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Irritable bowel syndrome* (IBS) is a “syndrome,” meaning a group of symptoms. The most common symptoms of IBS are abdominal pain or discomfort often reported as cramping, bloating, gas, diarrhoea, and/or constipation. IBS affects the colon, or large bowel, which is the part of the digestive tract that stores stool.

IBS is not a disease. It’s a functional disorder, meaning that the bowel doesn’t work, or function, correctly.

Causes

The exact causes for IBS are unknown. The nerves and muscles in the bowel appear to be extra sensitive in people with IBS. Muscles may contract too much when eat. These contractions can cause cramping and diarrhoea during or shortly after a meal. Or the nerves may react when the bowel stretches, causing cramping or pain.

IBS can be painful. But it does not damage the colon or other parts of the digestive system. IBS does not lead to other health problems.

Symptoms of IBS?

The main symptoms of IBS are

• abdominal pain or discomfort in the abdomen, often relieved by or associated with a bowel movement
• chronic diarrhoea, constipation, or a combination of both

Other symptoms are

• whitish mucus in the stool
• a swollen or bloated abdomen
• the feeling of “not finished a bowel movement”

Women with IBS often have more symptoms during their menstrual periods.

Diagnosis

Clinical diagnosis of IBS is based under Specific symptoms, called the Rome criteria, can be used to more accurately make this diagnosis.

Investigation for IBS

In addition to a physical exam and blood tests, the following tests might be done to diagnose IBS:

• Lower gastrointestinal (GI) series. This test uses x rays to diagnose problems in the large intestine. It is also called a barium enema x ray.
• Colonoscopy.
• sigmoidoscope,

Treatment

Treatment may involve

• diet changes
• medicine
• stress relief

Diet Changes

Some foods and drinks make IBS worse.

• fatty foods, like French fries
• milk products, like cheese or ice cream
• chocolate
• alcohol
• caffeinated drinks, like coffee and some sodas
• carbonated drinks like soda

Some foods make IBS better.

Fiber may reduce the constipation associated with IBS because it makes stool soft and easier to pass. However, some people with IBS who have more sensitive nerves may feel a bit more abdominal discomfort after adding more fiber to their diet. Fiber is found in foods such as breads, cereals, beans, fruits, and vegetables.

Eat small meals.

Large meals can cause cramping and diarrhoea in people with IBS.  Try eating four or five small meals a day instead of less-frequent big meals.

Medicine

Nux vom, Sulphur, Opium, Arg nit, Silicea, Platina, Lyco and other medicines according to symptom similarity .Constitutional medicines are more effective for IBS

Does stress cause IBS?

Emotional stress does not cause IBS. But people with IBS may have their bowels react more to stress. So stress can make the symptoms worse.

Stress Relief

Learning to reduce stress can help with IBS.

Meditation, exercise, hypnosis, and counselling may help.

Points to Remember

• IBS means the bowel doesn’t work in right way.
• IBS can cause cramping, bloating, gas, diarrhoea, and constipation.
• IBS doesn’t damage the bowel or lead to other health problems.
• Stress doesn’t cause IBS, but it can make the symptoms worse.
• Fatty foods, milk products, chocolate, alcohol, and caffeinated and carbonated drinks can trigger symptoms.
• Eating foods with fiber and eating small meals throughout the day may reduce symptoms.
• Treatment for IBS may include medicine, stress relief, and changes in eating habits.

Dr, Senthil Kumar BHMS, M. Sc (Psyc), M. Phil (Psyc),

consult.ur.dr@gmail.com

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Can Homoeopathy help?

a) at what stage ?

At the primary stage of muscular pain, spasm, sprain , back pain, chronic or acute, spasms and cramps can be caused by many different factors.  Some of these factors include strain, excess weight, stress, overwork, repetitive motion or injury. One of Homeopathy’s greatest triumphs is in the  relief of tired, achy, overused and injured muscles and joints. It is effective in treating everyone from the noblest weekend warriors to professional athletes.

b) how long should the treatment continue ?

Till the muscular pain subsides. Once relief from the symptoms if felt, stop taking the homeopathic medicine. Only take it again if exactly the same symptoms come back.

c) how is it better than other allopathic medicines ?

