Do you have the stomach for a fight? How to combat IBS…

At Medical Specialists Pharmacy we deal with tens of thousands of patients each and every year, many of whom are suffering with a varying range of health problems such as: male impotence, acne, sexually transmitted infections (STIs), obesity, asthma etc.

Therefore, in addition to the huge number of different prescription medications we provide such as Viagra (for male impotence), Aknemycin Plus (for acne), Valtrex (for STIs), Xenical (for weight loss) and Ventolin Evohaler (for asthma), we like to provide all our new and existing patients with knowledge and information.

This knowledge and information can be about reasons/possible causes behind their particular ailment, tips and advice on how best to manage their condition, discussing some common myths that are rife (especially across the internet) in regards to a certain condition, and what foods are good or bad for a health problem.

Just some of the informative articles we have published in the previous year include 6 foods for stronger erections, debunking some of the common myths about erectile dysfunction, the best foods for great skin and the common culprits for acne, the best foods for healthy hair and information about important and often ignored key factors in how to lose weight.

Today, Medical Specialists put the digestive system into the spotlight, focusing on the common digestive disorder irritable bowel syndrome (IBS). So common in fact, that there are believed to be a staggering 12 million sufferers of IBS just within Britain alone – and around twice as common in women than men.

Some of the usual symptoms for sufferers include highly discomforting stomach cramps, bloating and diarrhoea or constipation, or sometimes even bouts of both. Exact reasons for the development of IBS in those who suffer with it are still unknown, but it is believed to be one or a combination of factors like bacterial gastroenteritis – an infection of the stomach and intestines, genetics – i.e. it may run in families, psychological factors such as stress or depression, or food sensitivity – i.e. symptoms are induced by consuming foods high in carbohydrates, foods high in fat, spicy foods, alcohol, fizzy drinks and caffeinated drinks.

We hope the majority of the 12 million people who have IBS in Britain are aware of effective treatments available to them such as Mebeverine, Colpermin and Buscopan IBS Relief, but also that there are a number of steps to be taken to reduce the frequency and severity of symptoms rearing their ugly head.

There has never been a ‘one size fits all’ rule in regards to diet for people with IBS. Certain diets might lessen the symptoms for one person, but be relatively ineffective for somebody else. Many find it beneficial to maintain a food diary for a period of around two to four weeks in order to pinpoint the particular food or drink that are causing or worsening symptoms. You should always seek the advice of your GP before making drastic changes to your diet as advice could differ with different symptoms.

However, people with IBS are commonly recommended to alter the intake of fibre in their diet. There are two types of fibre; soluble fibre – which the body is able to digest, and insoluble fibre – which the body is unable to digest.

Soluble fibre is contained in:

. Flaxseeds.
. Barley.
. Rye.
. Oatmeal.
. Fruit, such as apples, bananas, pears and strawberries.
. Vegetables, such as carrots, celery, cucumber and potatoes.
. Golden linseeds.

Insoluble fibre is contained in:

. Brown rice.
. Wholegrain bread.
. Wholemeal pasta.
. Wholegrain cereals.
. Wholewheat flour.
. Popcorn.
. Lentils.
. Beans.

Those who suffer with IBS and often episodes of diarrhoea may find it helpful to reduce the amount of insoluble fibre in their diet and avoid the skin, pith and pips from fruit and vegetables, whilst people who suffer from IBS with constipation can usually find benefits by increasing the soluble fibre in their diet and drinking more water.

There are also numerous other dietary and lifestyle choices you can take which may prove successful at easing your symptoms. These include:

. Have regular meals, evenly spaced out, making sure not to go long periods without eating and pace yourself whilst eating.
. Try to drink around eight cups of fluid each day – preferably water. Limit drinks containing caffeine as well as alcoholic drinks.
. If you can’t bear to give up tea and coffee, restrict your intake to three cups each day at the very most.
. Restrict fruit intake to three portions each day.
. Those suffering with diarrhoea should avoid artificial sweeteners such as sorbitol. This is contained in some sugar-free sweets, chewing gum, and certain diabetic and slimming products.
. Vigorous exercise for a minimum of 30 minutes each day, at least three times a week, is beneficial to most IBS sufferers. Discuss with your GP which exercise is most suited for you.
. If stress, depression, or anxiety is the main cause of your IBS symptoms, relaxation techniques such as breathing exercises or meditation may help, in addition to more physically-involved activities such as pilates or yoga.

If you are one of the 12 million people around Britain who have IBS, or one of the millions of others around the world who are also suffering, you do not have to live in misery or let your symptoms majorly affect your day-to-day activities. We have previously discussed IBS at work, and why not browse around the ‘Stomach and Bowel’ area of the Medical Specialists website.  We offer an ever-growing range of effective medications for IBS such as the previously mentioned Mebeverine, Colpermin and Buscopan IBS Relief, plus you can find treatments such as Lansoprazole and Omeprazole for acid reflux.

