Gut Week 2015: Everything You Need To Know About IBS, Bloating And Leaky Gut Syndrome

Common Digestion Questions Answered For Gut Week 2015
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Millions of Brits experience digestive problems each year – from bloating and constipation to indigestion and irregular bowel movements.

Yet all too often, we suffer in silence.

This year’s Gut Week aims to break the ‘Poo Taboo’ by educating the public about gut health and ending any embarrassment associated with some of the UK’s most common complaints.

To get the conversation started, we asked Dr Helen Webberley from Oxford Online Pharmacy to give us the low-down on some of the most Googled conditions.

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What Is It?

"Bloating is a common sensation of abdominal discomfort, with a feeling of fullness and some visible distension of the abdomen," Dr Webberley says.

Symptoms may also include excess wind production (flatus) and severe pain in the abdomen caused by wind (colic).

What Causes It?

Bloating is commonly associated with constipation, acid reflux and Irritable Bowel Syndrome (IBS).

"It can also be associated with less common conditions such as lactose intolerance, peptic ulcer disease, inflammatory bowel disease and coeliac disease," Dr Webberley adds.

How Is It Treated?

One of the easiest ways to improve this condition is to identify foods that initiate bloating, then exclude them from your diet safely with the help of a dietitian.

"Anti-spasmodic drugs such as Mebeverine may also help" says Dr Webberley.

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What Is It?

IBS is the most commonly presented condition relating to abdominal discomfort Dr Webberley sees as a GP.

"The condition is often diagnosed when there is no obvious abnormality detectable in the bowel and usually arises from incoordination of bowel motility," she says.

The condition is characterised by:

- Diarrhoea, constipation or both

- Abdominal bloating and distension

- Mucus production

- Acid reflux

- It can be associated with bladder instability and frequency

What Causes It?

"IBS is aggravated by stress, mental illness, poor sleep pattern (shift work etc) and chronic pain," Dr Webberley says.

How Is It Treated?

No single treatment has been identified as being effective for treating IBS, although the condition may be helped by dietary exclusion.

Dr Webberley adds: "Stress management, acupuncture, psychotherapy, anti-spasmodic drugs (such as Mebeverine) and low dose tricyclic antidepressants can also help."

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What Is It?

According to the NHS, Leaky Gut Syndrome is a proposed condition and is only recognised by some health practitioners.

Those who recognise Leaky Gut Syndrome as a condition say it is caused by the immune system reacting to germs, toxins or other substances that have been absorbed into the bloodstream via a porous ("leaky") bowel.

Dr Webberley says Leaky Gut Syndrome "is not evidence-based, nor is it recognised as a real condition by gastroenterologists".

"The main exponents of the condition are largely untrained practitioners such as nutritionists and alternative medicine practitioners," she adds.

"Supposedly, the condition is characterised by increased gut permeability to toxins causing conditions such as chronic fatigue syndrome, fibromyalgia and even multiple sclerosis."

How Is It Treated?

According to Dr Webberley, those diagnosed with Leaky Gut Syndrome tend to be treated with alternative medicine products and dietary exclusion.

Healthy Foods For Your Gut
Water And Fruit Juices(01 of08)
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"These will all help the contents of the gut to stay moist and prevent constipation. All cells function more efficiently when they are properly hydrated," says Karen Poole.
Fresh Coconut(02 of08)
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Alice Mackintosh swears by coconut. "Coconuts contain beneficial fats, some of which have been found to help support the immune system in the gut. "Lauric acid in particular has been found to have anti-bacterial, anti-viral and anti-fungal actions, helping to fight off occasional stomach upsets. I recommend snacking on fresh coconut fruit which can be bought from many supermarkets."
Kale Chips(03 of08)
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A great alternative to crisps, Alice says: "Inflammation in the gut can disrupt its function, and some foods can be quite pro-inflammatory (meat, refined carbs and sugar). "Kale and other green leafy vegetables are anti-inflammatory, whilst also being rich in nutrients, antioxidants and fibre, making them an ideal gut supporting snack."
Fruits And Vegetables(04 of08)
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A really good salad for the gut, says Karen is broad beans, rocket and tomatoes. Loveyourgut.com says: "Rich in essential vitamins, minerals and fibre, ensuring you have five fruit and vegetables a day can make a big difference to your diet. "Experts believe eating five or more daily servings can help ward off cancer, heart disease and strokes and ideally by eating a wide variety – aim for a rainbow of different colours."
Natural Yogurt(05 of08)
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"There are trillions of bacteria living in the gut," says Alice, "and these are a fundamental component of a healthy digestive system. Imbalances in these bacteria can lead to bloating and indigestion, so top up the levels of beneficial bacteria with natural yoghurt. Aim for sugar/sweetener free types, and sweeten with immune supporting manuka honey or berries if you need to."Karen adds: "If you don't want dairy, try soy yogurt with raw oats topped with blueberries."
Apple Cider Vinegar(06 of08)
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Alice recommends apple cider vinegar to combat bloating. "It's also very supportive of the digestive system."
Ginger Tea(07 of08)
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"Ginger has long been heralded as a gut supporting food, primarily because it can trigger digestive processes and help prevent indigestion and bloating," says Alice. "It has also anti-inflammatory and contains healing anti-oxidants that support the gut structure. Have it fresh in hot water with lemon, or drink it as a tea."
Wholegrains(08 of08)
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"Rye bread with sliced avocado and crushed walnuts," is a great combination, says Karen Poole. "Fibre helps the gut to function normally by forming healthy stools and eliminate excess hormones."