209 – Gut Bacteria and Irritable Bowel Syndrome
Does bacteria play a role in IBS? If so, is it helpful or harmful? What about antibiotics, or probiotics? Bacteria are present in the normal gut (intestines) and in large numbers the lower parts of the intestine. These “normal” bacteria have important functions in life. A variety of factors may disturb the mutually beneficial relationship between the gut bacteria and its host – and disease may result. The possibility that gut bacteria could have a role in irritable bowel syndrome (IBS) may surprise some; there is indeed, now quite substantial evidence to support the idea that disturbances in the bacteria that populate the intestine may have a role in at least some patients with IBS. This article looks at recent findings about possible influences of bacteria in IBS, which may be either negative or positive, and at various treatment approaches.
520 – Antacids
Antacids seem to help many of those with bloating or nonulcer dyspepsia, as well as heartburn. A discussion of various antacids.
234- A Noisy Tummy: What Does it Mean?
While seldom of medical importance, for some people a rumbling, growling stomach can be a source of profound embarrassment. Picturesquely dubbed “borborygmi,” bowel sounds seem loudest to the owner, who is sometimes mistakenly convinced they are obvious to all. This article explains the causes of bowel sounds, discusses when the sounds become a cause for medical concern, and offers some tips that may help reduce bowel noises.
262-Understanding Bloating and Distension
Bloating can be described as the feeling that there is an inflated balloon in the abdomen. It is a commonly reported symptom and is sometimes associated with distension, or the visible increase in the width of the area between your hips and chest (abdominal girth). Both bloating and distension cause discomfort, and sometimes pain, and have a negative impact on the quality of life for some individuals.
116 – Doctor – Patient Communication
Functional GI disorders present a special challenge to the doctor-patient interaction for several reasons. First, functional GI disorders are characterized, in most cases, by vague symptoms of variable intensity. Many times, these symptoms involve the most intimate anatomic areas of the body. The sensitivity of these issues can complicate the task for the patient who needs to express them in terms that the physician can interpret to formulate a diagnosis. Secondly, the physician is hampered by the absence of obvious structural lesions that often lessens the likelihood of devising a specific medical intervention that is successful. In some cases, the physician’s own anxiety can be increased by the lack of a symptom complex that leads to well-understood disease entity, such as parasites or lactose intolerance. This deficiency, in turn, often leads both physician and patient to over-investigate the symptoms. So what are the ingredients that comprise successful doctor-patient communication about the functional GI disorders?
215- Problems with Doctors That Interfere with Treatment
The placebo effect can enhance therapy, and promote a successful relationship between healer and patient. However, a treatment administered by a healer may also have a bad effect. Any treatment may have a predictable risk, but a nocebo effect denotes worsening beyond the known risk – the adverse effect of a failed therapeutic relationship. This can result in sub-optimal health care. An examination of its causes and ways to avoid it are discussed.
221- The Medical History: How to Help Your Doctor Help You
The most important interaction between patient and doctor is the medical history. Through listening to the story of the patient’s illness and asking relevant questions, a physician may often make a diagnosis, or at least begin to understand the nature and location of the complaint. A few easy steps can help make this process more efficient leading to prompt, more precise diagnosis and treatment. Revised January 2012.
231 – Can Intense Exercise Lead to GI Symptoms?
Can exercise be linked to GI symptoms such as diarrhea or heartburn? This article will help you understand how exercise and associated factors can influence the GI tract.
206 -Health Reporting in the Media: What to Believe?
Most people learn of medical progress through the media. Yet this news is often unhelpful. Exaggerated cures, contradictions, and plainly misleading information can do harm. The problem is not science, but how journalists report it, and how the public interprets it. This essay aims to help readers make sense of health news. Reviewed 2009.
Choosing Apps for Managing Chronic GI Illness
In this episode of Exploring Gut Topics, we speak with William Chey, MD, Satish Rao, MD, and Amanda Lynett, RDN, to discuss apps designed to help patients manage chronic gastrointestinal illnesses and monitor GI motility. IFFGD does not endorse any of the apps listed below; however, we want patients to know what apps are available […]
