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Irritable Bowel Syndrome - How Was Diagnosis Established

The eMedicineHealth physician editors ask:

How was the diagnosis of your irritable bowel syndrome established?

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Comment from: bvi1998, 45-54 Female (Patient)

Though it seems I have always had these symptoms, it seems my first clue was when my doctor was doing a quick rectal exam and told me I had a spastic colon. Years later, I went to a gastroenterologist because I was having a lot of pain in my intestines. From my described symptoms, it was determined I had IBS but was also given a colonoscopy. Nothing was found with the exception of inflammation in my large intestine, which he thought could have occurred because of the prep. When he was performing the colonoscopy and got to that area, it was very painful and made me clearly say "ouch" out loud to him. I was prescribed Nulev, which allows me to have about five minutes to get to the bathroom: a fantastic emergency drug, just great. Other than that, no other tests have been performed. Published: September 10 ::

Comment from: 25-34 Female (Patient)

I was diagnosed with IBS when I was 17; I am now 32. I have also always suffered with anxiety, which I have found definitely has an effect on my IBS symptoms. It comes and goes, and I have been able to recognize certain triggers, for example, when my period is due, I have diarrhea and cramps. If I drink tea or coffee, I immediately have to use the bathroom, etc. My symptoms cycle through constipation and diarrhea alternately, and the pain is usually in my back or on one or other side of my abdomen, sometimes dull and nauseating, sometimes sharp. Heat pads help. At first I was given Colofac, but I don't use them now. I occasionally take peppermint oil capsules, but to be honest, I don't find anything does the job very well. I prefer to avoid known triggers if possible and deal with the symptoms. Exercise helps too; I walk a lot these days. IBS is very unpleasant but can be coped with. The longer you have it, the better you get to know yourself and your own symptoms and triggers, because everyone is different. Published: September 10 ::

Comment from: patti, 55-64 Female (Patient)

My diagnosis came after a slew of tests which began with a rectal exam and stool sample test. Next I had a barium enema with contrast and a week later a colonoscopy and an endoscopy. I also at this time had a barium swallow. I was treated with 2 strong antibiotics and dicyclomine. One year later I underwent another colonoscopy, endoscopy, abdominal and pelvic ultrasound, cat scan, and ercp because of a spot in the pancreas. Repeat CAT scan is ordered for late next month. Published: November 18 ::


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Irritable Bowel Syndrome

Gastrointestinal Endoscopy Introduction

With the procedure known as gastrointestinal endoscopy, a doctor is able to see the inside lining of your digestive tract. This examination is performed using an endoscope-a flexible fiberoptic tube with a tiny TV camera at the end. The camera is connected to either an eyepiece for direct viewing or a video screen that displays the images on a color TV. The endoscope not only allows diagnosis of gastrointestinal (GI) disease but treatment as well.

  • Current endoscopes are derived from a primitive system created in 1806-a tiny tube with a mirror and a wax candle. Although crude, this early instrument allowed a first view into a living body.

  • The GI endoscopy procedure may be performed on either an outpatient or inpatient basis. Through the endoscope, a doctor can evaluate several problems, such as ulcers or muscle spasms. These concerns are not always seen on other imaging tests.

    ...

Read the Endoscopy article »



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