Homeopathy encourages the body to heal itself from the inside out.  This can be an especially effective form of treatment for back pain.  Homeopathy for lower back muscle spasm and pain relief may help the sufferer to feel better all around, not just where the back is concerned.  For back pain where a psychological cause is at the root, just the relief of knowing that homeopathic methods will not cause side effects may be helpful in easing some of the pressure on the sufferer.

d) are there any side effects ?

Homeopathy is legendary in it’s relief of muscle strain and pain. All natural, minimal side effect  and non-habit forming.

e) what to avoid during the course of medication ?

Avoid or modify activities that aggravate pain  Decrease stress on the joints by using assistive devices such as braces, splints or canes as needed While on a course of homeopathic treatment, you should avoid strong flavours such as mint (including toothpaste), coffee or camphor.

f) how long it will take for the condition to improve ?

Using homeopathy to give relief for lower back muscle spam pain can work well and give long lasting relief. It will also depend on nature and extent of disease and patient’s personality..

g)      Cost ?

More cost effective in comparison to the other systems

Other Alternative Therapies

Acupuncture- A study conducted at Sheffield University in the United Kingdom looked at the long-term symptom reduction and economic benefits of acupuncture for persistent low back pain. How does acupuncture work? According to traditional Chinese medicine, pain results from blocked energy along energy pathways of the body, which are unblocked when acupuncture needles are inserted along these invisible pathways.

A scientific explanation is that acupuncture releases natural pain-relieving opioids, sends signals that calm the sympathetic nervous system, and releases neurochemicals and hormones.

Exercise therapy-A supervised exercise program or home fitness regimen

Functional restoration-For injured workers, testing intended to improve job performance and job fitness and performed in a supervised environment

Interdisciplinary therapy-Therapy with physical, vocational, and behavioral components, provided by multiple professionals from different disciplines

Physical therapies-Interferential therapy, low-level laser therapy, lumbar supports, short-wave diathermy, superficial heat, traction, transcutaneous electrical nerve stimulation, and ultrasonography

Psychological therapies-A category including biofeedback, progressive relaxation, cognitive-behavioral therapy, and operant therapy

Yoga-The use of specific body positions and breathing techniques, with an emphasis on mental focus.

Music Therapy

Music therapy is a low-cost natural therapy that has been found to reduce the disability, anxiety, and depression associated with chronic pain.

.Music therapy significantly reduced disability, anxiety, and depression. Music had an immediate effect on reducing pain, although the results were not statistically significant.

Dr. Shalini Kapoor

HOMOEOPATHIC PAEDIATRICIAN AND COUNSELING EXPERT

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*Abortion at 2nd or 3rd month* Cimicifuga, Sabina, Secale cornutum.

*Abortion from debility* Aletris, Helonias.

*Abortion from traumatism* Arnica.

*Abortion threatened* Blumia odorata, Caulophyllum, Helonias, Viburnum.

*Abscess* Myristica.

*Acne* Berberis aquefolium, Juglans regia.

*Addison’s disease* Adrenalin.

*Adenoids* Agraphis nutans.

*Adiposity* Calotropis, Fucus vesiculosus, Phytolacca Berry.

*After-pains* Caulophyllum.

*Agalactea* Ricinus communis, Urtica Urens.

*Ague* China.

*Albuminuria* Apis mellifica, Cannabis Sativa.

*Alcoholism* Avena sativa, Nux vomica, Quercus, Sulphuric acid.

*Alopecia* Pix liquida, Thuja occidentalis, Ustilago maydis.

*Amenorrhœa* Ashoka janosia, Gossypium, Pinus Lambertina, Pulsatilla.

*Anæmia* China officinalis, Ferrum phoshoricum.

*Anasarca* Apis mellifica, China officinalis, Convalleria majalis, Digitalis.

*Angina pectoris* Amyl nitrite, Cactus grandiflorus, Cratægus, Spigelia.

*Ankylostomiasis* Carduus marianus.

*Anorexia* Chelidonium, China officinalis, Gentiana lutea, Hydrastis.

*Aphonia* Borax.

*Aphthæ* Hydrastinum muriaticum, Kali muriaticum.

*Apoplexy* Aconitum napellus, Laurocerasus.

*Appendicitis* Bryonia alba.

*Arteriosclerosis* Allium sativum, Cactus grandiflorus, Digitalis, Sumbul, Thiosinaminum.

