Re: It depends on what you mean by "help"
04/30/10 04:28 PM
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Sand
Reged: 12/13/04
Posts: 4490
Loc: West Orange, NJ (IBS-D)
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Quote:
Can a your doctor, or a good dr, help significantly improve symtpoms?
It depends on how responsive the patient is to the available treatments
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I don't think that is an unreasonable request.
As I just pointed out in another thread, this is not the proper forum in which to insist your requests are not unreasonable.
Quote:
You mention anti-anxiety and anti-depressants...how would they help and don't they CAUSE constipation in many instances?
Some part of IBS seems to be anxiety-related. If that is the case with your IBS, anti-anxiety meds may help. You need to ask your doctor about the possible constipating side-effects of various anti-anxiety meds.
IIRC, there are two types of anti-depressants: tricyclics and SSRIs. The tricyclics are good for IBS-D, bad for IBS-C. Among the SSRIs, some help with IBS-D, some with IBS-C. You can do a Board search and see what other people have said about which anti-depressants seem to work for them. Or ask your doctor.
Anti-depressants help because in some cases (maybe all cases) IBS has something to do with serotonin in the gut. Since anti-depressants impact serotonin wherever it is found in the body, they can act on serotonin in the gut as well as the brain. Try reading "The Second Brain" by Dr. Michael Gershon.
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