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Doctors Lounge - Gastroenterology Answers
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| Eagle
- Tue Jan 10, 2006 9:47 pm |
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After endoscopy and colonoscopy, asymptomatic esophagitis and hital hernia were discovered and a diagnosis of IBS. Can esophagitis and/or hiatal hernia be a trigger for IBS? I've been eating an extremely IBS-friendly diet for 3 months without much improvement - very loose stools and diarrhea. I've just begun to treat the esophagitis with Protonix the last week and a half and am seing a little improvement of the IBS. Also, I notice that IBS flares up once a week, usually on a Sunday or Monday, but usually non-existent the other six days. Is that strange?
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| Dr. Safaa Mahmoud
- Sun Aug 06, 2006 9:38 am |
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 Dear Eagle ,
People with Irritable Bowel Syndrome are more likely to have concomitant upper GI problems (like GERD or reflux).
In GERD, people will experience one or more of these symptoms, chest pain (retrosternal), pain in the throat, morning hoarseness, swallowing problems.
The presence of hiatus hernia aggravates the GERD condition.
Commonly people who have IBS complain of
Abdominal pain or colic
A bloated abdomen
Either Diarrhea or constipation or an alternating between both of them
Mucus containing stool
Certain types of foods contain, chocolate, milk and alcohol might cause constipation or diarrhea and increase the IBS symptoms.
Symptoms of IBS are non specific and occur in many disorders like GERD, Gastritis, etc
Stress and infections in the GI tract increase the frequency and the severity of IBS symptoms in almost all cases. Indeed Helicobacter pylori infection can cause similar symptoms. But they may also aggravate an already present condition like IBS.
You mentioned that your main complaints are diarrhea and loose stool, that frequent during certain days of the week, this may be due to certain stress factors, or certain habits that aggravate symptoms.
Observe your habits and any associated changes in your symptoms accordingly may help in identifying the main cause.
Hope you find this information useful. Follow up with your doctor is essential. Only by complete history and physical examination, the correct diagnosis can be reached.
Best regards.
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