Posts Tagged ‘infections’

Irritable bowel syndrome (IBS)

Thursday, January 14th, 2010

Irritable bowel syndrome otherwise called IBS is a common medical condition affecting the lower bowel in 1 in 5 young adults. Females are especially prone to IBS which presents with one or more of 3 cardinal symptoms:

A. Abdominal pain and spasm which eases when emptying the bowels.

B. Bloating, fullness on eating and abdominal distension with wind.

C. Change in bowel habit with passage of frequent loose mucus-laden stools (an enhanced gastro colic reflex), often alternating with episodes of constipation.

Other more serious bowel conditions such as food allergies, inflammatory colitis, stomach ulcers, intestinal infection and coeliac disease may cause similar but more intense symptoms, and will need to be excluded by testing. A few simple blood tests undertaken by your GP (such as ESR, CRP, FBC) will exclude colitis or gut infection, while specific IgE allergy testing will identify food allergy and coeliac screening measuring Tissue Transglutaminase antibodies will exclude gluten intolerance. Certain non-specific food intolerances may be triggers for IBS and these include excess fruit intake, wheat, dairy produce, onions, excess tea, coffee, alcohol and highly insoluble dietary fibre such as bran, all of which may exacerbate IBS symptoms. The artificial sweetener Sorbitol and processed starch in ready meals may also promote IBS. While emotional stress, masked depression and missed or erratic meals may also be triggers, whereas taking a regular Probiotic supplement (Acidophilus GG) and drinking plenty of filtered water every day may calm the symptoms.

Discuss any concerns you might have regarding food allergies, intolerance or colitis with your GP, Practice Nurse or a qualified Dietician.

http://www.nice.org.uk/guidance/index.jsp?action=byID&o=11927

Home hygiene, infections and allergies

Thursday, November 12th, 2009

A recent study on children attending day care or nurseries by de Jongste in the American Thoracic Society journal cast some doubt on the so-called Hygiene Hypothesis for allergy development. The Hygiene Hypothesis notion that farm animal faeces exposure and childhood infections will prevent allergies has been promoted for decades.  The hygiene hypothesis essentially links a more clean and sterile home environment with the overall rise in allergies seen in many developed Western counties.  Poor living conditions with early exposure to germs, infections and parasites seem to shift the infant’s immune system into survival mode (TH1) and away from allergy mode (TH2) when allergy testing. However this immune switching probably occurs very early in the first few months of life. Therefore as mentioned in the American study, day care centre exposure and subsequent childhood infections may have little impact on allergy development. Particularly if the child attends a day-centre after one year of age when their immune type  reactivity is more established.  It still seems likely that a germ-filled household with difficult living conditions and plenty of sickly older siblings will be more protective from allergies while a sterile, insular environment in early infancy seems to promote allergies.

http://news.bbc.co.uk/2/hi/health/8241774.stm