IBS Treatments

IBS has many triggers, including antibiotics, certain foods, and poor digestive capability, just to name a few.

IBS is a complicated condition with several factors that can trigger or contribute to its development. Top among these are antibiotic use, certain IBS trigger foods, or poor digestive capability.

Antibiotic Use

For many people, IBS first shows up after an infection (often one in the gastrointestinal tract), particularly when a long course of treatment or potent antibiotics have been used to address the infection. Antibiotics disrupt the normal bacterial flora in the gut, and this imbalance can lead to IBS.

Food Intolerance

Intolerance to certain foods is one of the primary triggers of IBS. Many people incorrectly refer to food intolerances as food “allergies,” but ingesting the offending foods doesn’t trigger a reaction from the immune system the way a true allergy does. Studies have shown that patients with IBS can usually correct their problem by following a diet that eliminates offending foods.

Some of the most common IBS trigger foods include:

• wheat,
• corn,
• dairy products,
• coffee,
• tea, and
• citrus fruits.

In fact, one study suggests that fructose (fruit sugar) alone may be responsible for 30 to 60 percent of all cases of IBS. The most common source of fructose in the American diet nowadays is high-fructose corn syrup (HFCS). And while it’s a given that you need to avoid HFCS, fruit can also trigger IBS.

Poor Digestive Capability

A decrease in digestive juices and/or enzymes results in the incomplete breakdown of various foods. Undigested proteins, fats, and carbohydrates can all create havoc in the intestinal tract. Protein fractions can be absorbed into the bloodstream from the small intestine and cause reactions that mimic allergies, locally as well as throughout the body.

Undigested fats can ferment in warm cavities of the lower bowel and create gas or flatulence, resulting in bloating, distension, and pain. And, undigested carbohydrates can pass to the lower bowel and provide the ideal food for the growth and replication of pathogenic and disease-causing bacteria, fungi, and yeast.

As we age, our ability to produce hydrochloric acid in the stomach is reduced—which reduces our ability to break down proteins. Sluggish bile and gallbladder problems prevent many people from properly breaking down fats in the diet. Surgical removal of the gallbladder without supplementing the diet with bile salts probably increases the difficulty a hundredfold or more.

Additional IBS Triggers

In addition to antibiotics, food intolerance, and poor digestion, there are a myriod of other factors that can trigger IBS. These include:

• genetics,
• drugs,
• radiation therapy,
• smoking,
• alcohol use or abuse,
• carbonated beverages,
• lack of sleep and exercise,
• surgical trauma or injury to the bowel,
• eating disorders, and
• use of hormones (particularly oral contraceptives or hormone replacement therapy).

If you are looking for IBS help, you first need to understand IBS trigger foods and the role they play in the disease.

One of the main IBS trigger foods is wheat. IBS patients are often sensitive or allergic to wheat and other grain products. As such, wheat bran and other cereals are generally not the best source of fiber for people looking for IBS support. Instead, water-soluble fibers that promote the formation of protective gel and mucus in the bowel are best. This type of fiber is found in guar gum, psyllium or Indian husks, oat bran, flax seeds, fruits, vegetables and legumes. (Legumes is a fancy word for beans and peas.)

Keep in mind that most of these fiber sources are either absorbents or binding agents. One of their characteristics is that they absorb or bind with water. This causes them to soften, swell, and increase in volume. This creates the extra bulk necessary to gently stimulate the cleansing movement in the colon. For the whole process to work, you must consume adequate amounts of water. This means that it’s absolutely necessary to drink a minimum of eight glasses of water a day.

Note: Although increasing the intake of fruits and vegetables is essential in treating IBS, during periods of diarrhea they are best avoided. But they should be reintroduced gradually when the bowels are normal. The amounts and timing will vary from individual to individual. The same holds true for the amount of guar gum or psyllium that needs to be taken. It would be impossible for me to give the exact amount needed. Each person will have to monitor bowel regularity, consistency, and looseness and adjust the dosages accordingly.

I’ve found that successful treatment of IBS requires a multi-faceted approach. And key among these are dietary changes. Research (not to mention common sense) shows that there is a strong connection between IBS and diet. Specifically, IBS problems require the addition of fiber in the diet, but two very important factors must be taken into consideration.

First, some types of fiber should be avoided. IBS patients are often sensitive or allergic to certain types of food. Wheat and other grain products are typically on that list. As such, wheat bran and other cereals are generally not the best source of fiber in these cases. Instead, water-soluble fibers that promote the formation of protective gel and mucus in the bowel are best. This type of fiber is found in guar gum, psyllium, oat bran, flax seeds, fruits, vegetables and legumes (or beans and peas).

Secondly, although increasing the intake of fruits and vegetables is essential in treating IBS, during periods of diarrhea they are best avoided. But they should be reintroduced gradually when the bowels are normal. The amounts and timing will vary from individual to individual. The same holds true for the amount of guar gum or psyllium that needs to be taken. It would be impossible for me to give the exact amount needed. Each person will have to monitor bowel consistency and looseness and adjust the dosages accordingly.

And no discussion of IBS and diet would be complete with discussing those foods that must be eliminated from the diet. Sugar and highly concentrated sugar-containing products like fruit juices need to be eliminated. People looking for IBS help also need to avoid alcoholic beverages. The acidity and nature of tomatoes and tomato products will irritate a sensitive bowel and should be avoided.

Additionally, consumption of saltwater fish and those from lakes contaminated from acid rain should be minimized or completely avoided. This caution also applies to canned tuna. Although most individuals will experience no such problems, German research has found that the mercury often contained in these fish is one of the main IBS trigger foods.

