IBS: Irritable Bowel Syndrome
Today I got the result of the barium enema test I had two weeks ago. The test revealed some diverticulosis but this does not explain my symptoms. After taking some history on my problem and reviewing my file, the doctor I saw today did not hesitate to put the label of Irritable Bowel Syndrome on my problems.
Diverticulosis are small pouches that form in the large bowel and food can be trapped there causing abdominal pain from irritation (diverticulitis). However the typical pain associated with diverticulitis is not the kind I have. It typically presents in the lower left abdomen and my pain is mostly on the right.
Previous tests have revealed other problems that do not account for my symptoms as well, and the tests for diseases that would account for my symptoms have been negative. For example, I had an ultrasound to look for gall stones, which would explain some pains I have, but no gall stones were found and blood work similarly showed no signs of liver of biliary duct problems. The ultrasound did reveal fatty liver (fatty infiltration of the liver is the term I prefer), however that is not typically associated with the kind of pain and changes in bowel movements I have been having.
I have been expecting for about two months for the doctor to suggest that I have IBS. My regular doctor had never brought it up before. He was on vacation today and I saw someone else. This doctor asked me all the questions that I have read are used to diagnose IBS (The so-called Rome criteria I think). He told me that there were medications that we could try and said that they were relatively mild with few side-effects but that he did not want to prescribe anything unless things were currently bad. Things have been really good for the past 3-4 weeks. In fact this week was bad but not anywhere near as bad as things were a month ago. So he suggested no looking at medication for now and to continue to moderate my diet.
Sigh… that means I still cannot drink coffee or whiskey. But at least I know that there is a course of action now should the problem persist.
I am also thankful that the doctor did not send me for any more tests. I suspect that if I had seen my regular doctor I would have been going for a barium swallow (upper G.I. fluoroscope) test. He had previously stated that it was his intention to send me for one after the barium enema. I understand that the upper G.I. isn’t as bad as the lower G.I. test but I am getting pretty tired of the fasting period that precede these types of test .
The National Institude of Diabetes, Digestive and Kidney Diseases says that since I have diverticuli I should not eat nuts, popcorn hulls, sunflower seeds, pumpkin seeds, caraway seeds, and sesame seeds.
