* DO YOU NEED TO SPEAK TO SOMEONE WHO CAN OFFER YOU A SOLUTION?
* THEN YOU NEED TO SEE SOMEONE PROFESSIONAL WHO IS CAPABLE OF GIVING YOU CORRECT, SOUND ADVICE REGARDING YOUR DIET, AS WELL AS OFFERING YOU SAFE AND EFFECTIVE TREATMENT.
Irritable bowel syndrome: Dietary modifications, fibre, probiotics and herbal medicine for the common complaint are reviewed by John D McGuire and Philip A Towers.
Irritable bowel syndrome (IBS) is a common, debilitating, multifactorial, functional gastrointestinal disorder where a definitive aetiology has not been established and no uniformly successful treatment exists. The condition is very prevalent in developed countries with IBS symptoms experienced by 8-22% of the population1. IBS thus poses a significant economic burden on the community as well as the individual.
IBS is characterised by a combination of symptoms and signs, such as abdominal pain, constipation (IBS-C), diarrhoea (IBS-D) — or alternating between both (IBS-A) — a noted change in both the frequency and consistency of stools, rectal mucus due to hypersecretion of colonic mucus, dyspeptic symptoms including anorexia, flatulence, gastro-oesophageal reflux (GOR) and nausea, and an emotional component where anxiety and/or depression are often noted. Abdominal pain is often relieved following defecation.
For Your Complementary and Traditional Medicine/Naturopathic Consultation in Sydney:
York City Health and Natural Therapies Centre
Suite 605, Level 6, 45 Market Street, Sydney CBD
Phone:(02)9264-1910.
FAX:(02)9264-8211.
Mobile:(0418) 292 809.
Why choose John D. McGuire as your qualified complementary and traditional medicine practitioner for your health care?
1. John D. McGuire has been in private practice for over 31 years.
2. He is highly qualified, holding a master's degree (with distinction) in complementary medicine.
3. He will prescribe 'tailor made medications' according to your needs.
4. As he is involved in research on a weekly basis, he is up to date in both the latest medical and natural research findings.
5. Australia has strict protocols for the manufacture of natural medicines and these are made to the 'Code of Good Manufacturing Practice' which is controlled by the Therapeutic Goods Administration. John D. McGuire only makes and uses medications that fully comply with this code.
6. Find out why 92% of John D. McGuire's patients have been recommended to his practice by other satisfied patients.
Place yourself in safe trained hands
John D. McGuire
University Masters Degree (with Distinction) in Complementary Medicine.
DBM, ND, DHT, DH Pharm (Post Grad), BHlthSc (Comp Med), MHlthSc with Distinction(Comp Med), MATMS, MCMPAC, MNHAA.
Provider No. ATMS0484HN
Health Scientist / Complementary and Traditional Medicine Specialist.
York City Health And Natural
Therapies Centre:
Phone:(02)9264-1910
FAX:(02)9264-8211
Mobile:(0418) 292 809
Specialising in Naturopathy/Complementary
and Traditional Medicine (John McGuire is a registered provider with all private health funds)
• Naturopathy
• Herbal Medicine
• Homoeopathy
• Nutritional Counselling/ Dietetics
York City Health is conveniently located just 4 minutes walk from Town Hall Station at:
The Gowings Building (Corner of George and Market Streets), Suite 605, Level 6, 45 Market Street, Sydney NSW 2000.
Phone:(02)9264-1910
FAX:(02)9264-8211
Mobile:0418 292 809
Consulting Hours (By appointment only):
MON 8:00 am to 1:00 pm/3:00 pm to 5:30 pm.
TUE 8:00 am to 1:00 pm/3:00 pm to 5:30 pm.
WED 8:00 am to 1:00 pm/3:00 pm to 5:30 pm.
