The Sensitive Gut

Understanding IBS

But could I have done more?

I have not seen Peter for 10 years, since he and Mary bought their villa in Spain. They have kept in touch by Christmas cards and the occasional post card. … Continue reading

August 24, 2017 · 2 Comments

IBS and The Wandering Womb; could they both be endometriosis?

The endometrium is the lining of the womb. It is made of special cells which shed each month by bleeding. In endometriosis these cells are found in other parts of … Continue reading

August 12, 2017 · Leave a comment

IBS: many diseases awaiting discovery or another bowel upset?

What do we know about IBS? The answer is surprisingly little. There is no definitive cause, no specific pathology and no single effective treatment. It is and always was a … Continue reading

June 9, 2017 · 1 Comment

With IBS, the rule is: ‘there are no rules’

…. there is only the patient. Mandy wrote to me recently to tell me how much better her diarrhoea had been since she started taking Questran, a ion exchange resin … Continue reading

January 13, 2017 · Leave a comment

Faecal Calprotectin: a simple stool test to rule out colitis?

  This is not so much a test for IBS but a test for not-IBS.  Faecal Calprotectin (FC) is a marker released from white blood cells (leukocytes) that are exuded … Continue reading

October 23, 2016 · 1 Comment

Does you doctor always know best or can you sort something out between you?

Doctors are men who prescribe medicines, of which they know little, to cure diseases of which they know less, in human beings of whom they know nothing. Voltaire (Francois-Marie Arouet) … Continue reading

September 11, 2016 · Leave a comment

When you and your doctor should be concerned.

  A woman came up to me at The Allergy and Free-from Show recently.  She looked embarrassed and deeply unhappy.  ‘Sometimes when I get an urge to go to the … Continue reading

August 9, 2016 · 7 Comments

At last; a positive test for IBS?

You’ve heard it all before.  IBS is a diagnosis of exclusion. If you have ongoing symptoms of bowel irritability; abdominal pain, bloating, diarrhoea or frustrated defaecation, then your doctor should … Continue reading

May 4, 2016 · 3 Comments

IBS: let’s change the model.

The practice of medicine still operates on a model that was developed early in the last century.  First establish the diagnosis, then identify the cause and finally apply the treatment.  … Continue reading

December 5, 2015 · Leave a comment

A Case for Columbo

I receive many letters on The IBS Network website (Ask Prof Nick) from people tormented daily and often for years by their abdominal pain, bloating and bowel upset.  Although Susie’s … Continue reading

December 3, 2015 · 1 Comment

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