Discover and read the best of Twitter Threads about #ibs

Most recents (24)

Omoba Alekuwodo wrote:

In the beginning, I could rate Mallam Olawale higher but in the recent time, I won't tell you a lie, the man is either going through a moment or the government is overtaking him with hoarding of information and statutory obscurity. ImageImageImageImage
I read a press release 'allegedly' written by him yesterday, I saw some things unfamiliar with the Mallam that was introduced to us, "Too many unconnected words".

Yesterday evening, I listened to Mallam on Fresh FM, he was asked a simple question, "When will the CJ retire?"
This question was repeated thrice, and Mallam derailed just like he was short of information and somehow forcing himself as a Spokesman.

I appreciated the anchor who left him to trend at Stray.

Today, I am listening to him on Rave FM, and the man is still not loaded
Read 6 tweets
@ichudov Colitis is a part of both stress or CoV issues and is complex to resolve.
I have had to do that for myself so I have a lot of info, but mainstream med won't have them. I had to figure it out for myself.

I can share links- chronic diarrhea is more than a 280ch topic.
@ichudov TRP channel activators have to be avoided strictly. Turmeric, ginger, hot or black pepper, cinnamon, horseradish, nutmeg, cloves, mint maybe, CBD drops may be a trigger,
Too hot or too cold, & pressure changes
denutrients.substack.com/p/osmomechanic…
#colitis #IBS
@ichudov Resistant starches & mucilaginous foods help the microbiome and protective biofilm layer.
Adequate zinc is also needed for microbiome health.
Reduce stress
Jenniferdepew.com

For mitochondria - saturated fat below 10% of calories, total fat below 50-60% total calories
Read 13 tweets
[World #IBSAwarenessMonth] Dear #HCPs👩‍⚕️ & #Microbiota community👨‍🔬, April is dedicated to raising awareness about #IrritableBowelSyndrome

During the month, @Microbiota_Inst will provide you with content about #IBS, a common & complex #disease

#GutHealth #LetsTalkIBS #thread👇 Image
[World #IBSAwarenessMonth]

🔎 You will:
👉better understand the🔗between #IBS & #microbiota
👉discover potential ways to manage the #disease
👉learn to make a #diagnosis with our #CME courses, #videos & a professionally designed #tool
👉improve communication with your #patients
[World #IBSAwarenessMonth]

1️⃣ In this sequence, learn more about the link between #microbiota and #IrritableBowelSyndrome.

#IBS #MedTwitter #GITwitter #GutHealth #LetsTalkIBS #DGBI #FGID #GIfellows #TakeIBSSeriously

Take a look! 👇 Image
Read 17 tweets
When I first started #Veganism, I was 41, healthy and athletic. I did yoga daily. You might have called me "fit."

But I was freezing cold, even in summer sun, lost my period and went flat chested.

Something was wrong.

I was starving myself "for the animals."
I wore padding to disguise my totally flat chest.

My cheeks were hollow.

I covered cystic acne with makeup.

My hair fell out so I wore wigs.

I got collagen to fill my deep nasolabial folds.

So much denial.
I compared my body to fashion models, celebrities like Madonna or Sarah Jessica Parker. I didn't think I was too thin.

But the lack of body fat lead to hormonal issues.
Read 13 tweets
#Kiwifruit found effective in #constipation
1. Constipation is a common problem and drug treatments do not work in many.
In a recent trial, efficacy of kiwifruit was tested in patients with functional constipation (FC) & constipation-predominant irritable bowel syndrome (IBS-C)
2. Participants were randomly assigned to consume either two ripe green kiwifruit without the skins, or 7.5 g of #psyllium per day for 4 weeks.
Psyllium (OTC) is considered a first-line treatment for both the constipation conditions with which participants were diagnosed.
3. At the end of the 4-week treatment periods, the people with functional constipation who ate kiwifruit demonstrated an average increase of 1.53 bowel movements per week, a statistically significant increase.

Those with IBS-C demonstrated an increase of 1.73 bowel movements.
Read 8 tweets
💨The gut microbiota generates ~0.2L–1.5L of gas per day
💨>99%: hydrogen (H2), carbon dioxide (CO2), & methane (CH4)– *odorless*
💨foul smell of gas from <1%: sulfur–containing gases hydrogen sulfide (H2S), methanethiol (CH3SH), dimethyl sulfide [(CH3)2S] + volatile compounds
🦠bacteria in the colon ferment substrates that are not digested or absorbed in the upper GI tract (e.g. carbohydrates, proteins, fats)
🦠produce short-chain fatty acids, branched-chain fatty acids, ammonia, N-nitro compounds, phenolic and indolic compounds, and various gases
Read 15 tweets
Chronic constipation is common and has tremendous impact on quality of life
#Constipation is NOT all about frequency. Ask about 👇
Read 20 tweets
Enteric infections and food borne illness

#MedTwitter #GITwitter #IDTwitter #ACG2022 Image
Amebiasis Image
Infectious mimics of #IBD Image
Read 11 tweets
🎯 Goals in management of inflammatory bowel disease with @MLongMD

#MedTwitter #GITwitter #IBD #ACG2022
Only a minority of Crohn disease patients have an indolent course. The majority have PROGRESSIVE disease. We need to identify these patients and treat them in the window of opportunity.
In determining treatment, consider: symptoms, endoscopy, and prognosis
Read 15 tweets
#MECFS never gets easier to accept.

