•   
  •   

Health & Fitness Guidance aims to slash time it takes to spot IBS to a matter of weeks

02:35  01 august  2021
02:35  01 august  2021 Source:   dailymail.co.uk

A Doctor Explains Why Coffee Makes You Poop

  A Doctor Explains Why Coffee Makes You Poop Dr. Sameer Islam breaks down the science of how that cuppa Joe gets you going.Amazingly enough, we actually don’t know why coffee makes you poop. We know that coffee initiates what's known as the "gastrocolic reflex"—that's when your stomach "wakes up" from the coffee and starts to contract. This continues all the way down from the stomach to the small intestine to the colon, where you will eventually have your bowel movement. The effect is the same in men and women.

a woman standing in front of a store: MailOnline logo © Provided by Daily Mail MailOnline logo

When Holly Newby came round after emergency surgery to remove her appendix, she was looking forward to a future free of excruciating pain. The 21-year-old from Leeds was operated on after dashing to hospital with crippling soreness on her right side.

After years of persistent abdominal cramping and numerous tests that failed to reveal the true cause, it finally seemed the puzzle had been solved. But when doctors later revealed that the appendix they removed was, in fact, perfectly healthy, Holly, an NHS clinical support worker, was stunned. ‘It was bitterly disappointing, especially to think I had been through the surgery for nothing,’ she says. ‘And pretty soon the pain was back – and as bad as ever.’

'I Felt Like I Was Dying... And While I’m Pushing My Baby Out, I Have This Mask On My Face'

  'I Felt Like I Was Dying... And While I’m Pushing My Baby Out, I Have This Mask On My Face' A report by the BBC and Pregnant Then Screwed found hundreds of women were made to were face masks in labour - against guidance.Hundreds of women in the UK were made to wear face masks while giving birth, against guidance, a report by BBC News and Pregnant Then Screwed has found.

In fact, it took five years after she first felt unwell as a 16-year-old before Holly finally got a diagnosis of irritable bowel syndrome (IBS), a condition that affects one in five Britons.

The delay meant Holly lost a huge chunk of her teenage years, missing out on socialising as her condition kept her at stuck at home.

And she’s not alone, says Alison Reid, chief executive of the charity IBS Network. ‘We hear stories like this all the time. Often it takes several years because IBS is a complex condition and the symptoms ebb and flow. Some people who call our helpline are positively suicidal because they feel so unwell.’

a woman sitting at a table: ( © Provided by Daily Mail (

Now there is a major drive to speed up diagnosis and get patients effective treatment much sooner. New guidance from the British Society of Gastroenterology aims to slash the time it takes to spot IBS from months, and sometimes, as in Holly’s case, even years, to a matter of weeks. It urges GPs to consider the condition whenever they see common symptoms such as diarrhoea, constipation, cramping and bloating.

Dr Fauci admits he wore mask after vaccination to avoid mixed signals

  Dr Fauci admits he wore mask after vaccination to avoid mixed signals 'I didn't want to look like I was giving mixed signals, but being a fully vaccinated person, the chances of my getting infected in an indoor setting is extremely low,' Dr Fauci said during a Tuesday GMA interview.'I didn't want to look like I was giving mixed signals, but being a fully vaccinated person, the chances of my getting infected in an indoor setting is extremely low,' Dr Fauci said during a Good Morning America interview.

Currently, family doctors faced with these symptoms have to first rule out a list of serious illnesses, including bowel cancer, coeliac disease and inflammatory bowel disease. Even then, patients often end up having endless exploratory internal examinations – when it is IBS all along.

‘It is mainly a process of elimination,’ says Dr Kevin Barrett, a GP in Watford and chair of the Primary Care Society for Gastroenterology. ‘Some patients put up with it for years before they see their GP.’

The new guidance still calls for cancer checks to be done but it pushes IBS up the list of suspect conditions and recommends treatments start much sooner.

These include anti-spasmodic drugs to reduce cramping, pills to combat diarrhoea and sticking to a low-FODMAP diet – a regime that cuts out foods that might trigger bloating. But if patients fail to respond to these, several new drugs are available from NHS gastroenterologists, the guidance says. These include linaclotide, a daily tablet that has transformed Holly’s life since she was put on it by an NHS consultant earlier this year.

Rand Paul says he won't get vaccinated because he already had COVID

  Rand Paul says he won't get vaccinated because he already had COVID Rand Paul said he will refuse to get vaccinated since he already had coronavirus last year, even though the CDC recommends those who had the disease still get inoculated against it. 'Until they show me evidence that people who have already had the infection are dying in large numbers, or being hospitalized or getting very sick, I just made my own personal decision that I'm not getting vaccinated because I've already had the disease and I have natural immunity,' Paul told billionaire talk show host John Catsimatidis on his WABC 770 AM radio program.

IBS FACT

Sufferers wait an average of six and a half years for a diagnosis, according to a recent survey of 2,000 patients.


Gallery: Epilepsy triggers, warning signs and symptoms to watch for (Espresso)

a man talking on a cell phone: One of the most common triggers of epilepsy is alcohol. When you are hungover, your brain becomes dehydrated, which can lead to seizures in people with epilepsy. Moreover, drinking alcohol could make epilepsy medication less effective, which may also lead to seizures. It’s worth consulting with a doctor if you are concerned about this issue.

