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Irritable Bowel Syndrome in CFS and FM

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Irritable Bowel Syndrome in CFS and FM

_http://www.hormoneandlongevitycenter.com/nss-folder/pictures/IBS_and_CFS_an

d_FM.pdf_

(http://www.hormoneandlongevitycenter.com/nss-folder/pictures/IBS_and_CFS_and_FM\

..pdf)

 

 

Recent studies demonstrate the majority of chronic fatigue syndrome and

fibromyalgia patients suffer from bowel dysfunction, with the majority being

irritable bowel syndrome (IBS). IBS can be significantly debilitating

problem in its own right with chronic fatigue syndrome and fibromyalgia. It is

a

gastrointestinal disorder characterized by bloating, abdominal pain,

diarrhea and/or constipation and the absence of any identifiable physical,

laboratory or radiological abnormalities indicative of organic disease.

 

 

The newest criteria (Rome II) for IBS include at least 12 weeks (need not

be consecutive) in the preceding 12 months of abdominal discomfort that is

accompanied by at least two of the following three symptoms: the abdominal

discomfort or pain is (a) relieved with defection, (b) associated with a

change in frequency of defecation and/or © associated with a change in the

form or appearance of the stool. There are a number of medications that can

decrease the symptoms of IBS, but there also are a number of factors that

are associated with IBS and when these are identified and treated, the

results can be significant. These include food allergies, gluten and wheat

sensitivity and small intestine bacterial and yeast overgrowth (SIBO).

 

 

A number of studies have documented a connection between SIBO and IBS.

This especially appears to be the case with chronic fatigue syndrome and

fibromyalgia patients, occurring in 70-90 percent of these patients. The small

bowel should be free of bacteria and yeast, but when it is not, the food

stuffs are utilized by these bacteria resulting in gas, inflammation, poor

absorption, diarrhea and/or constipation. The dysfunctional immunity and

frequent diminished stomach acid and digestive enzymes that is often present

(including the use of medications designed to decrease stomach acid) in

chronic fatigue syndrome and fibromyalgia make these patients more prone to

SIBO

and subsequently IBS.

 

 

There are tests to determine if SIBO is present, including the hydrogen

breath test. This involves giving the carbohydrate lactulose and measuring

the amount of hydrogen expired by the breath. If certain carbohydrates, such

as lactulose, are digested by intestinal bacteria instead of the small

intestine or stomach, hydrogen gas is produced and can be measured from the

expired breath. Samples are taken every 15 minutes for 2 hours. Due to the

fact that SIBO is so common with CFIDS and fibromyalgia, that it can be safety

eradicated and that significant improvement or elimination of IBS symptoms

can be achieved with treatment, the time and expense of the test is not

generally necessary. Eradication of the yeast and bacterial overgrowth can be

instituted without undergoing the test, but in addition to eradicating the

yeast and bacterial overgrowth, one must also address the other

dysfunctions present in order to obtain long term improvement. If the

predisposing

factors are not addressed, the bacteria and yeast will again populate the

small bowel and symptoms will return.

 

 

 

 

_http://www.hormoneandlongevitycenter.com/nss-folder/pictures/IBS_and_CFS_an

d_FM.pdf_

(http://www.hormoneandlongevitycenter.com/nss-folder/pictures/IBS_and_CFS_and_FM\

..pdf)

 

 

 

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