*Arthritis* Caulophyllum, Urtica urens.

*Ascarides* Abrotanum.

*Ascites* Adonis vernalis, Apis mellifica, Apocyanum, China officinalis, Digitalis.

*Asthma, cardiac* Convalleria majalis, Iberis, Strophanthus.

*Asthma* Blatta orientalis, Grindelia, Lobelia inflata, Passiflora, Pothos, Senega.

*Atrial fibrillation* Digitalis.

*Atrophy* Oleum Jecoris.

*Azoturia* Senna.

*Backache* Phosphoric acid, Berberis vulgaris, Chelidonium, China officinalis, Lobelia inflata.

*Barber’s itch* Thuja occidentalis.

*Bed-sores* Calendula officinalis, Echinacea, Hypericum.

*Biliousness* Carica pappaya., Chelidonium.

*Bladder (irritable)* Berberis vulgaris, Eupatoreum purpureum, Senega, Solidago, Vesicaria communis.

*Blood pressure - high*Cratægus, Rauwolfia serpentina, Veratrum album.

*Blood pressure - low* Avena sativa, Cactus grandiflorus, Ginseng.

*Bone affections (bruised)* Symphytum.

*Bradycardia* Apocynum, Digitalis.

*Brain fag* Phosphoric acid.

*Breast, shrivelled* Sabal serrulata.

*Bright’s disease* Apocynum, Terebinth.

*Bronchitis (chronic)* Ammonium carbonicum, Senega.

*Bronchitis* Bryonia alba, Justicia adhatoda, Solidago.

*Bronchopneumonia* Ammoniacum gummi.

*Bronchorrhœa* Ammoniacum gummi, Balsamum peruvianum, Eucalyptus.

*Bruises and contusions* Arnica montana, Calendula officinalis, Hamamelis.

*Bubo* Bufo rana.

*Burns* Cantharis, Urtica urens.

*Bursæ* Benzoic acid, Ruta graveolens.

*Calculi (biliary)* Berberis vulgaris, Chelidonium, China officinalis, Chionanthus, Cholesterinum.

*Cancer bladder* Taraxacum.

*Cancer gastric* Geranium, Ornithogalum.

*Cancer mammæ* Bryonia alba.

*Cancer pains* Euphorbium.

*Cancer rectal* Hydrastis, Ruta graveolens.

*Cancer tongue* Fuligo ligni.

*Capillary stasis* Echinacea.

*Carbuncle, urethral* Thuja occidentalis.

*Carbuncles* Ledum palustre.

*Cardiac dropsy* Adonis vernalis.

*Cardiac dyspnœa* Aspidosperma.

*Catalepsy* Cannabis indica.

*Cataract* Cineraria maritima.

*Catarrh, chronic* Eucalyptus.

*Cellulitis* Apis mellifica, Rhus toxicodendron.

*Cheyne-Stokes Respiration* Grindelia.

*Chillblains* Agaricus.

*Cholelithiasis* Chionanthus, Hydrastis.

*Cholera* Camphora, Coffea mocha, Trychosanthis dioica.

*Chordee* Agave, Yohimbinum.

*Chorea* Agaricus muscaris.

*Cicatrices* Thiosinaminum.

*Cirrhosis of liver* Carduus marianus, Chelidonium, China officinalis.

*Climacteric flushings* Amyl nitrite, Sanguinaria.

*Colitis* Cynodon dactylon.

*Colic (renal) * Berberis vulgaris, Hydrangea, Ocimum canum, Pareira brava, Sarsaparilla, Solidago, Urtica urens.

*Collapse* Aconite radix, Camphora, Hydrocyanic acid, Kali cyanatum.

*Cold sores* Camphor.

*Condylomata* Thuja.

*Conjunctivitis* Euphrasia.

*Constipation in children* Abroma augusta radix, Hydrastis, Senna.

*Convulsions* Œnanthe.

*Coryza* Eucalyptus, Ocimum canum.

*Cough, dry* Mentha piperata, Laurocerasus.

*Cough, hoarse* Verbascum.

*Cough, laryngeal* Capsicum.

*Cough, phthisical* Allium sativum.

*Cough, spasmodic* Belladonna.

*Cracked lips* Condurango.

