The Sensitive Gut

Understanding IBS

Constipation: Myths and Misconceptions

In 2005, a group of senior gastroenterologists, writing in the American Journal of Gastroenterology, questioned a number of commonly held beliefs concerning the causes and treatment of chronic constipation. I … Continue reading

September 20, 2017 · Leave a comment

Any progress on constipation? Working it out with a pencil.

Of all aspects of bowel function, constipation must be the one that has shown least progress and most confusion. It goes with the territory.   Although constipation can occur in … Continue reading

September 15, 2017 · 2 Comments

Taming the stubborn bowel; a constipated person’s guide to defaecation.

  The colon is an obstinate beast.  It likes to have its own way and will not work to your order.  The more you try to bend it to your … Continue reading

November 2, 2016 · 2 Comments

When fat intolerance becomes Sphincter of Oddi Dysfunction.

  Mary has had constipation-predominant IBS for most of her adult life.  She also has severe intolerance to fats and more recently a lot of other foods, which give her … Continue reading

September 24, 2016 · 3 Comments

Nothing in, nothing out: but is there more to constipation?

Doctors tend not to consider IBS a serious condition; that would be a mistake.  Although most people seem to cope with the occasional inconvenience of it and live a normal … Continue reading

September 9, 2016 · 1 Comment

IBS: How can diarrhoea and constipation coexist in the same illness

This is one of the biggest mysteries of IBS.  Alternating diarrhoea and constipation is a well known subset of IBS, but it is not always balanced.  Many people with diarrhoea … Continue reading

August 12, 2016 · 2 Comments

Stool Gazing: A Definitive Guide.

In the nineteen sixties before the age of scans and blood tests for everything, medical students were drilled on in the arts of history taking and clinical examination.  Xrays and … Continue reading

August 8, 2016 · 9 Comments

The meaning of constipation

So why do people get constipated?  Is it all due to the diet; not enough fruit, vegetables or cereal fibre?  Do they have a disease affecting the motility of the … Continue reading

January 10, 2016 · 2 Comments

Health anxiety and morbid thoughts; the trap of IBS.

‘What life is it if you are constantly afraid of dying?’  I asked Tom. He had been  coming to see me for years, always with a new set of symptoms: … Continue reading

November 26, 2015 · 5 Comments

Sex and The Irritable Bowel

‘My IBS seems to flare up after I have had intercourse.  It has put me off the whole idea of sex. How can I deal with this?’   Sex and food … Continue reading

November 11, 2015 · 8 Comments

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