stomach or duodenum will cause vomiting of blood or passage of blackish stool which is digested blood .;
In certain cases where the bleeding is severe, there may be reddish blood in large amounts. This is because the blood doesnt have enough time to be digested and turn black.
Whats The Difference Between Pediatric Ibs And Pediatric Ibd
The main difference between pediatric IBS and IBD is that inflammatory bowel disease can cause destructive inflammation and permanent damage to the gastrointestinal tract, while irritable bowel syndrome does not cause inflammation and rarely requires hospitalization. Also, its possible for a child to have both IBS and IBD.
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How Are Ibd And Ibs Treated In Children
While its possible to manage both IBD and IBS, there is no cure for either. Treatment options for children with irritable bowel syndrome include dietary changes and avoiding known triggers when possible. Stress management to mitigate flare ups, and medicine are also treatment options for pediatric IBS that should be discussed with a healthcare provider.
Medication and dietary changes are also treatment options for children with inflammatory bowel disease however, if the disease is severe or progresses quickly, surgery may be necessary.