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Topic: Irritable Bowel Syndrome (IBS)

1. Brochure, Fact Sheet: IBS Pamphlet

   101

   By: Lin Chang, MD; Douglas A. Drossman, MD; William F. Norton, Publications Editor, IFFGD

   This overview of IBS includes information on symptoms, causes, diagnosis, management, and treatment of irritable bowel syndrome. Written in collaboration by IFFGD and physicians noted for their knowledge about IBS. Newly revised and updated 2010.

   Also available offline as a glossy color brochure (3.5" x 8.5"). Contact IFFGD for details.

   Topics: Diet, Foods, Irritable Bowel Syndrome (IBS)
   Non-Member Price: $0.99

2. Fact Sheet: The Neurobiology of Stress and Emotions

   106

   By: Emeran A. Mayer, MD

   We often hear the term “stress” associated with functional gastrointestinal (GI) disorders, such as irritable bowel syndrome (IBS). Many patients experience a worsening of symptoms during times of severely stressful life events. But what is stress? How often does it occur? How does our body respond to stress? This article explores the mechanisms that link stress and emotions to responses that have evolved to ensure survival and that, in the modern world, affect health – including gastrointestinal function.

   Topics: Gender, Irritable Bowel Syndrome (IBS), Stress
   Non-Member Price: $0.99

3. Fact Sheet: Are You a Gut Responder? Hints on Coping with an Irritable Bowel

   108

   By: Barry Blackwell, MD

   The gut and the brain develop from the same part of the human embryo. So it is not surprising that the intestinal tract has such a rich nerve supply that it is sometimes referred to as “the little brain.” The gut shares many of the same kinds of nerve endings and chemical transmitters as the brain to which it remains linked through a large nucleus (the locus ceruleus). This collection of nerve cells is partly responsible for controlling anxiety and fear, which explains why these emotions can sometimes be associated with bowel function.

   Topics: CAM, Complementary & Alternative Treatments, Irritable Bowel Syndrome (IBS)
   Non-Member Price: $0.99

4. Fact Sheet: Physiological Testing of the Colon, Rectum and Anus

   111

   By: Bruce A. Orkin, MD

   Often a diagnosis of a functional GI disorder can be made based on a history and physical examination. Sometimes exxtensive testing may be needed to find a cause. A review of tests used to examine bowel structure and function.

   Topics: Bowel urgency, Constipation, difficult to pass stools, Incontinence, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain, Motility, Tests, lower GI tract
   Non-Member Price: $0.99

5. Fact Sheet: Biofeedback & Bowel Disorders: Teaching Yourself to Live without the Problem

   112

   By: Mary K. Plummer, OTR, BCIA-PMBD; Jeanette Tries, PhD, OTR

   Biofeedback is a neuromuscular reeducation tool we can use to tell if certain processes in our bodies are working correctly. It is a painless process that uses a computer and a video monitor to display bodily functions that we usually are not aware of. Special sensors measure these functions, which are displayed as sounds we can hear, or as linegraphs we can see on a computer screen. A therapist helps us use this displayed information to modify or change abnormal responses to more normal patterns such as increasing a response, decreasing a response, or learning to coordinate two responses more effectively.

   Topics: Bowel urgency, CAM, Complementary & Alternative Treatments, Constipation, difficult to pass stools, Diarrhea, loose stools, Incontinence, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain, Pelvic floor disorders
   Non-Member Price: FREE

6. Fact Sheet: Gut Motility: In Health and Irritable Bowel Syndrome

   121

   By: John E. Kellow, MD

   What are normal movements (motility) of the digestive tract? How may altered motility lead to symptoms? Disorders affecting the motility of the digestive tract may be self-limiting, occurring only for a brief period as in acute infection of the digestive tract causing diarrhea. They can also be more longstanding and persistent as in irritable bowel syndrome (IBS). IBS is associated with a variety of symptoms, particularly abdominal pain and an irregular bowel habit.

   Topics: Digestive System, Irritable Bowel Syndrome (IBS), Motility
   Non-Member Price: $0.99

7. Fact Sheet: Gynecological Aspects of Irritable Bowel Syndrome

   123

   By: Margaret M. Heitkemper, RN, PhD; Monica Jarett

   Over a decade ago, investigators noted that approximately half of the women attending a gynecology clinic had symptoms (e.g., abdominal pain, change in bowel pattern) compatible with a diagnosis of irritable bowel syndrome (IBS). Since that study, a number of other studies have demonstrated a higher prevalence of gynecologic disorders, such as pain associated with menstruation (dysmenorrhea) and premenstrual distress syndrome in women with IBS as compared to those without IBS.

   Topics: Gender, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain
   Non-Member Price: $0.99

8. Fact Sheet: Irritable Bowel Syndrome: The Pathophysiologic Links to More Effective Future Therapy

   124

   By: Michael Camilleri, MD

   Several investigators as well as an NIH consensus conference on the "irritable bowel syndrome" (IBS) have stressed the importance of the biopsychosocial model in the etiopathogenesis (origin and development) of this syndrome. In this short article, the pathophysiologic (disease process) links between big brain, little brain, motility and sensation are explored based on currently available data. These data suggest that investigators and clinicians need to be dissuaded from approaching IBS as though it was a single disorder in all patients, or as though only one mechanism is responsible for development of symptoms. In essence, this is a plea for the importance of integrated rather than reductionist approaches to research, diagnosis, and management of IBS. Revised and updated 2009.

   Topics: Brain-Gut, Irritable Bowel Syndrome (IBS)
   Non-Member Price: $0.99

9. Fact Sheet: Visceral Sensations and Brain-Gut Mechanisms

   127

   By: Emeran A. Mayer, MD

   Over the past several years, different mechanisms located within the gut, or gut wall have been implicated as possible pathophysiologic mechanisms underlying the characteristic IBS symptoms of abdominal pain and discomfort. The list ranges from altered transit of intestinal gas, alterations in the colonic flora, immune cell activation in the gut mucosa, and alterations in serotonin containing enterochromaffin cells lining the gut. For those investigators with a good memory, these novel mechanisms can be added to an older list of proposed pathomechanisms, including altered gut motility ("spastic colitis") and alterations in mucus secretion.

   Topics: Brain-Gut, Constipation, difficult to pass stools, Diarrhea, loose stools, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain
   Non-Member Price: $0.99

10. Fact Sheet: Functional Abdominal Bloating

    128

    By: David Maxton, MD

    Bloating is a common symptom in irritable bowel syndrome (IBS), particularly in women, although mostly it is a nuisance rather than the most severe aspect of the disease. However, bloating may be the only symptom for some people. A discussion of bloating and tips on managing the condition.

    Topics: Constipation, difficult to pass stools, Gas, Bloating, Belching, Irritable Bowel Syndrome (IBS)
    Non-Member Price: $0.99