Every Fall/Winter my health declines significantly. In the Spring/Summer, my health improves a bit.

Each year though, my overall baseline declines.

It feels like dying slowly and painfully. Never knowing when your body will just quit.

1/
And no. I’m not depressed or anxious. (Though it would certainly be understandable if I was.)

In fact, I continue to be in awe of myself and my community’s emotional strength in the face of this relentless physical suffering.

2/
Any one of the typical #MyalgicEncephalomyelitis symptoms, turned up to an 8/10 intensity, would be difficult to live with after awhile. It would wear you down.

By the time you get to 3-4 of these symptoms, it’s debilitating.

Imagine getting to 100-200 daily symptoms.

3/
Read 28 tweets
🧵
Press release for new Canadian research paper:

“Histamine-producing gut bacteria can trigger chronic abdominal pain. The discovery has been named Klebsiella aerogenes, the McMaster-Queen (MQ) strain”

sciencedaily.com/releases/2022/…

#IrritableBowelSyndrome #IBS #IrritableBowel

1/
2/

“The culprit is what has now been named Klebsiella aerogenes, the McMaster-Queen (MQ) strain, identified in up to 25 per cent of gut microbiota samples from patients with #IBS. Researchers examined stool microbiota samples from both Canadian and American patient cohorts”
3/

“Researchers from McMaster University and Queen's University have discovered a gut bacterial 'super-producer' of histamine that can cause pain flare-ups in some patients with #irritablebowelsyndrome (#IBS).”
Read 11 tweets
Read 7 tweets
@MondayNightIBD @DCharabaty 1/12
📣#GITwitter #IBDTwitter

Welcome back to #MondayNightIBD #Back2Basics w @dunleavy_katie @john_damianosMD

🎯How do you approach a pt w #IBD in remission who has new or persistent #GI symptoms?

Check out our review📜
practicalgastro.com/2022/05/18/rec…

#NeuroGI #GastroPsych #DGBI
@MondayNightIBD @DCharabaty @john_damianosMD 2/12 #MondayNightIBD #B2B

👩🏼‍⚕️have been studying “IBS-type symptoms” in #IBD for 30 yrs. But there is more work to be done to help characterize cohort & dz mechanism!

It’s important bc:
👨‍👩‍👧‍👦Affects pts QoL, mental health, sleep
🥼Causes ⬆️HC utilization, ⬆️MD visits & 💊narcotics Image
@MondayNightIBD @DCharabaty @john_damianosMD @MarcelYibirin @VictorChedidMD @LauraRaffalsMD @Spencerkelley7 @RomyChamoun @JosephHabibi_MD @ayshaslam999 @GroverDheera @yaransarkis @BassiMehak 3/12 #MondayNightIBD Persistent/New GI Sx in #IBD
1⃣R/o active🔥/#IBD complication (abscess, stricture):🔦, 🩻, CRP, FCP, ⚠️R/o infx like C. Difficile!

2⃣🤔Consequences of✂️: adhesion, bile acid diarrhea

3⃣🤔 #DGBI
🚩25% pts w #IBD in endo remission have #IBS @LancetGastroHep Image
Read 6 tweets
#2 B-COMPLEX/MULTI VITAMIN. Buy a liposomal or other form that increases bio-availability. Take 1 capsule w/Breakfast and Lunch. If you have stomach upset, try sublingual (under tongue) EZ Melt B-Complex in AM & Multi w/iron for Dinner. amazon.com/Liposomal-Meth…
#3 OMEGA 3s. Fish Oil, Krill Oil, Algae Oil are all good sources of Omega 3. Be careful the EPA/DHA ratio. EPA helps with inflammation/DHA helps with cognition. You need both! Opt for a 1:1 or 2:1 ratio of DHA to EPA (2:1 ratio eg. 800 DHA/400EPA) amazon.com/3Care-Concentr…
Read 93 tweets
#LowFODMAP Diet, restriction phase x 2 wks done!😅

✅Hardest #GIEmpathyInitiative yet (5 pts!)
✅Worth it b/c 🤯reflections in🧵⬇️

Disclaimer: LFD is🙌for some w/ #IBS but NOT good fit/safe for all

@Gut_BMJ 2021 Network MA on LFD in IBS @alex_ford12399
pubmed.ncbi.nlm.nih.gov/34376515/
1⃣Hardness of diet complexity:
✅❓rhyme/reason to👍vs.👎fruits/veggies
#Glutenfree🚫always safe (fillers!)
✅ If packaged you just avoid b/c label reading =😱
✅🙌@KateScarlata_RD for LFD label reading tips gastrogirl.com/626/
✅Apps @MonashUni app ($8), FastFodmap(free)
2⃣Hardness of diet behavior change:
✅Eating out = embarrassing to be "that person" + 😱spice situation
✅NEED coach (dietitian) to guide/remind of goals
✅If eat like🗑️at baseline,❓sustainability ➡️maybe why many patients preferred @NICEComms diet
cghjournal.org/article/S1542-…
Read 9 tweets
🌬️ Breath testing for #SIBO: everything you need to know! 🎈 😮‍💨 💩 🦠 🐄 📈

#MedTwitter #medicine #science #GITwitter #GI #microbiome #IBS #diet #nutrition

cghjournal.org/article/S1542-…
To kick things off: how do you diagnose #SIBO?
#SIBO is a disorder characterized by excessive colonization of the small intestine by organisms usually found in the colon, especially Gram-negative bacteria.

