Psychological factors affect IBS patients

Psychological factors affect IBS patients

Psychological factors affect IBS patients interpretation of symptom severity

A patient’s viewpoint of the severity of irritable bowel syndrome (IBS) symptoms can be influenced not only by physical symptoms of IBS but broader psychological problems, according to a new study in, the official journal of the American Gastroenterological Association.

“Clinicians who face pressure to treat patients in a cost-effective manner within tight time constraints and at a satisfactory level are likely to find that patient-reported outcome data can increase their understanding of what patients mean when they describe how they function or feel,” said Jeffrey Lackner, PsyD, of the University at Buffalo School of Medicine and Biomedical Sciences, and lead author of this study. “To maximize the utility of patient-reported outcomes, it is important to know what they measure and what influences patients’ perceptions of their symptoms when gastroenterologists ask them about their symptoms. Our study suggests that irritable bowel syndrome patient-reported outcomes are not simply about gastrointestinal symptoms.”

Patient-reported outcomes (PROs) are used to describe symptoms, inform treatment planning and gauge the benefit of treatments for gastrointestinal disorders, including IBS. In this study, funded by the National Institute of Diabetes and Digestive and Kidney Diseases, researchers explored two different PRO rating scales that measure IBS severity, and identified psychological factors that might bias PRO ratings by affecting how patients interpret symptom severity. They found that a substantial proportion of the variation in the PROs (50 to 55 percent) could be explained by three distinct gastrointestinal (GI) symptoms: pain, bloating and defecation.

While the study showed that GI symptoms explain some of the variance in overall IBS severity scores, there was a large […]

Irritable Bowel Syndrome eased

Irritable Bowel Syndrome eased

Irritable Bowel Syndrome eased by hypnotherapy – Thousands of people with irritable bowel syndrome will be offered hope by new research showing that hypnotherapy eases the conditions in sufferers. Professor Roland Valori, a gastroenterologist at Gloucestershire Royal Hospital, in Gloucester, said heRoland Valorihas used hypnotherapy with success on his patients. In a podcast to launch Frontline Gastroenterology, a new medical journal, he said experience of the first 100 patients treated with hypnotherapy, nine out of ten showed significant improvement in their symptoms. In four out of ten the condition cleared up completely while the remainder said they felt more in control. Irritable bowel syndrome is a long term disorder of the digestive system causing pain, bloating, diarrhoea and constipation. Prof Valori said: “To be frank, I have never looked back.”

By |September 9th, 2011|Hypnotherapy, IBS - Irritable bowel Syndrome|Comments Off on Irritable Bowel Syndrome eased

Feel bloated Cramps

Feel bloated Cramps

The problem may be in your BRAIN

Angela Harewood still cringes at the memory of the comments she used to get from strangers about her advanced pregnancy.‘People would say things like “not long to go now” pointing to my swollen tummy,’ recalls Angela, 48, a company director from Abbots Langley, Hertfordshire. ‘It didn’t happen just once, but over and over again. The only trouble was, I wasn’t pregnant — just very badly constipated.’

All in the head? One way of treating IBS is ­hypnotising patients into a deeply relaxed state and asking them to place their hand on their ­stomach and ­generate feelings of warmth and comfort
All in the head? One way of treating IBS is ­hypnotising patients into a deeply relaxed state and asking them to place their hand on their ­stomach and ­generate feelings of warmth and comfort

Angela is one of the millions of Britons thought to suffer from Irritable Bowel ­Syndrome (IBS) — a problem with gut function which can cause symptoms such as constipation, diarrhoea, painful ­cramping, bloating and flatulence. The symptoms can be so severe in some cases that sufferers have to give up work. It is notoriously difficult to treat and, while the symptoms are undeniably real, tests often reveal no obvious physical cause, explains Dr Julian Stern, who treated Angela at the specialist bowel ­centre at St Mark’s ­Hospital, London.

For Angela, treatment at St Mark’s proved to be the turning point, thanks to a new approach that focuses on the link between the mind and bowel health. Angela’s symptoms started after the birth of her son, Ashley, when she was 30.
‘My constipation was awful: ­sometimes I couldn’t go to the loo for up to ten […]

A digested guide to perfect digestion

A digested guide to perfect digestion: Experts reveal how to relieve common symptoms – with some very surprising advice

We are a nation obsessed with our guts. From bloating to bowel issues, an estimated nine million of us have problems with our digestive systems. ‘The number of people being diagnosed with digestive disorders is on the rise, as people are taking their symptoms more seriously and are getting diagnosed earlier,’ says Dr Anton Emmanuel of the gut health charity CORE. One in five of us suffers with Irritable Bowel Syndrome (IBS), a disorder of the gastrointestinal tract characterised by diarrhoea, stomach cramps and bloating.

