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Video - Diagnosis and treatment of IBS in the IBD patient - very interesting and my new doctor.

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Ulcerative Colitis
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Posted 5/21/2009 1:55 PM (GMT 0)
This is my new doctor (for consulation) at Albany Medical center.  This is very interesting for those with IBS AND IBD as I have and his method of treatment.  I think that I am going to have to try the "elimination" type diet to find out if any of the foods are making me feel worse. I see him on June 18.

http://vid.imedex.com/5477_macdermott/f_msh.htm

ElaineNY

Posted 5/21/2009 5:39 PM (GMT 0)
this was good! Elaine your new doctor is wonderful - best of luck!
Posted 5/21/2009 5:47 PM (GMT 0)
It wouldn't work for me, the screen came up but the video wouldn't play.

:)
Posted 5/21/2009 6:47 PM (GMT 0)
Try this link.... http://elc.imedex.com/assets/5477/index.asp
Click on Saturday. It plays on my computer on Windows Video player.
Posted 5/21/2009 6:49 PM (GMT 0)
The slide vertion if you can't get the video - of course you can't see Dr. MacDermott but his whole speach is there..
http://vid.imedex.com/pdf/5477/macdermott.pdf
Posted 5/22/2009 1:08 AM (GMT 0)
Dr. MacDermott is on the right track. Many of the foods he mentioned that IBS patients should avoid are pro-inflammatory. However, he did not mention anti-inflammatory foods. Can you mention it to him when you see him? Thanks.
Posted 5/22/2009 1:22 AM (GMT 0)

I am making a list of questions so I put that on it.  Yes, he is right on about IBS because I have had that many years and have come to know what affects it.  Talked to my NP who talked with my doctor here and I will stay on 10 mg. prednisone until I see Dr. MacDermott June 18.  He is very difficult to get to see so my doctor must have a "in" - I believe he studied under Dr. MacDermott in NY or Boston.  My NP is thrilled I am seeing him for consultation because she called him "world renowned".  I will not be able to see him for tests or often - just consultation.  It is too difficult for us to get there, etc.  As seniors we just don't travel well everywhere.  He has all my records from here and will be in touch with my doctor, of course.  I was told I could not have a very late appointment because new patients he spends a lot of time with - hope that is true.  Obviously, he is very interested in Crohns and Colitis patients.

ElaineNY

Posted 5/22/2009 12:57 PM (GMT 0)
Thanks for posting that, Elaine. I know I have concurrent IBS and IBD and I feel that there is a two-way street of interactions- active UC activates IBS, while IBS seems to trigger UC as well - perhaps both due to the stress that the IBS symptoms create, as well as the imbalance to the bacteria inside when the digestive system starts to get more dysfunctional. It does say something for - cautiously- using certain IBS treatments to deal with mini-flares that we would otherwise assume are IBD, specifically when there is no bleeding.
Posted 5/22/2009 2:39 PM (GMT 0)

Thanks for posting that!  Very interesting...Good luck with your appointment with him-let us know how it goes!

Jo

Posted 5/22/2009 7:18 PM (GMT 0)
Great posting Elaine!!!

The doc didn't seem to state that IBS triggers UC symptoms.

q
Posted 5/22/2009 10:21 PM (GMT 0)

I believe - as I think he does - that they are separate issues as I have had IBS for over 30 years.  Sometimes difficult to distinguish between IBS, UC and side effects from medication.  I am anxious to see what Dr. MacDermott recommends for me.

ElaineNY


Posted 5/23/2009 3:28 AM (GMT 0)
That was excellent. He seems very smart and I like his approach to the IBS. Some docs are so unprofessional and ill informed about IBS but he was not. He was right on target with the foods too, wasn't he? lol... I have both IBS and IBD as well. Thanks for the link!!!!
Posted 5/24/2009 9:23 PM (GMT 0)
I was diagnosed with IBS 20 years ago. When stressed I would develop symptoms. about 3-1/2 years ago I was diagnosed with UC. I thought I was just having IBS symptoms and the bleeding was from hemorroids. I was quite surprised when I was diagnosed with UC after my colonoscopy. Now I'm thinking my recent problems with D are from my IBS because I get the D when I get really stressed then it goes away (and no bleeding). Does this sound right? Should I talk to my dr. about adjusting my meds? I'm on colozal daily and procto-foam when I'm having issues. Thanks for the article.
Posted 5/25/2009 7:16 AM (GMT 0)
Hi Disney....not all flares have bleeding.
You mention recent problems...could be signs of a flare, but just not with fragile mucosal tissue, enough to bleed that is...but you 'll know soon enough if it's continual or worsens.

Are you using the rectal meds at this time at a maintenance dosage or nightly?
q
Posted 5/26/2009 10:27 PM (GMT 0)
Quincy,

Thanks for the response. I didn't know that some flares don't have bleeding. Here's an example of what I'm talking about. Yesterday I went to pay my credit card. I always pay it off so when it was a lot more than I thought it would be I immediately panicked...I had to run to the bathroom and immediately had a lot of D. By the time I reached the bathroom (a whole 5 seconds or so) I realized that I forgot that I paid the balance of our upcoming cruise which the money was already set aside for, but once I am down that road, I can't stop it. To me that sounds like IBS, what do you think? I wonder if other people respond to stress like this and immediately have to run to the bathroom?
Posted 5/27/2009 1:48 AM (GMT 0)
The thing for me is that a bad IBS-like, purely stress-induced episode (I too have had it happen from messing up a credit-card payment by accident) beats up my gut like h*ll enough to start UC activity to bump up too... i..e in my view they can indeed trigger one another and are not simply two separate beasts in separate cages, so to speak, but rather two beasts in one cage- one can wake the other up.
Posted 5/28/2009 2:07 AM (GMT 0)

Thanks!  I briefly looked at it.  I have had IBS for about 30 years and know what to do - what to eat, etc. - just can't stick with it all the time.  I always have diarrhea and have never been constipated.  I do believe the probiotic Align has helped me the most.

As for UC - that is another story.  Nothing I eat or don't seems to make any difference in bleeding, mucous, etc. - that is why I am going to the specialist.

ElaineNY

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