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Suggest Treatment For Persistent IBS
Question: I was working with Dr Shoaib Kahn on my longtime painful IBS. He laid out detailed items to avoid in my diet and XXXXXXX to contact him when was considering something to ingest. Tonight going consume clam chowder soup. Dissapointing tha I can't get back to him or can't figure out how. Thought he was a gastroenteroligist but maybe not?? I do relief and have ordered chlordiaszepoxide medeverine, which takes days to arrive. My last hope. Slould I reconnect with Dr Kahn, don't know how. Please advise.......
Brief Answer:
IBS
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
You can take clam chowder soup but avoid it if it contains any food additives like Inulin, FOS (fructo-oligosaccharides), Sorbitol, mannitol,maltitol, xylitol, isomalt.
Antispasmodics may provide temporary relief for symptoms such as painful cramps related to intestinal spasm. Mebeverine works.The drugs are most effective when prescribed in anticipation of predictable pain.
Antidepressant medications like Chlordiazepoxide have several physiologic effects that suggest they may be beneficial in IBS.
You can continue Chlordiazepoxide in prescribed dosage.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
IBS
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
You can take clam chowder soup but avoid it if it contains any food additives like Inulin, FOS (fructo-oligosaccharides), Sorbitol, mannitol,maltitol, xylitol, isomalt.
Antispasmodics may provide temporary relief for symptoms such as painful cramps related to intestinal spasm. Mebeverine works.The drugs are most effective when prescribed in anticipation of predictable pain.
Antidepressant medications like Chlordiazepoxide have several physiologic effects that suggest they may be beneficial in IBS.
You can continue Chlordiazepoxide in prescribed dosage.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Above answer was peer-reviewed by :
Dr. Prasad
OK thank you, I am also drinking Apple Juice daily. I am anxiously waiting the mebeverine. Will let you know when it arrives and ask what dosage and we'll see if I still have to rely on Linzess to move my bowels. glad to be back in touch. Please acknowledge..... XXXXXXX
Brief Answer:
IBS
Detailed Answer:
A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and
polyols (FODMAPs) has been shown to be helpful in IBS patients.
FODMAPs are poorly absorbed by the small intestine and fermented by bacteria in the colon to produce gas and osmotically active carbohydrates.
So avoid fruits containing free fructose (disaccharides ) like Apple, cherry, XXXXXXX pear, watermelon.
Linaclotide (Linzess ) -290 μg given once daily orally , significantly improves abdominal pain, bloating, and spontaneous bowel movement.So you can continue Linzess .
Dr. T.K. Biswas M.D. XXXXXXX
IBS
Detailed Answer:
A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and
polyols (FODMAPs) has been shown to be helpful in IBS patients.
FODMAPs are poorly absorbed by the small intestine and fermented by bacteria in the colon to produce gas and osmotically active carbohydrates.
So avoid fruits containing free fructose (disaccharides ) like Apple, cherry, XXXXXXX pear, watermelon.
Linaclotide (Linzess ) -290 μg given once daily orally , significantly improves abdominal pain, bloating, and spontaneous bowel movement.So you can continue Linzess .
Dr. T.K. Biswas M.D. XXXXXXX
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina
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