THU 8:00 am to 4:00 pm
(For further information on Mr. John McGuire's professional background, please see end of this article)
Although some genetic predisposition may exist for IBS, no biological marker exists and diagnosis is now usually based on symptoms meeting the Rome II criteria. Originally, diagnosis for IBS was made based on the Rome I Criteria. This previous criteria specified that there should be at least 3 months of abdominal pain, either continuous or recurrent, that is relieved by defecation &/or is associated with either a change in the frequency or consistency of the stool. Conversely, the Rome II Criteria differs from that of the Rome I in that it specifies that the abdominal pain should be present either continuously, or recurring for a period of 12 weeks or >. Both the Rome I & Rome II Criteria are consistent in their description of what constitutes accompanying symptoms, i.e., relief of abdominal pain following defecation, &/or associated changes in both the frequency & consistency of the stool, but the Rome II Criteria is more specific in stipulating that at least 2 of these accompanying symptoms must be noted, along with abdominal pain. Although the Rome I Criteria was also quite detailed in specifying that an individual had to have 2 or more associated symptoms of IBS, e.g., altered stool frequency of more than 3 per day or < 3 per week; abdominal distension; bloating; passage of mucus, etc, > 25% of the time, the newer Rome II Criteria has helped in simplifying the diagnosis of IBS. Where patients are <45 years of age, & they meet three or more of the Rome II diagnostic criteria (without ominous symptoms), a confident diagnosis can be provided without the need for invasive testing.
It has also been suggested that IBS is a psychosomatic illness; although the evidence for this appears to be equivocal, IBS patients have been found to have significantly higher scores on the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI). From a study conducted at the Centre for Stress and Anxiety Disorders (the University at Albany), IBS patients successfully treated with cognitive and behavioural procedures showed significant reductions in both BDI and STAI scores2.
Pathophysiology
IBS can develop from a number of different mechanisms. Several have been proposed, including abnormal colonic fermentation or gallbladder motility; altered microbial flora; anxiety/depression; bacterial gastroenteritis; an exaggerated sensory component of the gastrocolonic response; food allergy, intolerance or sensitivity; gastro-oesophageal reflux; impaired transit time or tolerance of intestinal-gas loads; increased gut sensitivity; low-grade mucosal inflammation; motility disorder; myenteric plexus neuronal degeneration; oxytocin-increased thresholds for visceral perception; rectal hypersensitivity; and visceral hypersensitivity.
Irrespective of the mechanism by which IBS develops, symptoms typically relate to altered gut motility, resulting in abnormal transit of gas and stool.
Conventional treatment
Conventional drug therapy involves the prescribing of antispasmodics/anticholinergics (used in the treatment of gastrointestinal spasm), antidiarrhoeals, laxatives, serotonin receptor agonists (for IBS-C), serotonin-receptor antagonists (for IBS-D) and SSRIs for associated anxiety, depression, obsessive-compulsive behaviour and panic disorders. These drugs typically have wide-ranging side-effects; however, their actions and adverse reactions are beyond the scope of this review. There does not appear to be any universal agreement in the management of IBS. With regards to a conventional approach and patient education, if advice is offered, most are only advised to increase their dietary fiber intake (e.g., wheat bran) or in addition, supplement with say, ispaghula or psyllium husks. Some practitioners do however recognize the importance of stress management & counselling.
Diet
Most dietary studies relating to IBS have been observational, and only small proportions are randomised controlled trials. Nevertheless, they are useful in suggesting treatment options...........
* AS PART OF EACH CONSULTATION, MY PATIENTS RECEIVE A FREE FULL TEXT COPY (with 55 references) OF THIS SCIENTIFIC JOURNAL ARTICLE WHICH EXPLORES POSSIBLE FOOD TRIGGERS, TOGETHER WITH A SCIENTIFIC EXPLANATION AS TO THEIR POSSIBLE EFFECTS IN EXACERBATING IBS SYMPTOMS.
