Скачать или смотреть Best IBS Remedies & Treatment | Probiotics & Gut Health - Dr. Rajasekhar M R | Doctors' Circle

Registration No: 47861 Karnataka Medical Council, 1997
Dr. Rajasekhar M R | Phone 📞 +919448311802 (Online & in-person appointment can be booked online or by call) | Consultant Colorectal Surgeon and Proctologist | Chirag Global Hospital, JP Nagar 2 Phase, Bangalore, India
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Let us know the role of probiotics. Now that is one of the things which is making waves in medical gastroenterology, probiotics. So we have gut bacteria, which are helpful for us. Not all bacteria are harmful. In fact, most of the bacteria are helpful. Without them, we cannot survive. If you are living happily and having a good life, healthy life, it is because of both intestinal helpful bacteria and there are millions of bacteria on the skin which are doing the job, cleaning and maintaining the health, health of the skin, health of the intestines. So they are very, very useful. So when we are using too much of antibiotics, so many other drugs we are using, they can disturb this bacterial milieu, bacterial patterns which are there in the intestines. This is very, very important, and now we know the importance of this. So probiotics and prebiotics are used. So we use certain bacteria, which are the spores of the bacteria, in a capsule form or in a sachet form. We will be giving them. So those spores will develop into helpful bacteria. There is a lot of research going on in this, and certain bacteria which are useful, the combination of those bacteria is used to make the intestinal content, again, intestinal flora, we call it, intestinal flora, normal flora better. So in both IBS and IBD, this has been tried, and it is giving good results. In fact, now we are using even faecal transplant. There is something called faecal transplant. A normal person's faeces we collect, we process it and then put it into the large intestine. So that is giving very good results both in IBD and probably in IBS. We have not tried in IBS. So these are some of the new dimensions of treatment in IBS and IBD. Is there any difference in the treatment of IBS and IBD? Yes. IBS is a disease which is more or less a symptomatic disease, which has more symptoms, and then we can treat it symptomatically, and also we can treat it by lifestyle changes and food, all those things. Whereas IBD is a disease, a proper disease which has to be treated with medicines. So in IBD we usually use some anti-inflammatory agents, local anti-inflammatory agents, some tablets or what we call suppositories, from the anal canal we introduce. So that will help in reducing the inflammation, and then there are some that suppress the inflammation using immunomodulators. So the injectable forms are available, oral forms are available. There are new medicines which will improve the IBD. Steroids when it is in the acute phase, when it is causing a lot of trouble, when the disease is severe, that time we use steroids to suppress the inflammation there. So IBD treatment is totally different. In IBD, in ulcerative colitis, there is something called pancolitis, where it is affecting the whole large intestine, and the patient is suffering a lot. So then we can, we will totally remove the whole large intestine. So they will get rid of the disease. It is cured of the disease. So these are all different approaches for treating the IBD. Whereas in IBS, there is no surgery, there is no medical treatment per se, except for a change in lifestyle and symptomatic treatment. If there is diarrhoea, we give tablets to reduce the bowel movements. If there is pain, we will give some antispasmodics. Or if the bowel movement is weak, then we will give some what we call prokinetics, which will improve the bowel movement. These are totally different; this is a completely different sort of treatment.

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