(NB: the more we learn, it seems the *type* of bacteria is more important than the *number!*)
Read 26 tweets
@rebelliousgut @MondayNightIBD @southasianIBD @ibdesis @Empoweringpts9 @DCharabaty @crohnsbabble @LivingWithUmeed @vkckiranpullela @TheMaveilousGut @dunung_ruchita 1/ I'm Tina from 🇺🇸 co-founder of Team @ibdesis. We are proud to lead #PatientExperience on @MondayNightIBD to discuss specific aspects of #SouthAsianIBD experience. We hope to improve care & reduce disparities in our community around the 🌍 thru @southasianIBD. #MondayNightIBD
@rebelliousgut @MondayNightIBD @southasianIBD @ibdesis @Empoweringpts9 @DCharabaty @crohnsbabble @LivingWithUmeed @vkckiranpullela @TheMaveilousGut @dunung_ruchita 2/ Even though my dad suffered from #Crohns, when I presented with #IBS #constipation, #GERD, joint pains & eye issues as a child, no one made the connection or escalated it to a gastroenterologist. #MondayNightIBD #SouthAsianIBD
@rebelliousgut @MondayNightIBD @southasianIBD @ibdesis @Empoweringpts9 @DCharabaty @crohnsbabble @LivingWithUmeed @vkckiranpullela @TheMaveilousGut @dunung_ruchita 3/ When my dad passed from #CRC, my family went into poverty & couldn't afford health insurance. Though I was symptomatic as a child, I didn't have a #colonoscopy until 22 when I got my 1st job. That's when I received my very delayed #IBD diagnosis. #MondayNightIBD #SouthAsianIBD
Read 11 tweets
Evidence-based approach to #IBS (C and D) from @LinChangMD at @AmCollegeGastro #ACG2021

#GITwitter Image
FGIDs ▶️ DGBIs 🧠 Image
#IBS diagnosis Image
Read 25 tweets
LFD studies are not great (small n, high bias, heterogeneity), but all the studies do suggest that the LFD is a good treatment option for #IBS and can improve global symptoms, pain, and bloating
App-based low-FODMAP #diet was found to be more effective (71%) than antispasmodic therapy (61%) in #IBS, even 6 months out
Read 12 tweets
#Constipation can be a debilitating symptom

#ACG2021 @LinChangMD @GregSayuk Image
Need to ask our #constipation patients about Image
#IBS-C and #CIC have overlapping pathophysioogy Image
Read 25 tweets
While we're beginning to understand more and more about the #microbiome, research on the #mycobiome (fungi 🍄) is in its infancy. Here is my summary of 🔑 points from @aeprobio's seminar on the latest research on fungi and the gut!

#GITwitter

Bacteria in the #gut outnumber fungi as a class, but at the individual species level can occur in the same numbers.
Most #gut fungi belong to Ascomycota or Basidiomycota
Read 43 tweets
Buckle up! This 🧵 is a deep dive into the #physiology of defecation, the mechanics of pooping! 🧰 🚽 💩

nature.com/articles/s4157…

#medicine #MedEd #science #GITwitter #GI #gut #motility #constipation #IBS
Defecation requires
1. intact #GI tract
2. coordination of many systems: neural (enteric nervous system, modulated by the peripheral somatic, autonomic and the CNS); muscular (smooth and striated); hormonal (endocrine and paracrine); and cognitive (behavioural and psychosocial)
#Constipation is the3⃣rd most common #GI symptom

💰 Annual cost of fecal incontinence and constipation: $1,594 - $7,522
Read 31 tweets
La prevalencia actual de los trastornos digestivos cada vez es mayor. De hecho, si te has parado a leer esto con interés, puede que sea porque tú misma lo sufres en primera persona.

Pero, ¿cómo saber si estamos ante una alteración orgánica o funcional?

¡Dentro 🧵! 👇 Image
El Síndrome de Intestino Irritable (#SII) se trata de una alteración del eje intestino-cerebro que implica que no existe una causa orgánica de base que justifique la sintomatología, por lo que su diagnóstico se establece en base a síntomas (criterios Roma IV).
Tiene una elevada prevalencia en la actualidad (cerca de un 10%, según últimos datos de la Rome Foundation), aunque conocer el dato real es complicado porque lejos de lo que pudiera parecer, dar con un diagnóstico fiable no es tan fácil como creemos.
Read 11 tweets

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