By Dar Simon, Barbara Millar
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Extra resources for Understanding Irritable Bowel Syndrome
Sample text
L Have you ever taken a course of antibiotics for the treatment of acne for a month or more continuously? l Have you ever had a course of steroid treatment, such as prednisone or cortisone? l Have you ever taken the contraceptive pill for a year or more? l Have you ever been treated with immuno-suppressant drugs? l Have you had multiple pregnancies? Food intake and IBS – what are the research facts? There may be many nutritional influences that trigger and maintain an irritable bowel, but there is still plenty of research to do in this area.
Sometimes a stool sample can be tested for an intestinal parasite or hidden (occult) blood in the stool, but most doctors do not do this unless there is good reason to do so. Other possible tests include sigmoidoscopy, colonoscopy and barium enemas; but these are really not necessary unless you and your doctor are concerned about the presence of other disorders. Dr K. Heaton, a recognised expert on IBS, believes that ‘often, no tests are needed. If the history is classical and the patient recognises a relation to stress or dietary change, it is meddlesome to do any tests.
But they need to be eaten carefully – not on an empty stomach, or in large quantities or without soluble fibre foods. Should I just stop eating certain things altogether? CASE STUDY CASE STUDY CASE STUDY CASE STUDY ‘Kath’ noticed that, for several years, eating garlic gave her wind. But, the other night, she ate a quiche with fresh garlic in it and got terrible pains soon afterwards. She describes the pain as ‘severe cramps or contractions in my lower bowels . . I had to lie down and writhe on the floor’.