Hahneman Ki Aawaz posted on 16.08.2019
If you experience cramps and lower abdominal pain , relieved with bowel movements, alternating periods of diarrhea and constipation, frequent passing of stools, passing mucus with the stools, bloatedness (gas/flatulence) and abdominal distension ? then, these signs and symptoms can be due to Irritable bowel syndrome (IBS) .
Ø What causes IBS?
Irritable Bowel Syndrome, also known as Spastic Colon or Mucous Colitis, is a digestive disorder characterized by an abnormal increase in the mobility of the intestines (small and large).The exact cause is unknown but yes, as irritable bowel syndrome is a long-term disease, symptoms usually return from time to time. This may be influenced by factors such as stress, diet, or other environmental causes, like consumption of outside food for longer duration of time. Multiple other factors may also play a role in aggravating / increasing IBS, so it is very difficult to predict which may make IBS worse for a particular affected person.
Who are at risk?
· Age: More cases between 35 to 50 years.
· Gender: More common in women.
· People having a family history of IBS.
· Delicate people who are stressed out very easily.
Altered bowel movements: Frequent loose stools, as in diarrhea predominant cases ,sometimes with an urgent need to defecation and few experience both, like constipation followed by a few days of diarrhea. The diarrhea typically occurs immediately after a meal or when getting up in the morning. Sometimes people with IBS pass mucus with stools. IBS changes the time stool remains in intestines, thus changes the amount of water in stool, due to this CTT, colonic transit time, it ranges from loose and watery to hard and dry.
· Abdominal pain and cramps: The lower abdominal discomfort of an irritable bowel ranges from sharp, cramp to a continuous, dull ache. The major sites of pain include the lower abdomen, that too, the left lower quadrant out of nine abdominal quadrants. Food may increase pain, while pain is commonly relieved by passing stools.
· Bloating, abdominal distention:Increased amounts of bloatedness and gas.
· Urgency: There is urgency to pass stools with cramps in abdomen.
· Sensation of incomplete evacuation: Patient feels like he still needs to have a bowel movement after already had one which is called incomplete evacuation.
· Symptoms of mixed IBS also vary from individual to individual and so treatment approach should be individualized based upon presentation of symptoms in each case.
As symptoms are most often provoked by eating, patients sometimes skip their meals in order to avoid pain and cramping and thus may lose weight.
Alterations in intestinal motility, permeability, nutrient absorption and intestinal microbiota have been involved. As a common rule, dietary education and potential triggering foods should be avoided. symptoms are associated with specific foods, for example milk, fatty food. Lactose and gluten in few cases. FODMAP s should be taken into consideration (FODMAP— fermentable oligo-sugary foods like cookies ,cakes, soft drinks , candies ,bread etc to name few; Di and mono saccharides- and polyolscontaining mannitol—sorbitol –beans, mushroom s, cauliflower, pears to name few here )
Those with IBS feels fatigued and has less refreshing sleep, Anxiety reduction is very important and plays a key role in treatment . Lifestyle changes , stress relief require to attain goal. Probiotics also reduces symptoms, caffeine, alcohol and sugary beverages as discussed above under soft drinks should be avoided.
Certain basic tests to evaluate the case : CBC, stool analysis , TSH levels paramount in diagnostics .
Red flags that needs more investigation into the case are : passing blood per rectum, exponential wt loss , constant abdominal pain , requires further evaluation with colonoscopy to rule out abnormal growths .
Homoeopathy treats the patient based on s/s, physical and mental constitution, hereditary history, past history, modalities , miasm , generalities. Medicinal approach being in increasing intestinal mucosal health, physical and mental well-being evaluation.
Sulphur; podophyllum ; colocynth; argentum nitricum ; Lycopodium;. Nux vomica ; asafetida ; lilium tig ; natrum carb ; puls; phosphorus ; gambogia ; etc to name few.
Each case is different , in terms of frequency of symptoms, intensity of symptoms or aggravating and ameliorating factors, need to address onset , duration , progress , periodicity and any concomitants symptoms.
Dr. PUJA ACHARYA
Well known homoeopathic doctor , into practice since 14 years , author writes for various medical sites and publishings.