GPs are not allowed to start patients on the drug – it has to be done by a specialist – but once it is under way, they can authorise repeat prescriptions. Holly says: ‘When I was 16, I started getting really bad abdominal pain and would have to sit in a hot bath to try to ease the pain. My problem has always been chronic constipation.

‘I really struggled to go to the toilet – I had a pain so intense it felt like a knife being stuck in me.’

At one point, she was referred to a gynaecologist as her periods were irregular. She underwent an internal exam to check for endometriosis – an agonising condition in which tissue that normally grows inside the womb spreads to other organs. But it too drew a blank and doctors said there was nothing more they could do. A private clinic then recommended CT scans and a colonoscopy, where a tiny camera is passed up into the bowel, but both were clear. Attempts to control her symptoms with the low-FODMAP diet also failed.

'Jolie gene' drug can slash breast cancer danger

  'Jolie gene' drug can slash breast cancer danger A revolutionary drug called Olaparib has been found to slash the chance of breast cancer returning or spreading in women with the faulty BRCA gene by up to 42 per cent. Around 5 per cent of women with breast cancer carry mutated versions of the BRCA 1 or BRCA 2 genes, which increase the risk of getting the disease by up to 90 per cent.The actress Angelina Jolie had a preventive double mastectomy in 2013 after testing positive for the mutated BRCA1 gene. The new treatment will save thousands of lives and offer an alternative to life-changing preventive mastectomies.

It was only after Holly was finally referred to an NHS specialist earlier this year that she was put on linaclotide. She says: ‘The drug has made a big difference to my life. It means I can work a lot more. I can go to restaurants and eat pretty much whatever I want. And I can go the gym, which I was rarely able to do because I was in so much discomfort.’

( © Provided by Daily Mail (

What's the difference...

...between aerobic and anaerobic exercise?

Aerobic exercise requires an increased supply of oxygen, so the body takes in more by speeding up breathing and heart rate. The surge in oxygen consumption benefits many bodily functions and keeps the cardiovascular system strong and healthy. Examples of aerobic exercise include jogging, cycling and swimming.

Anaerobic exercise uses up energy without the need for excess oxygen. Most forms of anaerobic exercise will build muscle strength and size.

Examples include weight- lifting, push-ups and doing high-intensity exercise for a short space of time, such as sprinting.

Experts recommend doing a mixture of both for a combination of benefits.

The only downside for Holly came when she called her GP to request a repeat prescription, and the surgery said they had never heard of the drug – even though it has been available in the UK since 2013.

New guidance for fertility clinics over misleading information on prices and success rates

  New guidance for fertility clinics over misleading information on prices and success rates Fertility clinics must ensure they do not mislead patients over price or success rates under new guidance from the Competition and Markets Authority (CMA). © Other Many patients are unaware fertility clinics are covered by consumer law Drawn up in conjunction with the Human Fertilisation and Embryology Authority (HFEA), it makes clear clinics' legal obligations to treat people fairly and to help IVF patients understand their consumer rights.It has written to clinics to draw their attention to the guidance, in partnership with the HFEA and the Advertising Standards Authority (ASA).

So why have many GPs never heard of it? ‘Sometimes with first-in-class drugs GPs are just not that familiar with them,’ says Dr Alex Ford, a professor of gastroenterology at the University of Leeds and one of the main authors of the new BSG guidelines.

He says other medicines that can help include antidepressants called tricyclics. Low doses of the tablets can have major benefits in IBS because the drugs act on receptors in the gut that dampen the brain’s reaction to stress – soothing gut problems too.

Other promising developments are in the pipeline. A biotech company called Nidor Diagnostics Ltd is developing a medical device that tests stool samples for signs of IBS. The gadget checks for volatile organic compounds, potentially slashing the time it takes to diagnose the condition.

According to the IBS Network, there is an urgent need for services to improve to deal with the fallout from the Covid-19 pandemic.

Alison Reid says: ‘I have been working 12- to 14-hour days to help deal with the sheer number of calls to our helpline from people having flare-ups caused by the stress of the pandemic and unable to access medical help. Some are suicidal. Coming out of lockdown, they are panicking even more about how they will cope with returning to work and normal life.’

Many of the UK’s 12 million sufferers are also still plagued by the stigma over the condition, says Reid. ‘One woman I spoke to with IBS had not even told her husband she had it. So she used to leave home early for work in the morning and dash to use the toilet at the supermarket, rather than at the house. Then one day, when she came out of the loo, her husband was waiting for her – he had followed her because he was convinced she was having an affair.’

Meanwhile, Holly is looking forward to a better life.

She says: ‘GPs kept pushing me away so, five years later, my life is at last getting started.’

Read more

DR MARTIN SCURR answers your health questions .
DR MARTIN SCURR: Seasonal affective disorder (SAD), which typically causes depressed mood and low energy, is, as you say, not as well recognised as it should be. The condition most commonly begins in autumn and usually improves by spring (if untreated in the interim), but it can also occur in summer, as in your case.Unfortunately, it often goes undiagnosed. In fact, one study by psychiatrists from the U.S. and Canada found that as many as 60 per cent of patients with SAD had never previously been treated for this form of depression, despite having had symptoms.

usr: 0
This is interesting!