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Re: What are the theories on IBS-A?? new
      #309512 - 06/21/07 10:05 AM
Pud

Reged: 06/20/07
Posts: 256
Loc: Long Island

i haven't really been able to see any correlation.. if i eat the same diet 2 days in a row.. i can feel completely different on both days...

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Pud
Long Island
IBS-D & SIBO - main symptom GAS

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Re: What are the theories on IBS-A?? new
      #309551 - 06/21/07 06:17 PM
Tinkerbelle

Reged: 04/17/05
Posts: 231
Loc: Los Angeles, CA

I am the same as you... I can eat the same thing on two different days and it can effect me totally differently. It is a holistic issue- it has to do with how much sleep I get, how stressed/anxious I am, and what I ate in a previous meal. If I am sensitive from something else I ate, something "safe" may not be anymore.
I am very sensitive to soy. It totally messes me up! I know it can be overwhelming at first to cut all these foods out, but there are so many amazing and yummy substitutes out there that I don't miss soy and most dairy! One thing I adore however is cheese... I still eat it from time to time and sometimes it messes me up while other times I feel fine!
This is a very confusing disorder to say the least!!

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Re: What are the theories on IBS-A?? new
      #309563 - 06/21/07 07:05 PM
KayCee

Reged: 06/16/07
Posts: 14


I am right there with you, so I totally sympathize! I have extreme bloating and discomfort from gas every single day. I have a bm mostly in the mornings as well. I start the day feeling okay, still always slightly bloated, but it only gets worse as the day goes on no matter what I eat. I have tried so many anti-gas products and none of them ever really work for me. I also have periods of C followed by times where I am constantly going to the bathroom, and you're right it is painful! Since starting this diet, lately I have been mostly C which is better than having to go 4 or 5 times a day like before, but it also makes my gas and bloating that much worse and very very uncomfortable. I have tried to add a bit more IF these past few days, because I thought may not be getting enough, but it hasn't made much difference so far. It is so frustrating. Just for once I would love to go through the day not feeling like a huge balloon with my stomach hard like a rock:(

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Re: What are the theories on IBS-A?? new
      #309570 - 06/21/07 07:43 PM
Little Minnie

Reged: 04/16/04
Posts: 4987
Loc: Minnesota

I am an A person. My theory is that something triggers one of them and then that triggers the other into a cycle. If I get D (in the past) I would always be C afterward for up to several days and that would make me get D-- the body wanting to expel what it is storing. I think the difference is with plain C the body just keeps holding it but with A the body is able to trip itself into D mode (which is sometimes a relief) but that leads to more C. Getting stable with diet and acacia will stop the D and that will lead to no C. It has worked for me. The only time I get D is when I cheat and if I do, I get minor C after but the acacia clears that up right away.

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IBS-A for 20 years with terrible bloating and gas. On the diet since April 2004. Remember this from Heather's information pages:
"You absolutely must eat insoluble fiber foods, and as much as safely possible, but within the IBS dietary guidelines. Treat insoluble fiber foods with suitable caution, and you'll be able to enjoy a wide variety of them, in very healthy quantities, without problem." Please eat IF foods!

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Listen to Min - she's a pro, and also... new
      #309661 - 06/23/07 08:40 PM
Yoda (formerly Hans)

Reged: 01/22/03
Posts: 3682
Loc: Canada

This is what happens.
1. The colon gets overstimulated and goes into spasm.
Either one or two or both things can happen next:
2a. The colon continues to spasm and you get diarrhea.
2b. The colon simply shuts down and you get constipation.

Why they alternate, I don't really know. Min's a great help with our A's on board. (and everybody else - smooches Min!)

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Formerly HanSolo. IBS, OCD, Bipolar, PTSD times 3.

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Re: What are the theories on IBS-A?? new
      #309673 - 06/24/07 06:57 AM
Syl

Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA

There was an interesting study done Feb-March 2000. Randomly 2000 individuals over the age of 18 were selected and screened. They were classified into potential IBS and non-potential IBS (281 individuals). The potential IBS group were asked to participate in a detailed study and 213 individuals agreed to participate. Participants were further classified using the Rome I and Rome II criteria and a collection of questionnaire and interviewing methods.

Using the Rome I criteria, 15% had D-IBS, 44% had C-IBS, 19% had A-IBS,and 22% had normal bowel habit. Among those meeting the Rome II criteria, 25% had D-IBS, 37% had C-IBS, 23% had A-IBS and 15% had normal bowel habit.

An analysis of clinical manifestations in subjects meeting the criteria of A-IBS it was observed that that this group was quite similar to the C-IBS subtype but with frequent defecatory urgency in the absence of an increased number of bowel movements. Abdominal discomfort/pain and frequency of visits to physicians were greater in the A-IBS subtype than in the other two IBS subtypes,

Part of the problem with coming up with a theory for IBS-A is establishing satisfactory way to accurately define it. Other studies used a combination of the Rome criteria and the Bristol Stool Scale have found similar difficulties in defining IBS-A.

The research suggests perhaps IBS-A is closer IBS-C rather than a unique sub-type composed of individuals that oscillation between pure IBS-C and pure IBS-D.

One the other hand for years I thought I was IBS-A, however, once I got my SF/IF ratio corrected I became predominately IBS-D. Go figure!

Reference
Mearin, F., A. Balboa, X. Badia, E. Baro, E. Caldwell, M. Cucala, M. Diaz-Rubio, A. Fueyo, J. Ponce, M. Roset, and N. Talley, 2003: Irritable bowel syndrome subtypes according to bowel habit: revisiting the alternating subtype. European Journal of Gastroenterology & Hepatology February 2003;15(2):165-172, 15, 165-172


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STABLE: ♂, IBS-D 50+ years - Science of IBS

The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS

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I am SOOOOO "A" TODAY! new
      #309728 - 06/24/07 03:33 PM
Tinkerbelle

Reged: 04/17/05
Posts: 231
Loc: Los Angeles, CA

This really sucks! I was C for the last few days, and today I woke up C again... I decided to just eat a piece of toast with a little avocado.. went and did yoga... about one hour later I had two glasses of very fruity hibicus tea and a plum... I came home to major D! I haven't had D that bad in ages... and it's 3:30 pm and I haven't eat anything else all day. Should I eat? One of my best friends is having a big graduation party at 6 pm... and she said she'd be super upset if I didn't come. I just feel scared and shitty right now. I don't know what to do.

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thank you so much new
      #309735 - 06/24/07 05:19 PM
Little Minnie

Reged: 04/16/04
Posts: 4987
Loc: Minnesota

and smooches back.

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IBS-A for 20 years with terrible bloating and gas. On the diet since April 2004. Remember this from Heather's information pages:
"You absolutely must eat insoluble fiber foods, and as much as safely possible, but within the IBS dietary guidelines. Treat insoluble fiber foods with suitable caution, and you'll be able to enjoy a wide variety of them, in very healthy quantities, without problem." Please eat IF foods!

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Re: I am SOOOOO "A" TODAY! new
      #309736 - 06/24/07 05:23 PM
Little Minnie

Reged: 04/16/04
Posts: 4987
Loc: Minnesota

Well you have to be strict on the diet and A will clear up. So you had IF fruit on an empty stomach which might have led to your D. You might also have possibly had too much fat percentage with just one piece of toast and avocado. I am not sure. Also are you on acacia? That is crucial.

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IBS-A for 20 years with terrible bloating and gas. On the diet since April 2004. Remember this from Heather's information pages:
"You absolutely must eat insoluble fiber foods, and as much as safely possible, but within the IBS dietary guidelines. Treat insoluble fiber foods with suitable caution, and you'll be able to enjoy a wide variety of them, in very healthy quantities, without problem." Please eat IF foods!

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