Irritable Bowel Syndrome: Overview for Clinicians
An integrative Approach for Treating Irritable Bowel Syndrome
Irritable Bowel Syndrome (IBS) is a multi-factorial disorder that can have emotional, physical and nutritional influences. In treating this common condition, all areas should be addressed.
Hypothesis: IBS may result from an insult to the GI environment
IBS symptoms can arise after a significant stressor, illness, infection or medical treatment. This insult can disrupt the dynamic ecosystem of the GI environment which can change communication patterns that occur between mucus, bacteria and enterocytes. If this interface becomes disrupted, chronic inflammation that further compromises its function can lead to increased intestinal permeability. Disruption of the barrier allows exposure of the gut associated lymphoid tissue (GALT) to antigens that stimulate continued inflammation, increased intestinal permeability and symptoms of IBS.
Relationship Centered Care
IBS is best treated by a continuous relationship with a practitioner who knows the patient well. This relationship will give insight into how to best organize the many therapeutic options that will result in a greater quality of life with fewer symptoms.
| Therapy | Application | Evidence Rating (SORT Criteria)63 |
|---|---|---|
| Cognitive Behavioral Therapy | Referral to health psychology Consider journaling |
A |
| Hypnosis | Self-hypnosis techniques | B |
| Relaxation Training | Breathing exercises, progressive muscle relaxation, guided imagery | C |
| Exercise/Movement | Regular aerobic activity | C |
| Elimination Diet | Removal of common food triggers | B |
| Probiotics | B.infanti 1 x 108 CFU daily (Brands: Floragen #3) |
B |
| Fiber | Guar Gum 5 gms daily Ground Flax Seed, 1 Tbsp on food or in juice, smoothie BID Psyllium, 1 Tbsp in 8-10 oz of water or juice BID |
A |
| L-Glutamine | 5 gms BID | C |
| Zinc | 37.5 mg daily | C |
| Peppermint | 0.2-0.4 ml enteric coated capsules TID | B |
| Cromolyn Sodium | 400 mg TID to QID | B |
Please see the downloads section at the right for more detailed clinician and patient information.
Disclaimer: This information is for general education. Please work with your health care practitioner to use it in the best way possible to promote your health and happiness.