*Croup* Aconite, Sanguinaria, Spongia.

*Cyanosis* Laurocerasus.

*Cystitis* Equisetum, Pareira brava, Vesicaria.

*Cysts* Apis mellifica.

*Dandruff* Badiaga, Cochlearia, Thuja occidentalis.

*Deafness* Hydrastis, Mezereum, Verbascum.

*Debility* Aletris farinosa, Helonias indica, Phosphoric acid.

*Delirium tremens* Apocynum, Capsicum, Rananculus bulbosus.

*Dentition* Terebinth.

*Diabetes insipidus* Alfalfa, Phosphoric acid.

*Diabetes mellitus* Abroma augusta radix, Arsenic bromatum, Syzygium jambolanum, Uranium nitricum.

*Diarrhœa* Achyranthus, Ægle marmelos, Chapparo, Cynodon dactylon.

*Diphtheria* Apis mellifica, Echinacea.

*Dipsomania* Capsicum.

*Dissecting wounds* Echinacea.

*Drooling* Trifolium.

*Dropsy thirst, without* Apis mellifica.

*Dropsy* Ægle folia, Apis mellifica, Apocynum, Bœrhavia diffusa, Thlaspi.

*Dropsy, cardiac* Adonis vernalis.

*Dropsy, hepatic* Liatris spicata.

*Dropsy, renal* Urea.

*Dropsy, thirst with* Apocynum.

*Duodenal ulcer* Ornithogalum.

*Dysentery* Ægle marmelos, Aloe, Atista indica, Cephalandra indica, Cynodon dactylon, Holarrhena antidysenterica.

*Dysmenorrhœa* Abroma augugta radix, Ashoka, Viburnum opulis.

*Dysmenorrhœa, membranous* Xanthoxyllum.

*Dyspepsia, atonic* Abies nigra, Anacardium.

*Dyspepsia, nervous* Anacardium.

*Dysphagia* Cajuputum.

*Dyspnœa* Aspidosperma, Senega.

*Earache* Mullein Oil, Plantago.

*Ear discharge* Mullein Oil.

*Ecchymosis* Arnica.

*Eczema* Alnus rubra, Anacardium, Juglans cinerea.

*Elephantiasis* Hydrocotyl.

*Emphysema* Lobelia inflata.

*Empyema* Arnica.

*Enteritis, acute* China officinalis.

*Enuresis* Equisetum, Rhus aromatica, Verbascum.

*Epididymitis* Sabal serrulata.

*Epilepsy* Œnanthe crocata, Passiflora.

*Epistaxis* Ambrosia, Bryonia alba, Hamamelis, Millefolium.

*Epithelioma* Thuja occidentalis.

*Erysipelas* Apis mellifica.

*Erythema nodosum* Apis mellifica.

*Erythema* Antipyrine.

*Eustachian deafness* Hydrastis.

*Exophthalmic goitre* Lycopus, Pilocarpinum.

*Exudative pleurisy* Abrotanum.

*Eyes, inflammation* Euphrasia, Ruta graveolens.

*Fever* Acetanilidum, Ferr phos, Gnaphelium.

*Fever, typhoid* Baptisia, Phosphoric acid.

*Fibroids* Thlaspi, Trillium.

*Fissures* Condurango, Graphites, Ledum palustre.

*Flatulence* Asafœtida.

*Freckles* Badiaga.

*Gall stones* Berb vulgaris, China officinalis, Chionanthus.

*Ganglion* Ruta graveolens.

*Gangrene* Echinacea.

*Gastritis* Arsenic album.

*Gastric ulcer* Geranium, Ornithogalum, Urtica urens.

*Gastroenteritis* Lactic acid.

*Gleet* Guaicum, Thuja occidentalis.

*Globus hystericus* Asafœtida.

*Goitre* Fucus vesiculosus.

*Gonorrhœa* Cannabis sativa, Vesicaria communis.

*Gout* Ledum palustre, Urtica urens.

*Gravel* Coccus cacti, Hydrangea, Solidago, Urtica urens.

*Hæmatemesis* Ficus religiosa, Hamamelis, Ipecac.

*Hæmaturia* Cannabis sativa, Ficus religiosa, Millefolium, Ocimum canum, Thlaspi.

*Hæmoptysis* Acalypha indica, Erigeron, Geranium, Millefolium.