Nine million sufferers: One in five of us suffers from Irritable Bowel SyndromeNine million sufferers: One in five of us suffers from Irritable Bowel Syndrome

Many of us resort to all kinds of measures for a healthy gut, chomping through bowls of high-fibre cereals and guzzling water. But could we be unwittingly making our symptoms worse?

Here, some of the country’s leading digestive experts dispel the most common myths and advise how to have a happy gut.


IBS patients are often told to eat more fibre. ‘But this is the worst thing for a significant number of patients, particularly when it comes to bran,’ says Peter Whorwell, professor of medicine at Wythenshawe Hospital in Manchester and a leading authority on IBS.

‘While eating more fibre undoubtedly helps to sort out mild constipation, it’s rarely helpful for severe IBS symptoms and it won’t help diarrhoea. Fibre is a bulking agent which gives the bowel even more work to do, so it’s likely to worsen symptoms in people with severe constipation.’

Instead, he advises white bread, white pasta, […]

IBS Are you Suffering

IBS Are you Suffering

Thanks largely to the work of Peter Whorwell of Wythenshawe Hospital, Manchester, hypnosis is now acknowledged by the medical profession as an effective treatment for IBS. However, Peters research doesn’t mean that it is universal one size fits all. It is the opinion of NICE that hypnosis is the best treatment for Irritable Bowel Syndrome after diagnosis and medication has failed or partly failed.

This said your doctor will not, unless you are one of the fortunate whose GP has trained as a Hypnotherapist, be able to give you hypnosis as a treatment. Not all ‘lay’ hypnotherapists will be able to help either you should consult a hypnotherapist who specialises and ideally who has had IBS themselves.

Irritable bowel syndrome is one of the most common disorders of the digestive system. The organisation IBS Network estimates that it affects one third of people in the UK at some point and to some extent, and one in ten people have symptoms bad enough to visit their doctor. IBS is characterised by a collection of symptoms affecting the small or large bowel, which can cause pain and discomfort.

The exact causes of IBS are unknown. IBS sufferers usually have no physical abnormalities in the bowel, so it has been suggested that there is a strong link between stress and IBS. What seems to happen with Irritable Bowel Syndrome is that the bowel becomes super sensitive and […]

IBS – Beer, Lager & Wine

IBS beer wine lager – Yes!

IBS – Beer, Lager & Wine This is a brief response to recent, and frequent searches, on this site for information regarding the above and your IBS. Someone must know I like a drink!

Irritable bowel syndrome is in my opinion affected by the yeast that is still present or left over during the brewing process, that’s what helps us to get the lovely brew tasting and nose of a pint and also having a foaming head like it does. Cask beer? I think its called, along with many lagers are brought to the tap by CO2 this sometimes has less residual yeast causing a problem because in bottled beers the yeast is reactivated before capping with a small amount of sugar to give it some shutterstock_63125809 copyhead when you open the bottle/can and pour it, but cask beers and lagers are less of a problem in other words  because the Co2 does the lifting from the cellar and puts a head on the stuff, as an extra advantage I suppose you can drink more until you get to your ‘critical level’ (not drunk no…) but where the yeast upsets you. However remember that the yeast will not pass straight through you and you could get the yeast culture set up resident causing you problems for a day or two after.

Taking a good pre and pro biotic all the time can reduce the yeast effects and give other benefits besides. I will talk more about this in my book I digress. This I believe, interacts with the gut flora present and can act as a trigger for IBS-D and IBS-W the […]

Should you be gluten free?

Should you be gluten free?

Around 1 in 10 people with IBS could benefit from a gluten free diet. Now, a simple and reliable home test kit can tell you whether you should be gluten free in just 5 minutes.

The importance of an early diagnosis of gluten intolerance (coeliac disease) cannot be over stressed.  Left undiagnosed and untreated, coeliac disease carries a higher risk of developing osteoporosis, infertility and bowel cancer later on in life.

If you do have coeliac disease, a gluten free diet could change your life within weeks… but first, get a diagnosis.

Feeling tired, IBS symptoms, urgency to use the toilet after eating, nausea, mouth ulcers, diarrhoea, bloating, wind, constipation, headaches, depression, bone and joint pain, weight loss, anaemia…. the list goes on and could mean you have IBS but any one of these symptoms could also mean that you have coeliac disease (gluten intolerance).

Unlike IBS, coeliac disease (also spelt celiac) is a risk factor for other diseases such as bowel cancer, infertility and osteoporosis. Early diagnosis is essential. It is estimated that 1 in 10 people originally diagnosed with IBS actually have coeliac disease.

In 2006 and 2007 the home coeliac test was used to test MPs at the House of Commons as part of an awareness raising event by Coeliac UK, a charity providing support and advice for people diagnosed with coeliac disease.

