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Thread: Ibs?

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    JUB Addict dairyking469's Avatar
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    Ibs?

    Hi, Iím so embarrassed. I have IBS-D. I have had two colonoscopies and showed no colitis, crohns, or celiacs. Iíve eliminated dairy (90% of the time). Iíve been exercising and running. I eat better. But I have a problem in the bathroom. I poop in the morning and it takes like an hour to clean up. Sometimes I poop again midway through cleaning. Then it happens at work. There goes my lunch break. I even use a squatty potty. My gastric put me on xifaxan. No results. If I have fiber, I just go more and more. Does anyone else have this issue? I feel like Iím alone. I donít have a normal life. Thanks. Sorry if itís TMI.

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    Re: Ibs?

    Well, backing up a bit. When you say, "fiber"- what fiber were you using?

    Irritable bowel syndrome is a diagnosis of exclusion. Basically, when they've eliminated common disorders like ulcerative colitis, Crohn's and other things that can cause problems with the GI system, what is left is a broad diagnosis of "IBS". From there, IBS is broken down into three subtypes based upon whether it manifests as diarrhea (IBS-D), constipation (IBS-C) or mixed (IBS-M).

    Because IBS is basically a "we're not sure what causes this" diagnosis, treating it is a challenge. You should get a referral to a GI specialist whose practice is subspecialized to treating patients with IBS. It can take months to figure out the triggers and get a patient with IBS into the right drugs and the right diet that makes their IBS manageable.

    There's a new drug on the market- Eluxadoline (brand name: Viberzi)- that is pretty effective for treating intermittent IBS-D. It's really expensive, so the copays can be brutal if you don't have good insurance. The manufacturer offers a copay assistance program that can make it affordable.

    There's older drugs like dicyclomine that also help slow the colon down to the point that the patient has better control, although it doesn't completely eliminate the diarrhea.

    There's also some research connecting IBS and UC to a neurotransmitter abnormality. Some patients with IBS and UC respond to antidepressants- like SSRIs or Bupropion (Welbutrin).

    A GI specialist who focuses on IBS can also refer you to a nutritionist/dietician that can help you with a rotational diet to isolate the foods that make it worse. They may also have you try a FODMAP diet which eliminates foods that produce gas and worsen IBS symptoms.

    The most frustrating thing with IBS is that there's no one single cause and it takes trying different things until you find the things that work for you. Unfortunately, in the meantime the day to day symptoms can be miserable. I'm constantly surprised how many patients have IBS and aren't getting the appropriate treatment.
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    JUB Addict dairyking469's Avatar
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    Re: Ibs?

    Quote Originally Posted by KaraBulut View Post
    Well, backing up a bit. When you say, "fiber"- what fiber were you using?

    Irritable bowel syndrome is a diagnosis of exclusion. Basically, when they've eliminated common disorders like ulcerative colitis, Crohn's and other things that can cause problems with the GI system, what is left is a broad diagnosis of "IBS". From there, IBS is broken down into three subtypes based upon whether it manifests as diarrhea (IBS-D), constipation (IBS-C) or mixed (IBS-M).

    Because IBS is basically a "we're not sure what causes this" diagnosis, treating it is a challenge. You should get a referral to a GI specialist whose practice is subspecialized to treating patients with IBS. It can take months to figure out the triggers and get a patient with IBS into the right drugs and the right diet that makes their IBS manageable.

    There's a new drug on the market- Eluxadoline (brand name: Viberzi)- that is pretty effective for treating intermittent IBS-D. It's really expensive, so the copays can be brutal if you don't have good insurance. The manufacturer offers a copay assistance program that can make it affordable.

    There's older drugs like dicyclomine that also help slow the colon down to the point that the patient has better control, although it doesn't completely eliminate the diarrhea.

    There's also some research connecting IBS and UC to a neurotransmitter abnormality. Some patients with IBS and UC respond to antidepressants- like SSRIs or Bupropion (Welbutrin).

    A GI specialist who focuses on IBS can also refer you to a nutritionist/dietician that can help you with a rotational diet to isolate the foods that make it worse. They may also have you try a FODMAP diet which eliminates foods that produce gas and worsen IBS symptoms.

    The most frustrating thing with IBS is that there's no one single cause and it takes trying different things until you find the things that work for you. Unfortunately, in the meantime the day to day symptoms can be miserable. I'm constantly surprised how many patients have IBS and aren't getting the appropriate treatment.
    Hi, thanks for responding. I was using the Costco fiber (benefiber) and then tried one day of Psyllium....omg I was in the bathroom all day. My gastro recommended viburzi as a course, but I don’t like the risks of that pill. I’m not perfectly following the FODMAP he gave me, as certain foods on the low bother me and certain foods on the high are fine. I don’t want to try antidepressants for my stomach. I just feel it’s not all coming out when I go. The cleanup is what kills me.

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    JUB Addict dairyking469's Avatar
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    Re: Ibs?

    Quote Originally Posted by dairyking469 View Post
    Hi, thanks for responding. I was using the Costco fiber (benefiber) and then tried one day of Psyllium....omg I was in the bathroom all day. My gastro recommended viburzi as a course, but I don’t like the risks of that pill. I’m not perfectly following the FODMAP he gave me, as certain foods on the low bother me and certain foods on the high are fine. I don’t want to try antidepressants for my stomach. I just feel it’s not all coming out when I go. The cleanup is what kills me.
    I feel like I only get clean when I finger myself. But then the hemorrhoids hurt me.

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    Re: Ibs?

    I have IBS-D as well and go through spells where it really flares up. My doctor prescribed Levsin which dissolves under the tongue. It works pretty quickly and other than having a bit of a dry mouth I've not had any side effects. Ot is a tropane alkaloid, I believe from the belladonna/deadly nightshade family. It works by reducing muscle spasms in the gi tract and reduces secretions. When I have flareups I take one every 6 hours. You have to be careful to take it only as directed.
    I've started a diet and reducing fat intake and increasing salads, etc. Eating leaner proteins such as grilled or air fried chicken, fish etc. I've not had to take anything for my ibs in over 2 weeks. I have social anxiety and taking something for that which is also helping.

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