Highly Effective Solutions For Irritable Bowel Syndrome. Here's what can help: Acupuncture. When people with irritable bowel syndrome supplemented conventional treatments with acupuncture, 4. Tamalonis, Psy. D, a New York clinical psychologist and hypnotherapist. Because of this, researchers are now investigating antibiotic treatments. In a 2. 01. 1 study at Cedars- Sinai Medical Center in Los Angeles, 4. She recommends one capsule daily of a clinically studied probiotic such as Align, Ganeden Digestive Advantage, or Culturelle. Diet. Caffeine, soda, beer, high fructose corn syrup, artificial sweeteners, processed snacks such as chips and crackers, and cruciferous vegetables (think broccoli, cabbage, and cauliflower) can all aggravate IBS symptoms. She suggests eating foods that are easier to digest: egg whites, fish, pureed vegetable soups, and oatmeal with berries, for example. Lactose intolerance is often misdiagnosed as IBS, so you can also try cutting out all dairy for 2 weeks and see if your symptoms improve. MORE: 9 Secrets For Great Digestion. Stress management. Everyday upsets, turmoil, and irritations don't actually cause IBS, but if you already have the condition, these stresses can frequently make it worse, says Schoenfeld. Since there are so many neural connections between your gut and your brain, feeling psychologically or emotionally tense can stimulate colon spasms. Small wonder that many traditional techniques for coping with stress—relaxation therapy, mindfulness training, and cognitive behavioral therapy, to name just a few—have been shown to help lessen IBS symptoms too, according to Frissora. Exercise. A bike ride or jog could reduce your IBS symptoms as much as it does your waistline, since aerobic activity decreases stress, makes the colon muscles work better, and helps move gas through the GI tract faster. That's why when IBS patients in a 2. Swedish study increased their regular exercise to between 2. If you have not tried making your own salve, you really should. DIY Miracle Healing Salve Peppermint. There's long been solid research that peppermint oil capsules relieve IBS pain, but Australian scientists recently unlocked the mystery of how: They found that the fresh- tasting herb activates an . You'll get a terrible taste, even heartburn. If you get constipation, take 1 tablespoon a day (more than that can cause bloating) of a fiber supplement such as Metamucil or Citrucel mixed with 8 ounces of water. For diarrhea, try Imodium, which slows muscle squeezing in the colon. Serotonin, a neurotransmitter that affects mood, also plays an important role in digestion—in fact, about 8. Different antidepressants affect the bowels in different ways, Frissora warns, so it's important to match your symptoms with the right prescription. If you have IBS- D, a low dose of a tricyclic (such as Norpramin) may help. If you have IBS- C, an SSRI like Celexa is a better bet. Possible side effects include weight gain and sexual dysfunction. Rx drugs. To date, three drugs have been FDA approved specifically for IBS. The most recent addition, approved last summer, is Linzess, which can treat IBS- C by increasing the frequency of bowel movements. Taken once a day on an empty stomach, it may also help ease abdominal pain. Patients with IBS- C can also try Amitiza, which increases fluid secretion in the small intestine to loosen stool; possible side effects include nausea and diarrhea. The third drug, Lotronex, which is designed to treat diarrhea by relaxing the colon, was actually taken off the market in 2. The FDA has now reinstated it—but only if prescribed by specially approved doctors after other treatments have failed for women with very severe cases of IBS- D. Cervical cancer - Treatment - NHS Choices. Treatment for cervical cancer depends on how far the cancer has spread. Acupuncture When people with irritable bowel syndrome supplemented conventional treatments with acupuncture, 49% got relief for up to a year from symptoms like pain. Sign up for our newsletter Get health tips, wellness advice, and more. Yellow fever is a viral infection transmitted by a bite from infected mosquitoes most commonly found in parts of South America and Africa. When transmitted to humans. These 7 foods ease indigestion and stomach pains and get you on the road to recovery faster. As cancer treatments are often complex, hospitals use multidisciplinary teams (MDTs) to treat cervical cancer and tailor the treatment programme to the individual. MDTs are made up of a number of different specialists (see below) who work together to make decisions about the best way to proceed with your treatment. Your cancer team will recommend what they think the best treatment options are, but the final decision will be yours. In most cases, the recommendations will be: early cervical cancer – surgery to remove some or all of the womb, radiotherapy, or a combination of the two advanced cervical cancer – radiotherapy and/or chemotherapy, although surgery is also sometimes used The prospect of a complete cure is good for cervical cancer diagnosed at an early stage, although the chances of a complete cure decrease the further the cancer has spread. In cases where cervical cancer isn't curable, it's often possible to slow its progression, prolong lifespan and relieve any associated symptoms, such as pain and vaginal bleeding. This is known as palliative care. The different treatment options are discussed in more detail below. Removing abnormal cells. If your screening results show that you don't have cervical cancer, but there are biological changes that could turn cancerous in the future, a number of treatment options are available. These include: large loop excision of the transformation zone (LLETZ) – the abnormal cells are cut away using a fine wire and an electrical current cone biopsy – the area of abnormal tissue is removed during surgery laser therapy – a laser is used to burn away the abnormal cells Read more about treating abnormal cells in the cervix. Surgery. There are three main types of surgery for cervical cancer. They are: radical trachelectomy – the cervix, surrounding tissue and the upper part of the vagina are removed, but the womb is left in place hysterectomy – the cervix and womb are removed; depending on the stage of the cancer, it may also be necessary to remove the ovaries and fallopian tubes pelvic exenteration – a major operation in which the cervix, vagina, womb, bladder, ovaries, fallopian tubes and rectum are removed Radical trachelectomy. A radical trachelectomy is usually only suitable if cervical cancer is diagnosed at a very early stage. It's usually offered to women who want to preserve their child- bearing potential. During the procedure, the surgeon will make a number of small incisions (cuts) in your abdomen. Specially designed instruments will be passed through the incisions and used to remove your cervix and the upper section of your vagina. Lymph nodes from your pelvis may also be removed. Your womb will then be