Summary: This article is a review of
pathophysiologic mechanisms that may explain IBS food related symptoms (sx) and
evaluates clinical trials of specialized diets used to treat IBS sx.
Premise: Food can cause GI distress due to
stimulation of mechanoreceptors and chemoreceptors (ie capsaicin) or
alterations in GI transit, intestinal osmolarity and secretion. IBS patients
report more food related issues than healthy controls
Case study of 41 year old female severe constipation, rectal
pain, levator ani spasm, 8 year hx. 2x/mo BM from daily use of laxative and
enemas/ 4-6 glasses H2O/day, 15g fiber/day. 75% time, strain for BM,hard stool, difficulty emptying 25% time, 15
min per attempt to evacuate, difficulty initiating urination 10% time, abdom
pain 3-5/10, rectal pain with defecation, 5-7/10, suprapubic pain with full
bladder and dysuria 3/10.
Bristol stool rating type 2,3,4. 5/7 sx for Rome III criteria for
Pelvic PT Distance Journal Club September 7, 2016 Jane
To investigate the effectiveness of Visceral Osteopathy for IBS
IBS: Association between abdominal pain and or abdominal
distention and bowel dysfunction for recurrent periods. Rome III criterion
recurrent abdominal pain or distention lasting at least 3 days/month over 3
months with 2 or more of these: 1.Improves
with defecation 2.Onset
assoc. with change in stool frequency 3.Onset
assoc with change in form of stool
32 Consecutive refractory IBS patients study: failed to
improve after variety of drug therapies or high health care usage despite
aggressive treatment and unhappy about care.
Osteopathy: manual treatment that relies on various mobilization
procedures aimed at relieving patient’s pain. Visceral mobilization was provided by an osteopath.