Treatment for IBS

Irritable bowel syndrome (IBS), or functional colopathy, is an often painful disorder affecting the digestive system that is aggravated by stress. From a low FODMAP diet to probiotics and hypnotherapy, Guillaume Gourcerol, a gastroenterologist and hepatologist at Rouen university hospital center (CHU Rouen) in France, takes us through some of the latest and most effective approaches to treatment.

Is there a typical patient profile for people with irritable bowel syndrome (IBS)?

There is no typical profile. However, patients are 80% female and present anxious, sometimes obsessive temperaments. Half have experienced a highly stressful situation or event. There are sometimes associated illnesses, such as functional dyspepsia, fibromyalgia, painful bladder syndrome, migraines, sleep disturbances, etc.

What currently available drugs are effective in treating IBS?

Antispasmodic medication, used as a long-term treatment or during flare-ups, can bring relief. In the event of small intestine bacterial overgrowth, antibiotics may be recommended.

What tests can be used to diagnose IBS?

No medical tests or procedures can diagnose the condition. It doesn’t show up on an endoscopy (looking inside the body with a camera). However, patients can take tests for intolerance to lactose or fructose.

What dietary strategy can IBS sufferers adopt?

A low FODMAP diet excluding a family of poorly digested sugars (pears, apples, plums, wheat, barley, rye, legumes, artichoke, chicory, Jerusalem artichoke, Brussels sprouts), is currently one of the only dietary strategies that has been scientifically proven to improve IBS symptoms as well as quality of life for patients. It is, however, very difficult to follow long term, as FODMAPs are everywhere in foodstuffs. I recommend patients see a nutritionist or a dietician on a regular basis.

Can a gluten-free diet improve IBS?

Cutting out gluten is of no interest. Patients risk developing deficiencies or even eating disorders. In fact, when you follow a low FODMAP diet, you also remove gluten.

How is research and development advancing on new probiotics for the treatment of IBS?

Among the many strains tested in serious randomized studies, VSL3 — sold in certain countries under the name Alflorex — is a treatment that works. Bifidobacterium infantis 35624 and Lactobacillus plantarum 299v are among the most effective.

What kind of complementary therapy could be envisaged?

Hypnotherapy works very well for patients and this treatment can suffice in certain cases. A good relationship should be established with the practitioner who will teach the patient to self-hypnosis techniques.

Guillaume Gourcerol, a gastroenterologist and hepatologist at Rouen university hospital center (CHU Rouen) in France, will present these latest findings at the Entretiens de Bichat medical conference, held October 5-7 at the French capital’s Palais des Congrès de Paris.

Extract from Yahoo


Dr. Robert Sapien on the Hypnotic Radio Hour

Our guest, Dr. Robert Sapien, is responsible for the current NIH research involving hypnotherapy, which is getting a lot of attention. This is the most thorough and exciting hypnotherapy research, with controlled methodology, and represents the growing movement of acceptance of hypnotherapy as a mainstream modality for health care and personal change.

Robert E. Sapién, MD, MMM, FAAP is a Distinguished Professor of Emergency Medicine and Pediatrics at the University of New Mexico School of Medicine, is Chief, Division of Pediatric Emergency Medicine and Associate Dean for Admission at the School of Medicine. Dr. Sapién, a native of NM, received his bachelors of science and medical degrees from the University of New Mexico and a Master’s in Medical Management at the University of Southern California Marshall School of Business.

He has also been a practicing clinical hypnotherapist for the past 8 years, receiving training at the Hypnotherapy of Academy in Santa Fe, NM and mentorship from Timothy Simmerman. Dr. Sapien also incorporates hypnotherapy into his medical practice, and is currently helping conduct a National Institutes of Health Randomized Control Clinical Trial on women with overactive bladder to compare the efficacy of hypnotherapy with medications.

Hypnotic Radio Hour can be heard on Dreamvisions 7 Radio Network.