Colon irritabile cos'è, spiegato bene, sintomi e cure su Elisir RAI TRE

Find more information on nutrition, health, and products at WWW.KEFIR.IT Discover all our products: kefir, water kefir, yogurt, kombucha, fermented foods, smoothies, herbal remedies, and much more. Professor Silvio Danese, director of the Gastroenterology and Digestive Endoscopy Unit at IRCCS San Raffaele Hospital, answers your questions. How is irritable bowel syndrome treated? The therapeutic strategy for irritable bowel syndrome is primarily based on treating the symptoms reported by the patient, as the underlying cause is often unknown. Therefore, it is not possible to definitively treat the disorder or use a single treatment that works for all patients. The approach is based on: Adequate nutrition and lifestyle education. Irritable bowel symptoms are often associated with the consumption of certain foods, which patients tend to exclude from their diet. Dietary changes must be made under medical/nutritional supervision to avoid risk and evaluated based on symptoms. Where traditional dietary advice fails, a nutritionist may recommend following a low-FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) diet. This includes foods containing poorly absorbable sugars that are highly fermentable, attract water into the intestine, and are difficult to digest. This diet is associated with a significant reduction in overall symptoms. However, excessive and prolonged FODMAP restriction can lead to nutritional deficiencies. The low-FODMAP diet should involve three phases: replacing high-FODMAP foods, gradually reintroducing foods into the diet based on symptom progression, and customizing the diet to avoid foods that trigger symptoms. Proper hydration and appropriate physical activity. Use of soluble fiber (e.g., psyllium), osmotic laxatives (e.g., PEG), or secretagogues (e.g., linaclotide) in patients with constipation as the predominant symptom. Use of probiotics (lactose-producing bacteria), non-absorbable antibiotics such as rifaximin (to reduce intestinal fermentation and/or if bacterial contamination is suspected), and antidiarrheal drugs such as loperamide (to be used with caution and under medical supervision) in patients with diarrhea as the predominant symptom. Antispasmodic drugs to relieve intestinal pain and spasms. They also have an anti-bloating effect, but if taken in high doses, they can worsen constipation. Antidepressant drugs or gut-brain neuromodulators to relieve overall symptoms and abdominal pain. Psychological therapy to improve overall symptoms and quality of life. How can irritable bowel syndrome be prevented? Rather than preventing the syndrome, we can focus on preventing symptom flare-ups. To this end, it's important to first accept the disorder and live with it, learning to recognize those events and factors that worsen symptoms. This not only allows for early intervention, taking any medications prescribed by your doctor when symptoms appear, but also helps to avoid, as much as possible, the situations that trigger the development of symptoms, especially when related to stressors.