If you still want that tuna, make sure you are choosing young tuna. I personally like Wild Planet Low Mercury Albacore Tuna. Or even forgo the tuna and give wild salmon or sardines a try.

Most people are unaware that IBS can be a recurring and intermittent problem linked to, among other things, imbalances within the body. One of the more common issues with IBS is that the protective intestinal mucus lining has been destroyed. One of the better IBS treatments for this is a quarter to a half cup of aloe vera gel daily between meals to help protect and speed the healing of the colon. This gel is available in local health food and grocery stores.

A second common issue with IBS is painful contractions of the colon. Another one of my preferred natural IBS remedies that helps this particular issue is peppermint. Peppermint leaves and oil were probably put on this Earth specifically to treat gastrointestinal disorders.

Peppermint has several very helpful healing characteristics, including:

• It has a gentle disinfecting effect. This helps prevent the fermentation of improperly digested foods in the stomach and bowels. This stops the formation of intestinal bloating and gas and the pain associated with it.
• It alleviates nausea and vomiting.
• It relaxes the muscles of the intestinal tract and prevents colon spasms often present with IBS.

Peppermint tea bags are readily available in both supermarkets and health food stores. The tea can also be made from fresh leaves. Simply add 1 or 2 teaspoons to a cup of hot, not boiling, water and let it stand covered for 10 to 15 minutes. I would recommend keeping a supply of peppermint tea around the house; however, it shouldn’t be used on a casual, regular basis. Use it only during periods of stomach, liver, gallbladder or pancreatic upset. You’ll find that regular habitual use will lessen its effect.

Irritable bowel syndrome (IBS)—also known as spastic colon, nervous indigestion, mucous colitis, and inflammatory bowel disease—is the most common gastrointestinal complaint reported to physicians, and it accounts for as many as 50 percent of all referrals to gastroenterologists (physicians who specialize in problems of the GI tract).

If you happen to be part of the estimated 15 percent of the population who needs help for IBS, you undoubtedly know how debilitating the disease can be. Women seem to need help for IBS more than men, but this is probably because men, for some reason, are less likely to seek help for the complaint.

IBS is a complex problem with numerous causative factors and a wide variety of changing symptoms. The following is a list of some of the more common symptoms.

• Spastic constipation and diarrhea
• Pain and distention of the abdomen
• Frequent bowel movements associated with pain
• Colicky pain often relieved by a bowel movement
• Indigestion
• Nausea
• Anorexia
• Intestinal bloating and gas
• Depression
• Fatigue
• Bowel incontinence
• Excess mucus production in the colon

The good news is that there are inexpensive and natural IBS treatments that I will discuss over the next few weeks. So be sure to check in on my blog.

IBS treatments are few and far between. One that I've found to work well for many individuals in an extract of mucin. This substance is a part of the lining of your intestinal tract, so supporting it creates an environment that provides help for IBS patients.

The product I like is called Sialex, available from Ecological Formulas. I recommend taking 1 to 3 capsules with each meal.

Among my favorite IBS treatments is the supplement known as slippery elm bark. It will help soothe an irritated digestive system, pretty much from top to bottom.

For IBS support, you can mix a heaping teaspoon of the powder with a little water to make a paste, then pour on a cup of hot water and mix until it's thoroughly dissolved. (If you've ever made gravy, this procedure will sound familiar. Mixing the powder with the hot water directly will give you a lumpy, sticky mess.) Let it cool, then drink it. Do this three times a day.

For a slight variation, make it with warm milk, or flavor the mixture with cinnamon or nutmeg.

Slippery elm capsules also provide IBS support. I suggest two capsules (400 or 500 mg each) three or four times daily.

Probiotic benefits of a digestive health supplement containing Bifidobacterium infantis  include the relief of bowel irregularity and the abdominal pain associated with bloating and gas--making it among the few effective IBS treatments.

As you might imagine from the name, B. infantis is one of the dominant digestive bacteria in children, in whom it helps support immune health. The population of B. infantis declines with age, but it still remains an important part of your digestive flora. As a side benefit, the bacteria can help improve bowel regularity in children.

Look for a digestive health supplement that contains B. infantis, along with a variety of other bacteria species, to get the full range of probiotic benefits.

IBS help can be achieved through hypnosis. While many physicians are reluctant to recommend IBS treatments such as this, numerous studies have shown that the mind-body connection can provide a great deal of help for IBS patients.

Now Dr. Roland Valori, the editor of a brand new peer-reviewed journal called Frontline Gastroenterology says that he has used hypnotherapy among the IBS treatments for more than 100 of his patients.

90% of that group saw significant improvement in the bowel problems associated with IBS--including bloating and gas, constipation and diarrhea. Even better, 40% saw positive bowel changes leading to complete relief.

The bad news? Reviewers of Dr. Valori's writing say that hypnotherapy should be among the last-resort IBS treatments, after drugs have failed. I'm sorry, but that's just crazy. The drugs used for IBS support have significant side effects, and they aren't any more effective than hypnotherapy. Why would you not start there?

The FDA has announced that it approved the drug Amitiza as one of the available IBS treatments for those patients who have IBS with constipation. The approval was based on trials that included more than 1,100 patients, nearly all of whom were women.

IBS is a condition that can produce varying bowel changes, including both constipation and diarrhea, plus bloating and gas along with abdominal pain. Until this drug approval, there had been no prescription IBS treatments that addressed the constipation.

That's not to say that there were no IBS treatments at all, however. Dr. Williams has recommended digestive health supplements for IBS support, including peppermint oil, to calm the gut and improve bowel regularity. As a bonus, peppermint oil doesn't produce the common side effects of Amitiza, which include...abdominal pain and diarrhea.

Take enteric-coated capsules of peppermint oil three times a day, between meals.