How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 42828
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

What is the best treatment bowel syndrome.

Customer Question

What is the best treatment for irritable bowel syndrome. My doctor has prescribed Bucopan, but has given me no useful dietary guide. What should I do ?
Submitted: 12 months ago.
Category: Medical
Expert:  Dr. David replied 12 months ago.
This is Dr. David
you should be keeping a food diary of what you eat every meal in one column and your IBS symptoms that day in one column
and see if you can correlate what you are eating and what foods and what meals worsen your IBS symptoms
you might find that drinking milk cause you diarrhea 6-12-24 hours later
or that eating gluten or wheat protein or breads or pastas cause bloating and gas or diarrhea
or that if you eat fatty meals or oily foods or meats, this causes gas or bloating or diarrhea symptoms later on
this is the best way to monitor your diet and see what foods cause your IBS symptoms
you might have to avoid certain foods which cause your symptoms
for many patients, increasing the amount of fruits and vegetables they eat and increasing the fiber from beans, vegetables, greens can help improve bowel symptoms
eating yogurt, probiotics, activa yogurt, foods with good bacteria can also improve your bowels symptoms.
eating less animal fats, butter, dairy, cream can help you loose weight and could help your IBS symptoms as well
there is not one best treatment for IBS for all patients.
IBS treatments and symptoms vary from patient to patient
and your treatment will be different from another patient.
let me know if you have other questions.
if done for now, please leave positive rating above the chat box so I can get credit for helping you today
we only get credit for helping clients after positive feedback
you can always reach me with "a question for Dr. David" in the medicine or oncology categories if you have any other questions
here is my website if you need to reach me again:
http://www.justanswer.com/medical/expert-dr-david/
Thanks for using JustAnswers.com
Expert:  Dr Basu replied 12 months ago.
Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.Irritable bowel syndrome is caused by the functional problem with intestinal contraction.Food allergies can be main trigger for the symptoms.Commonly lactose intolerance and gluten sensitivity can trigger IBS symptoms.That means avoiding dairy products and also gluten free diet.You should consider following low fermentable sugar diet ( FODMAP diet) to reduce your symptoms.Please go to this link for detailed information:http://stanfordhealthcare.org/content/dam/SHC/for-patients-component/programs-services/clinical-nutrition-services/docs/pdf-lowfodmapdiet.pdfPlease also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria.Also take a probiotic ( lactobacilli, bifidobacterium) daily to restore intestinal microbial balance.Culturelle 30 Counts twice daily should be fine.Simethicone and activated charcoal can be taken before meals to reduce gas and bloating.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for asking further questions!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/
Expert:  Dr. David replied 12 months ago.
This is Dr. David
you should be keeping a food diary of what you eat every meal in one column and your IBS symptoms that day in one column
and see if you can correlate what you are eating and what foods and what meals worsen your IBS symptoms
you might find that drinking milk cause you diarrhea 6-12-24 hours later
or that eating gluten or wheat protein or breads or pastas cause bloating and gas or diarrhea
or that if you eat fatty meals or oily foods or meats, this causes gas or bloating or diarrhea symptoms later on
this is the best way to monitor your diet and see what foods cause your IBS symptoms
you might have to avoid certain foods which cause your symptoms
for many patients, increasing the amount of fruits and vegetables they eat and increasing the fiber from beans, vegetables, greens can help improve bowel symptoms
eating yogurt, probiotics, activa yogurt, foods with good bacteria can also improve your bowels symptoms.
eating less animal fats, butter, dairy, cream can help you loose weight and could help your IBS symptoms as well
there is not one best treatment for IBS for all patients.
IBS treatments and symptoms vary from patient to patient
and your treatment will be different from another patient.
I am glad the other expert has agreed with me to try to avoid gluten and avoid milk products
and to try probiotics
I would not take activated charcoal without talking with your doctor.
Simethicone is an antigas medication and can confuse your food diary and keep you from finding out what foods are causing your symptoms.
let me know if you have other questions.
if done for now, please leave positive rating above the chat box so I can get credit for helping you today
we only get credit for helping clients after positive feedback
you can always reach me with "a question for Dr. David" in the medicine or oncology categories if you have any other questions
here is my website if you need to reach me again:
http://www.justanswer.com/medical/expert-dr-david/
Thanks for using JustAnswers.com
Expert:  Dr Basu replied 12 months ago.
Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.Irritable bowel syndrome is caused by the functional problem with intestinal contraction.Food allergies can be main trigger for the symptoms.Commonly lactose intolerance and gluten sensitivity can trigger IBS symptoms.That means avoiding dairy products and also gluten free diet.You should consider following low fermentable sugar diet ( FODMAP diet) to reduce your symptoms.Please go to this link for detailed information:http://stanfordhealthcare.org/content/dam/SHC/for-patients-component/programs-services/clinical-nutrition-services/docs/pdf-lowfodmapdiet.pdfPlease also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria.Also take a probiotic ( lactobacilli, bifidobacterium) daily to restore intestinal microbial balance.Culturelle 30 Counts twice daily should be fine.Simethicone and activated charcoal can be taken before meals to reduce gas and bloating.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for asking further questions!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/
Expert:  Dr. David replied 12 months ago.
This is Dr. David
you should be keeping a food diary of what you eat every meal in one column and your IBS symptoms that day in one column
and see if you can correlate what you are eating and what foods and what meals worsen your IBS symptoms
you might find that drinking milk cause you diarrhea 6-12-24 hours later
or that eating gluten or wheat protein or breads or pastas cause bloating and gas or diarrhea
or that if you eat fatty meals or oily foods or meats, this causes gas or bloating or diarrhea symptoms later on
this is the best way to monitor your diet and see what foods cause your IBS symptoms
you might have to avoid certain foods which cause your symptoms
for many patients, increasing the amount of fruits and vegetables they eat and increasing the fiber from beans, vegetables, greens can help improve bowel symptoms
eating yogurt, probiotics, activa yogurt, foods with good bacteria can also improve your bowels symptoms.
eating less animal fats, butter, dairy, cream can help you loose weight and could help your IBS symptoms as well
there is not one best treatment for IBS for all patients.
IBS treatments and symptoms vary from patient to patient
and your treatment will be different from another patient.
I am glad the other expert has agreed with me to try to avoid gluten and avoid milk products
and to try probiotics
I would not take activated charcoal without talking with your doctor.
Simethicone is an antigas medication and can confuse your food diary and keep you from finding out what foods are causing your symptoms.
let me know if you have other questions.
if done for now, please leave positive rating above the chat box so I can get credit for helping you today
we only get credit for helping clients after positive feedback
you can always reach me with "a question for Dr. David" in the medicine or oncology categories if you have any other questions
here is my website if you need to reach me again:
http://www.justanswer.com/medical/expert-dr-david/
Thanks for using JustAnswers.com

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions