Irritable bowel
It is also called "functional colopathy". We speak of irritable bowel syndrome when inconveniences such asbloating, tintestinal transit rublesand/orabdominal painor unpleasant sensations in the stomach are permanent or appear at intervals. Irritable bowel syndrome, unlike inflammatory bowel diseases such as Crohn's disease or rectocolitis, does not causeno intestinal lesions.
Looking for solutions
To find solutions, it is always necessary to start by establishing a diagnosis.
There are various origins to irritable bowel. The emotional side of course, which is why we work with a hypnotherapy specialist who uses a specific protocol for irritable bowel. But very often there is also organic disturbance.
One cause that would account for a large number of cases of irritable bowel is small intestinal bacterial overgrowth (SIBO) and/or small intestinal candida overgrowth ( SIFO).
The other causes are to be found among:
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a disturbance of the microbiota in the sense that there is a deficit of "protective" bacteria of the intestine and an excess of bacteria which attack and inflame the intestine
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an excess of bile acids in the colon which attack the mucous membrane
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An inflammation of the intestine caused by an autoimmune reaction to a food protein (eg gluten)
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An emotional impact on the activity of the vagus nerve at the level of visceral sensitivity
Possible examinations
A certain number of examinations make it possible to evaluate the type of problem we have to deal with, for example:
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The reference test for diagnosing this SIBO is a breath test called “Lactulose breath test".
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To identify a deficiency of gut “protective” bacteria and an excess of bacteria that attack and inflame the gut, we use a much-talked-about new test. This is themicrobiome metagenomic analysis(identify the different species of intestinal flora by DNA analysis of stools). This will make it possible to identify the excess of bad bacteria or also the insufficiency of certain good bacteria whose presence is important to prevent the proliferation of candida or bad bacteria.
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It is also possible to measure the presence ofantibodyon food proteins that would inflame the intestine (cfr allergy and food intolerance).
It is obvious that the goal is not to request all these analyzes but the minimum necessary to establish a diagnosis according to the clinical interrogation.