References
1 Spiller RC, et al. Irritable bowel or irritable mind? British Medical Journal 1994; 309(6969):1646
2 Blanchard Edward B, Scharff Lisa. Psychosocial Aspects of Assessment and Treatment of Irritable Bowel Syndrome in Adults and Recurrent Abdominal Pain in Children. Journal of Consulting and Clinical Psychology 2002; 70(3) :725-738
3 Dapoigny M, et al. Role of alimentation in irritable bowel syndrome. Digestion Basel 2003;67(4):225.
4 Hauschildt E. Exclusion diets have limited use in irritable bowel syndrome. J Hum Nut Dietet 2001;14:231–41.
5 Farthing MJG. Fortnightly review: Irritable bowel, irritable body, or irritable brain? BMJ 1995;310:171–5.
John D McGuire DBM, ND, DHT, DH Pharm (Post Grad), BHlthSc (comp med), MHlthSc with Distinstion (comp med), MATMS, MCMPAC, MNHAA, is a practicing naturopath/Health scientist, and a researcher at Charles Sturt University; In addition, he is Director of both York City Health, & SEARCH Scientific & Education.
Philip A Towers, BSc (Hons), MappSc., PhD, is a Senior Lecturer in Physiology at Charles Sturt University
About John McGuire
John McGuire graduated in medical herbalism in 1978 and naturopathy in 1979. His training and knowledge in both complementary medicine and the medical sciences has enabled him to successfully combine traditional medicine and modern scientific technique in his lecturing and practice. His diverse history in complementary medicine includes:
• Senior lecturer in herbal medicine and naturopathic clinic supervisor at the NSW College of Osteopathic and Natural Sciences (St. Leonards) Sydney 1980-1982
• Senior lecturer in symptomatology and diagnosis/pathology at Nature Care College (Chatswood) Sydney 1982-1983
• Vice President of The National Herbalist Association of Australia 1982
• Guest lecturer to The Australian Pharmaceutical Industry 1982
• Tutor NSW University 1982-1983
• Lecturer in herbal medicine at The Southern Cross herbal School (Glebe) Sydney 1982-1983
• Consulting editor in herbal medicine for both Nature and Health, and Australian well-being Magazine
1983-1984
Consultant for Blackmore’s Professional Services
1985-1986
• Dean of The Australasian College of Natural Therapies
and senior lecturer (Ultimo) Sydney 1984-1987
• Senior lecturer in symptomatology and diagnosis/clinical methods/nutritional biochemistry/clinical chemistry/herbal pharmacology, and naturopathic clinic supervisor at Nature Care College (Artarmon) Sydney 1987-1989
• Senior lecturer in symptomatology and diagnosis for The Southern Cross Herbal School, (Gosford) NSW 1995
• Dean and senior lecturer in herbal pharmacology and drug interaction for SEARCH Scientific and Education (Killara and Chatswood) Sydney 1989-1996
• Honorarium, Novogen Women’s Health and Advisory Board, Sydney 2001-2003
• Conducting ongoing research into irritable bowel syndrome at Charles Sturt University (Albury, Bathurst, and Wagga Wagga campuses) 2001-2007
• Publishing scientific articles on irritable bowel syndrome from 2005
*Completed his university dissertation on irritable bowel syndrome 2007
. Continued lecturing on his scientific research into IBS 2005-2009
For more than 31 years John has devoted his life to practicing traditional medicine, lecturing, research, and publishing scientific papers. His teaching posts have enabled him to educate both students, and a vast number of professionals (engaged in post-graduate training). These include biochemists, dieticians, doctors, herbalists, naturopaths, nurses, pharmacists, professors, etc.
His teaching and practice style encompasses a bipartisan approach utilising Western medical diagnostics and natural therapies (herbal medicine, homoeopathy, and nutrition) as the choice of treatment. Treatments are provided for a wide variety of disorders such as, environmental allergies, anxiety and stress disorders, men’s health, menopausal problems, skin and respiratory problems, gastro-intestinal disorders, e.g., irritable bowel syndrome, etc.
York City Health and Natural Therapies Centre strive to ensure that every patient is well informed and cared for throughout their treatment program. Whilst under the care of Mr.McGuire, he is contactable from 9:00am-6:00pm Monday to Saturday.
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