Scientists claim red wine may help to prevent bowel cancer

Two glasses of red wine per day may help to prevent the growth of cancerous tumours in the bowel according to researchers at Leicester University, whose findings will be presented by Professor Karen Brown to over 100 experts from around the world at a conference taking place at the university today.

The key to this cancer-prevention is held in a compound contained within the skin of grapes called ‘resveratrol’; which is also found in various other sources such as peanuts and berries. Resveratrol has garnered much attention over the years for its apparent anti-aging and disease-combating benefits and but this study represents the first genuine scientific evidence that resveratrol helps to prevents cancer.

Past research has indicated that the compound can also reduce the risk of heart disease by stopping the oxidation of LDL ‘bad’ cholesterol, making it a lot harder for platelets to stick together and form the clots that may result in a heart attack. If that wasn’t enough, resveratrol is known prevent insulin resistance. This process occurs after insulin levels are sufficiently high over a sustained period of time to cause the body’s own sensitivity to the hormone to be reduced. Insulin resistance is a precursor to diabetes and can be caused by obesity, stress, pregnancy and because of the ‘metabolic syndrome’.

The researchers at Leicester University administered a daily dose of 5mg (the equivalent of two glasses of red wine) to mice, and to their amazement they discovered it halved the growth of bowel tumours.

Professor Brown, from the university’s cancer biomarkers and prevention group, commented on the study findings and said: “What has been amazing for us is to find that, in laboratory mice, a low dose of resveratrol, the equivalent of a big glass of red wine, was more effective than a larger dose in preventing tumours developing. However, we have also found it is most effective with a high-fat diet, and not a standard diet. We now need to do more work on how the chemical actually works in the body and how it works in human cells. It might be that it works differently in different people.”

John Mathers, Professor of Human Nutrition at Newcastle University, who was not part of the study, offered his views on the findings, saying: “There has been a lot of research carried out on resveratrol which has been tested using a variety of model organisms from yeast to mice. It has worked in some models but not in others. It is very difficult to translate model systems to humans which require a large amount of subjects to be convincing and it is very expensive. Resveratrol has a molecular and protective mechanism which helps cells to deal with damaged protein, such as ageing and cancer. It would be very nice to see this latest evidence, anything that can reduce cancer risk using a dietary molecule is potentially interesting.”

The next challenge for the researchers will be to conduct further laboratory tests in addition to a year-long clinical trial monitoring the effects of resveratrol being taken by patients most at risk of developing cancer.

Some clinical trials have shown that the compound is able to get to the prostate and bowel tissue, however further tests are required to determine what, if any, reaction occurs on patients and if it there are any interactions with other medications. In the trials, scientists will also decide appropriate doses of resveratrol when given in a tablet form.

Bowel cancer may also be known as rectal, colorectal or colon cancer, depending on where the cancer starts. In England it is the third most common type of cancer and in 2009 alone, it was reported there were 41,142 new cases of bowel cancer. Of these new cases, 18,431 cases were diagnosed in women and 22,711 cases were diagnosed in men. It is uncommon for those under the age of 40 to develop the cancer, with around 85% of new cases being diagnosed in people over the age of 65.

Factors that increase the risk of bowel cancer include: having an inactive lifestyle, smoking, heavy alcohol intake (over 4 units a day) and obesity. In addition, others at risk are those with a high intake of processed foods, red meat, low-fibre foods and high-fat foods.

Symptoms can be difficult to spot as they may be similar to less life-threatening conditions such as irritable bowel syndrome. However, if you experience them for longer than a few weeks, it is recommended you seek medical attention as soon as possible. Symptoms include: Blood in your faeces, the appearance of mucus in the faeces, inexplicable weight loss, persistent abdominal pain lasting longer than two weeks, severe constipation or diarrhoea lasting longer than two weeks and tiredness as a result of becoming anaemic from microscopic bleeding from the bowel.

If you have any of these symptoms and they are causing you concern, Medical Specialists Pharmacy advise that you visit your GP immediately. Your GP may want to check for bowel cancer by conducting a rectal examination to check for any abnormal changes at the lower end of the bowel. Another test your GP may want to refer you to is one called ‘faecal occult bloods’ (FOBs). Here, many samples of your faeces are scanned for any possible microscopic amounts of blood lost from a tumour. If a diagnosis is made, a ‘Dukes’ staging’ is given to the cancer to determine how it is likely to progress or conclude which is the best course of treatment to go for the patient.

If you are suffering with other stomach and bowel problems such as the previously mentioned irritable bowel syndrome (IBS), or heartburn and indigestion, or acid reflux, why not visit the ‘stomach and bowel’ area of the Medical Specialists website. We have a huge range of products for these conditions, including the revolutionary new Symprove drink, as featured in the Daily Mail, the Daily Mirror, as well as HELLO! magazine. Symprove is helping millions in the fight against IBS and the delicious 500ml mango and passion fruit flavoured version is available from the Medical Specialists chemist shop for the low price of £19.93.