*Hæmorrhages* Adrenalin, China officinalis, Hamamelis, Millefolium, Sabina, Trillium.

*Hæmorrhoids* Æsculus hippocastanum, Aloe, Dolichos, Ficus religiosa, Hamamelis.

*Hallucinations* Antipyrine.

*Hay fever* Ambrosia, Pothos fœtidus.

*Headaches, anæmic* China officinalis.

*Headaches, bilious* Chionanthus.

*Headaches, bursting* Glonoine.

*Headaches, congestive* Aconite, Glonoine.

*Headaches, nervous* Chionanthus.

*Headaches, sick* Sanguinaria.

*Heart hypertrophy & dilatation* Cactus grandiflorus, Cratægus, Strophanthus.

*Heartburn* Geranium.

*Heart affections, palpitations* Cratægus.

*Heart failure* Adon vernalis.

*Hectic fever* Baptisia.

*Hepatitis* Carduus marianus, Chelidonium.

*Herpes labialis* Capsicum.

*Hiccough* Ginseng.

*Hoarseness* Verbascum.

*Hookworm* Chenopodium.

*Hydrocephalus* Apocyanum, Hedera Helix.

*Hydrothorax* Adonis vernalis.

*Hysteria* Crocus sativa, Ignatia, Passiflora.

*Impotence* Ægle folia, Agnus castus, Ashwagandha, Turnera, Yohimbinum.

*Influenza* Eucalyptus, Eupatorium perfoliatum.

*Insomnia* Avena sativa, Passiflora, Piscidia.

*Intermittent fever* Atista indica, Andersonia, Cephalandra indica, Chininum sulph, Chirata, Desmodium, Eupatorium perfoliatum, Lucas aspera.

*Jaundice* Carica pappaya, Chelidonium, Chionanthus, Digitalis, Kalmegh, Myrica, Podophyllum.

*Kidneys (congestive) * Chimaphila umbellata, Terebinth, Vesicaria, Uva ursi.

*Labour pains false* Caulophyllum.

*Labour, retained placenta* Caulophyllum.

*Labour, hæmorrhage, after* Trillium.

*Lectophobia* Cannabis sativa.

*Leprosy* Calotropis, Hydrocotyle.

*Leucoderma* Hydrocotyle, Psoralea corylifolia.

*Leucorrhœa* Ashoka, Caulophyllum, China officinalis, Hydrastis.

*Leucorrhœa, acrid* Hydrastis.

*Leucorrhœa, blackish* China officinalis.

*Leucorrhœa, bland* Fraxinus americana.

*Leucorrhœa, bloody* China oficinalis, Thlaspi.

*Leucorrhœa, offensive* Carbolic acid.

*Leucorrhœa, profuse* Hydrastis.

*Leucorrhœa, stringy* Hydrastis.

*Lice* Staphysagria.

*Lithiasis* Benzoic acid, Berberis vulgaris, Hydrangea, Ocimum canum, Solidago, Thlaspi, Urtica urens.

*Liver (congestion) * Berberis vulgaris, Bryonia alba, Carduus marianus, Chelidonium, Carica pappaya.

*Lumbago* Berberis vulgaris.

*Malaria* Alstonia, Chirata.

*Malnutrition* Alfalfa, Gentiana lutea.

*Marasmus* Alfalfa, Oleum jecoris.

*Mastitis* Phytolacca.

*Meniere’s disease* Chenopodium.

*Menorrhagia* Ashoka, China officinalis, Ficus religiosa, Sabina.

*Menstruation, delayed* Ashoka, Caulophyllum.

*Menstruation, painful* Abroma augusta radix, Ashoka, Viburnum opulis.

*Menstruation, profuse* Ficus religiosa, Trillium.

*Mental weakness* Avena sativa, Ashwagandha.

*Milk leg* Hamamelis.

*Miscarriage, repeated* Ashoka, Viburnum opulis.

*Miscarriage, threatened* Sabina, Viburnum opulis.

*Morning sickness* Aletris farinosa, Symphoricarpus racemosus.

*Morphine habit* Avena sativa.

*Mountain sickness* Coca.

*Mumps* Pilocarpine.

*Muscæ volitantes* Cypripedium.

*Myocarditis* Digitalis.

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