A report in the British Medical Journal  which studied 2690 children and 120 adults showed that the finger prick blood test for coeliac disease was as accurate as hospital laboratory tests (Korponay-Szabo et al. BMJ 2007;335;1244-1247).

Five good reasons why you shouldn’t ignore your symptoms… or those of your relatives
It is important that diagnosis is made early as left untreated, coeliac […]

IBS,Colonic Irrigation and probiotics

IBS,Colonic Irrigation and probiotics

In a recent meeting with a leading Midlands Colonic Irrigation Therapist, Gillian Edwards. I posed Gillian some searching questions into  the general background and specific help that colonic irrigation can do generally and for those who suffer from IBS. This is what she had to say to me when I asked:-

Firstly Gillian what is Colonic Hydrotherapy?

Basically, it is a bowel cleanse. Your bowel (also known as the colon, or large intestine,) is the area where your body stores the waste products from digestion, and it can become toxic if it is not functioning efficiently. A build up of toxic matter, caused by modern day living, will have a direct impact on your health and well being. Also known as Colonic Irrigation, Colon lavage, or High colonic, colonic hydrotherapy is a safe, effective method for cleansing the colon of waste material by repeated gentle flushing with highly purified water.

Just for the record what exactly is a colon?

The digestive tract or, alimentary canal, is the food passageway that runs from the mouth to the anus. The colon is the end portion of the digestive tract, and is approximately 5 feet long and 2.5 inches in diameter. Its major functions are to eliminate waste, and to conserve and absorb water. Around 90% of the body’s water is absorbed through the colon. Also, there are bacteria living in the colon which synthesize valuable nutrients such as vitamin K and portions of the vitamin B complex.

What is the purpose of having a colonic?

Well, waste material, (e.g. impacted faeces, dead cellular tissue, accumulated mucous etc,) especially that which has remained in the colon for some time poses several problems. Firstly, this material is quite toxic, (poisonous). These poisons can re-enter […]

Award for innovative treatment for IBS in children

Innovative treatment for IBS in children

Award for innovative treatment for IBS in children

AN innovative town centre company (Warrington UK) helping relieve serious medical problems took home the innovation and research prize from this year’s business awards.

Healthy Audio, based at the Guardian Medical Centre on Guardian Street, researches, develops, distributes and retails self help audio programmes for clinical and none clinical conditions in the UK and worldwide.

Innovation & Research Award winners Healthy Audio. Buy this photo
Their IBS Audio Program 60 for children, helps mitigate the painful and distressing condition of Irritable Bowel Syndrome and Recurrent Abdominal Pain in children between the ages of 8 to 13 years old.

Developer and managing director Michael Mahoney said the award was a great achievement of his work.

He added: “It sums up my work wonderfully, which is about developing innovative, researched solutions for medical and non medical conditions of mind, body and emotion.

“Building on the success of our IBS audio program 100 for adults, which is trusted and respected worldwide, this award gives us a great springboard to replicate that success with the IBS Audio Program 60 for children.

“The high calibre of companies who entered the awards, makes winning even more of an achievement.”

More about the Program

Welcome Parents

Functional or recurrent abdominal pain or RAP, tummy aches, missed school and the various symptoms of functional motility disorders and Irritable Bowel Syndrome  in children, is not new, but finding an appropriate treatment for your child may prove to be quite frustrating. While many medications and behavioral treatment methods can provide some relief for your child, you may still be searching for something more effective that can be used alongside treatment prescribed by your child’s physician or doctor.

The […]

‘Imagine your gut as a river…’

Gut as a river?

‘Imagine your gut as a river…’

Visualising your digestive system as a river may not seem the most obvious way of treating an illness.

But that is exactly how hypnotherapists at a unique centre in Withington Hospital, Manchester, have been helping people with Irritable Bowel Syndrome (IBS).

The condition can leave people in constant discomfort and can cause severe pain.

Hypnotherapy sessionAnd it can prevent them from working or socialising normally.

Dr Peter Whorwell, the gastroenterologist who founded the centre, devised the “river” concept. The aim is to make the river flow smoothly. If there is a blockage or a flood, they are asked to visualise a way the problem can be solved.

Sessions with a therapist, interspersed with home practice using a CD, are aimed at “retraining” a patient’s gut and eradicating their problems. Since IBS affects everyone differently, the therapy is tailored to each patient.

So someone with constipation may visualise rocks which are blocking the river and have to be removed, while someone with diarrhoea may want to shore up the banks to prevent the river running so swiftly. The therapy has proved highly effective, with a recent study showing it had helped 71% of patients for up to five years after their course of treatment.

Vivien Miller, one of the team of hypnotherapists at the centre, said: “We are helping people control what’s going on in their bodies, and telling them they can control their symptoms.”

Constant worry

The centre is the only one of its kind in the UK and treats around 160 patients […]