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Irritable Bowel Syndrome
 

Irritable Bowel Syndrome Health Management Guide

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IRRITABLE BOWEL SYNDROME

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A symptom of irritable bowel syndrome is a cramping, tight feeling in the abdomen, particularly after a meal. This is accompanied by irregular bowel movements with alternating hard movements (constipation) and diarrhoea.

It is not known exactly why irritable bowel syndrome occurs but it is known that all kinds of factors have their influence on intestinal movement. The movement may be either large or small. This is why diarrhoea alternates with constipation. The complaint can also be caused by the wrong choice of food and lack of physical exercise.

SELF-CARE


What you can do yourself

Eat low fat and high-fibre foods. You may also add extra fibre to your food (ask for this at the pharmacy). Eating enough wholemeal bread, fruit, raw vegetables, lean meat or fish is often quite adequate. Ensure that you drink enough. This means 3 pints (1.5 litres) per day (minimum) or about 10 cups or 6 glasses. Take regular physical exercise. For instance, where there is the choice always walk, or go running or take at least three quarters of an hour's walk each day. Eat regularly and go to the toilet as soon as you feel the need. Consider whether stress might be having an influence (see section about stress). Ask your pharmacist for advice.

Contact your doctor

Bullet   If intestinal cramps as described above persist longer than 2 weeks, and this is the first time that you have had them. (This is to exclude any other illnesses.)

Bullet   If the pattern of bowel movements which you are used to changes without warning, that is to say, whether you need to go more often or perhaps less often to the toilet. If you have persistent constipation or diarrhoea for more than two weeks go to the doctor.

Bullet   If you are losing blood and/or mucus with the movement.

Bullet   If your appetite reduces or you lose weight without clear reason. A person's weight stays very constant if their lifestyle does not alter, that is, if the amount of food and exercise remain the same. If you lose more than 7lb (3kg) without reason go to the doctor.

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