Meal Plan Breakfast High fibre cereal + skimmed milk and 1-2 slices bread +spread 200ml fruit

juice` weak tea/coffee Mid-morning2-3 pcs. Of biscuits Banana Drink: 2-3 glasses of water LunchSandwich: bread + cheese or slice chicken/ham or tuna in low fat natural yoghurt. 4-5 rye of oatmeals Small portion of raw carrot / cucumber Low fat yoghurt Drink water Mid-afternoon2-3 servings of oatmeal Peeled apple / pear Mug weak tea/coffee Evening MealChicken breast or fish and rice or sweet potato and large serving of cooked veg Evening1-2 slices wholemeal bread, toasted with olive oil-based spread and smooth peanut butter Drink water

Irritable bowel syndrome (IBS or spastic colon) is a diagnosis of exclusion. It is a functional bowel disorder characterized by chronic abdominal pain, discomfort, bloating, and alteration of bowel habits in the absence of any detectable organic cause. In some cases, the symptoms are relieved by bowel movements. Diarrhea or constipation may predominate, or they may alternate (classified as IBSD, IBS-C or IBS-A, respectively). IBS may begin after an infection(post-infectious, IBS-PI), a stressful life event, or onset of maturity without any other medical indicators.

Several conditions may present as IBS including coeliac disease, fructose malabsorption, mild infections, parasitic infections like giardiasis, several inflammatory bowel diseases, functional chronic constipation, and chronic functional abdominal pain. In IBS, routine clinical tests yield no abnormalities, although the bowels may be more sensitive to certain stimuli, such as balloon insufflation testing. The exact cause of IBS is unknown. The most common theory is that IBS is a disorder of the interaction between the brain and the gastrointestinal tract, although there may also be abnormalities in the gut flora or the immune system.

Symptoms Abdominal pain Diarrhea Constipation Urgency for bowel movements Feeling of incomplete evacuation (ttenesmus) Bloating or abdominal distention

Causes: Researchers have yet to discover any specific cause for IBS. One theory is that people who suffer from IBS have a colon, or large intestine, that is particularly sensitive and reactive to certain foods and stress. The immune system, which fights infection, may also be involved.

Over eating

What is the treatment for IBS? Medications are an important part of relieving symptoms. Your doctor may suggest fiber supplements or laxatives for constipation or medicines to decrease diarrhea, such as Lomotil or loperamide (Imodium). An antispasmodic is commonly prescribed, which helps to control colon muscle spasms and reduce abdominal pain. Antidepressants may relieve some symptoms. However, both antispasmodics and antidepressants can worsen constipation, so some doctors will also prescribe medications that relax muscles in the bladder and intestines, such as Donnapine and Librax. These medications contain a mild sedative, which can be habit forming, so they need to be used under the guidance of a physician.

diet changes medicine stress relief

Some foods and drinks make IBS worse. Foods and drinks that may cause or worsen symptoms include 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. Examples of foods with fiber include Fruits -apples, peaches Vegetables broccoli (raw) cabbage carrots (raw) Breads, -whole-grain bread -whole-grain cereal

1. Describe the characteristics of IBS to Marcy and indicate the role that stress might play in her illness. The characteristics of IBS to Marcy are the ff: Abdominal pain Cramping Frequent bouts of diarrhea Stress response, also known as the fight or flight response, appears to have developed so as to allow us to respond to life threatening situations in a way that could minimize our chances for survival. The stress response is a complicated process. It involves our nervous and endocrine systems and it stimulates changes in a variety of body processes, including blood pressure, heart rate, muscle tension and bowel functioning. It is the changes in bowel functioning that tie the stress response and IBS.

2. Explain how the record of food intake and symptoms might be helpful in clevising an appropriate diet plan for Marcy. Are any of the foods in Marcys diet likely to be aggrevating her symptoms? Large meals can cause cramping and diarrhea, so eating smaller meals more often, or eating smaller portions, may help IBS symptoms. Spicy foods causes diarrhea in many people like Marcy. Acid foods tend to irritate the intestines more than basic foods do.

Dietary Modifications High-fiber diets

Rationale keep the colon mildly distended, which may help prevent spasms

Drinking six to eight glasses of plain To avoid dehydration water a day Avoid carbonated beverages may result in gas and cause discomfort Fat increases peristaltic movement which can cause diarrhea.

Low fat consumption