Irritable bowel-complaints: Some of it does not help things
Abdominal pain, bloating, diarrhea, constipation: The symptoms of a irritable are bowel very unspecific and manifest themselves in the Affected different. Although there is a lot of advice and recommendations to the irritable bowel treatment – but scientifically, little is documented about it. However, to provide some means and measures, studies, notes that you can help.
Abdominal pain, constipation and diarrhea are called typical symptoms of irritable bowel syndrome (IBS), also nervous bowel, or irritable bowel syndrome, explains the Institute for quality and efficiency in health care (IQWiG) on the Portal “gesundheitsinformation.de”. A irritable bowel syndrome cannot be cure, but many people find out with time what your gut is doing well and what is not. In addition, there are various ways to relieve the symptoms.
Up to 15 percent of the population affected
As the Gastro-Liga e. V. in a guide writes, is the irritable bowel syndrome is a very common disease of the digestive tract.
Ten to 15 percent of the population are affected, wherein the thickness of the complaints individually can be very different.
In some patients the symptoms occur only occasionally, such as when unfamiliar food or travel.
However, about one in every two persons Concerned, the complaints are so severe that medical advice is sought.
Little is scientifically proven
It bowel gives numerous advice and recommendations to the irritation of treatment, but a total of only a few good studies, explains the IQWiG on “gesundheitsinformation.de”.
According to the experts, one can say in summary: A treatment that alleviates the discomfort sure isn’t there. For some measures, studies have shown, however, that you will help at least some people or the short term.
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However, the studies have also shown that side effects can occur, especially in the case of drugs.
Many of the recommendations, however, are not well studied and their Use is therefore questionable.
Peppermint oil to relax the intestinal muscles
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As the IQWiG writes, to peppermint oil can relax the intestinal muscles and this causes the gut to calm down. In fact, some studies show that some people benefit, at least in the short term, of peppermint oil.
The peppermint oil was taken in the scientific studies in gastric juice resistant capsules. The information suggests that the dose was between 500 and 800 mg per day.
Whether peppermint solutions or drops will help, is not clear. Nine out of 100 Participants the peppermint triggered capsules mild side effects such as heartburn or Regurgitation.
Probiotics can relieve symptoms
As the experts explain more, contains the intestinal flora various bacteria, which play the function of the intestine is an important role. These include lactic acid bacteria (lactobacilli) and bifidobacteria include, for example,.
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Because the intestinal flora is altered in some people with an irritable bowel, it is believed that probiotic agents such as, for example, yogurts and Drinks with such bacteria could help.
In some studies, probiotics were the complaints when a part of the Participating ease. More research is needed to assess which species of bacteria is most useful, and what dose works best.
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In General, probiotics are well tolerated and only rarely mild side effects such as bloating.
Antispasmodics
People who have a lot to do with cramps, often anticonvulsant medication. This will relax the bowel muscles and thus relieve pain.
For the available in Germany drug butyl scopolamine, there is evidence that it may help. He is over-the-counter available in pharmacies. In a study, this agent was able to relieve irritable bowel symptoms in some patients.
Whether the country’s often prescribed spasm helps solver Mebeverine, lack of study results say.
Among the possible side effects of such drugs, dry mouth, dizziness and blurred vision. In studies, approximately five out of 100 people have reported such side effects.
Home remedies for diarrhea or constipation
Although drugs are eligible according to the IQWiG against complaints such as constipation or diarrhea, but these have the disadvantage that they may only be a Problem for another swap.
A cure for diarrhea may cause constipation if it’s too strong and Vice versa in the medium can lead to constipation to diarrhea.
When diarrhea and constipation alternate, it is therefore particularly important to ensure that the drugs increase the problems yet.
Anyway, it is in many cases possible to treat such symptoms in a natural way. So, there are various home remedies for diarrhea and for constipation, the effect and no side effects.
Psychological Treatments
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Because it is assumed that Stress and psychological stress can contribute to irritable bowel syndrome, be used in some cases, relaxation techniques and methods for coping with stress. However, it is not sufficiently investigated whether this procedure can help.
Some studies provide evidence that a combination of relaxation therapy, stress management, and Biofeedback might help.
Furthermore, it is assumed that psycho can help therapeutic methods such as cognitive-behavioral therapy (CBT) in irritable bowel.
And also for the Hypnosis treatments (hypnotherapy), there are notes that you can relieve the discomfort in some people for a few months.
Acupuncture does not help
Many Sufferers report that they feel after an acupuncture treatment. The IGWiG, according to a series of studies shows, however, that this is due to a specific effect of acupuncture Compared with a sham treatment, acupuncture, therefore, showed no benefits.
Food diary can help to identify food intolerances
The experts also list some of the methods and means, which are not studied in trials, and where is questionable, whether it will help or not.
Although many people do not notice with a irritable bowel syndrome, certain foods promote the symptoms, or alleviate, but unfortunately, there is the influence of the diet, very little good research – which means that it plays no role. How people react to certain foods, however, is very individual.
Usually it takes me a while to figure out what is good and what is not. This can help to bring about some weeks of a food diary that records what you have eaten during the day, whether and what are the symptoms and what other factors were added, which could explain the symptoms (for example Stress at work).
After a while, you may find that certain patterns can then be used to detect that help to identify food intolerances. Using the diary can then be used with the physician to discuss whether or not the waiver of certain foods is useful.
No meaningful studies on the efficacy of FODMAP diet
In recent years, the irritable bowel syndrome was often associated with food, the fermentable carbohydrates contained. These are referred to as FODMAPs, and are contained in many foods, such as fruit sugar (simple sugar), milk, sugar and starch (sugar) or sweeteners (sugar alcohols).
In the case of the so-called FODMAP diet avoids all foods in which these sugars are included. However, the risk of malnutrition, because it is difficult enough vitamins and mineral substances. In addition, it is difficult for a so-strict diet in everyday life to be observed.
In addition, there is to date no conclusive studies that demonstrate that the FODMAP diet irritable bowel can relieve discomfort.
To soluble fiber put?
A well-balanced diet already contains sufficient amounts of dietary fiber. That additional fiber can help with the preparations, could not be detected.
Who fiber would still like to try: With a irritable bowel syndrome is recommended to take more soluble fiber such as psyllium and see if they help.
Reflex zone massage and colonics
In the case of a irritable bowel syndrome reflexology and colonics (or Colon hydrotherapy) are also used.
But as it is, “gesundheitsinformation.de” were examined, these two methods in the case of irritable bowel syndrome hardly scientific. Whether you have a Use, so it is currently still unclear.
The experts point to the fact that colonics have risks, such as electrolyte imbalance, infections, and injuries of the intestinal wall. (ad)