reattached to the lower section of your vagina. Compared with a hysterectomy or pelvic exenteration, the advantage of this type of surgery is that your womb remains intact, which means that you may still be able to have children. However, it's important to be aware that the surgeons carrying out this operation can't guarantee you'll still be able to have children. If you do have children after the operation, your child would have to be delivered by caesarean section. It's also usually recommended that you wait 6 to 1. Radical trachelectomy is a highly skilled procedure. It's only available at a number of specialist centres in the UK, so it may not be available in your area and you may have to travel to another city to be treated. Hysterectomy A hysterectomy is usually recommended for early cervical cancer. This may be followed by a course of radiotherapy to help prevent the cancer coming back. Two types of hysterectomies are used to treat cervical cancer. They are: simple hysterectomy – where the cervix and womb are removed and, in some cases, the ovaries and fallopian tubes are also removed; this is only appropriate for very early stage cervical cancers radical hysterectomy – where the cervix, womb, surrounding tissue and lymph nodes, ovaries and fallopian tubes are all removed; this is the preferred option in advanced stage one and some early stage two cervical cancers Short- term complications of a hysterectomy include infection, bleeding, blood clots and accidental injury to your ureter, bladder or rectum. The risk of long- term complications is small, but they can be troublesome. They include: the risk that your vagina can become shortened and drier, which can make sex painful urinary incontinenceswelling of your arms and legs, caused by a build- up of fluid (lymphoedema) your bowel becomes obstructed because of a build- up of scar tissue – this may require further surgery to correct As your womb is removed during a hysterectomy, you'll no longer be able to have children. If your ovaries are removed, it will also trigger the menopause if you haven't already experienced it. See complications of cervical cancer for more information about the menopause. Pelvic exenteration. A pelvic exenteration is a major operation that's usually only recommended when cervical cancer returns after what was thought to be a previously successful course of treatment. It's offered if the cancer returns to the pelvis, but hasn't spread beyond this area. A pelvic exenteration involves two phases of treatment: the cancer is removed, plus your bladder, rectum, vagina and the lower section of your bowel two holes called stomas are created in your abdomen – the holes are used to pass urine and faeces out of your body into collection pouches called colostomy bags Following a pelvic exenteration, your vagina can be reconstructed using skin and tissue taken from other parts of your body. This means you'll be able to have sex after the procedure, although it may be several months until you feel well enough to do so. Radiotherapy. Radiotherapy may be used on its own or combined with surgery for early stage cervical cancer. It may be combined with chemotherapy for advanced cervical cancer, where it can be used to control bleeding and pain. There are two ways that radiotherapy can be delivered. These are: externally – a machine beams high- energy waves into your pelvis to destroy cancerous cells internally – a radioactive implant is placed inside your vagina and cervix In most cases, a combination of internal and external radiotherapy will be used. A course of radiotherapy usually lasts for around five to eight weeks. As well as destroying cancerous cells, radiotherapy can sometimes also harm healthy tissue. This means it can cause significant side effects many months, and even years, after treatment. However, the benefits of radiotherapy often tend to outweigh the risks. For some people, radiotherapy offers the only hope of getting rid of the cancer. Side effects of radiotherapy are common and can include: diarrhoeapain when urinating bleeding from your vagina or rectum feeling very tired (fatigue) feeling sick (nausea) sore skin in your pelvis region similar to sunburn narrowing of your vagina, which can make having sex painful infertilitydamage to the ovaries, which will usually trigger an early menopause (if you haven't already experienced it) bladder and bowel damage, which could lead to incontinence Most of these side effects will resolve within about eight weeks of finishing treatment, although in some cases they can be permanent. It's also possible to develop side effects several months, or even years, after treatment has finished. If infertility is a concern for you, it may be possible to surgically remove eggs from your ovaries before you have radiotherapy, so that they can be implanted in your womb at a later date. However, you may have to pay for this. It may also be possible to prevent an early menopause by surgically removing your ovaries and replanting them outside the area of your pelvis that will be affected by radiation. This is known as an ovarian transposition. Your MDT can provide more information about the possible options for treating infertility and whether you're suitable for an ovarian transposition. Chemotherapy. Chemotherapy can be combined with radiotherapy to try to cure cervical cancer, or it can be used as a sole treatment for advanced cancer to slow its progression and relieve symptoms (palliative chemotherapy). Chemotherapy involves using either a single chemotherapy medication called cisplatin or a combination of different chemotherapy medications to kill the cancerous cells. Side effects are therefore common and can include: nausea and vomiting diarrhoea feeling tired all the time reduced production of blood cells, which can make you feel tired and breathless (anaemia) and vulnerable to infection because of a lack of white blood cells mouth ulcers loss of appetite hair loss – your hair should grow back within three to six months of your course of chemotherapy being completed, although not all chemotherapy medications cause hair loss Some types of chemotherapy medication can damage your kidneys, so you may need to have regular blood tests to assess the health of your kidneys. Follow- up. After your treatment has been completed and the cancer has been removed, you'll need to attend regular appointments for testing. This will usually involve a physical examination of your vagina and cervix (if it hasn't been removed). As there's a risk of cervical cancer returning, these examinations will be used to look for signs of this. If anything suspicious is found, a further biopsy can be carried out. If cervical cancer does return, it usually returns around 1. Follow- up appointments are usually recommended every four months after treatment has been completed for the first two years, and then every six to 1.
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June 2017
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