Top Tweets for #BWHGIchat
The hour flew by! Thanks for inviting me! #BWHGIchat
Thank you all for joining us for #BWHGIchat on #IBS today! And extra thanks to @KateScarlata_RD for her expertise on diet and to @WalterChanMD!
It's important to educate individuals with #IBS on the many approaches for symptom mgmt and involve them in how they want to engage in treatment. Btw psychological approaches, diet, probiotics, medications etc. I think patient shared decision making is key. #BWHGIchat
@IBSpatient @KateScarlata_RD Absolutely agree! A collaborative effort between physicians and dietitians are important in managing #IBS! #BWHGIchat #WorldIBSDay
Thank you all for joining us for #BWHGIchat on #IBS today! And extra thanks to @KateScarlata_RD for her expertise on diet and to @WalterChanMD!
T6: It is important to explain that there are now many identified causes for #IBS - just because conventional testings are negative for other GI conditions does not mean that "it's all in the head". Empathy and understanding are important! #BWHGIchat #WorldIBSDay #LetsTalkIBS
Great chat everyone! Last topic:
T6: What is the best way to explain IBS to friends and family? How do you support a patient with IBS? #BWHGIchat #WorldIBSDay
Lifestyle changes may improve #IBS symptoms – moderate exercise, regular and good quality night sleep, diet, and stress reduction have all shown benefits as effective non-pharmacological treatments for IBS and other functional GI disorders. #BWHGIchat #WorldIBSDay
Active listening is extremely therapeutic and looking at the patient instead of the computer. #BWHGIchat
T5: Augmented practitioner-patient relationship also helps improve #IBS outcomes. Some features of an enhanced relationship:
-Warm, empathetic, confident
-Active listening
-Thoughtful silence (20 sec)
-Physical contact
-Increased time spent
#BWHGIchat #WorldIBSDay
T5: Psychological therapies have shown benefits in #IBS – meta-analysis shows cognitive behavioral therapy (RR 0.6), hypnotherapy (RR 0.74), multi-component psych therapy (RR 0.72), and dynamic psychotherapy (RR 0.6) all significantly reduce symptoms. #BWHGIchat #WorldIBSDay
Enteric coated peppermint oil is a great option for global #IBS symptoms. https://t.co/7tQ5NWAyOR #BWHGIchat
T5: Augmented practitioner-patient relationship also helps improve #IBS outcomes. Some features of an enhanced relationship:
-Warm, empathetic, confident
-Active listening
-Thoughtful silence (20 sec)
-Physical contact
-Increased time spent
#BWHGIchat #WorldIBSDay
@BrighamGI @WalterChanMD What strategies can physicians employ to better communicate with patients? #BWHGIchat
T5: Peppermint oil has been found to have anti-spasm property. Meta-analysis shows that it reduces global #IBS symptoms & abdominal pain (NNT 2-4). Potential adverse effects: heartburn, reflux, anal burning. Newer formulations (IBGard) may be better tolerated. #BWHGIchat
@BrighamGI @BrighamGI @WalterChanMD what is your experience with peppermint or peppermint oil in patients with IBS ? #BWHGIchat
Gentle exercise such as walking and yoga can be helpful for #IBS symptoms. Adequate sleep is SO important for all of us, IBS or not! #BWHGIchat
@BrighamGI What about things like sleep or exercise? Have these lifestyle modifications been shown to be effective? #BWHGIchat
T5: Increased physical activity has been linked to better #IBS symptoms – a randomized study of IBS patients to moderate exercise 3-5 times/week vs usual care showed significant symptom reduction in the exercise group after 12 weeks. Staying active helps! #BWHGIchat #WorldIBSDay
@BrighamGI What about things like sleep or exercise? Have these lifestyle modifications been shown to be effective? #BWHGIchat
T5: Studies found that #IBS is associated w/ worse sleep quality & habits. Getting a better night sleep may help IBS symptoms. Randomized trials of melatonin (3-8 mg) to improve sleep showed decrease in reported IBS symptoms. Good sleep hygiene helps! #BWHGIchat #WorldIBSDay
@BrighamGI What about things like sleep or exercise? Have these lifestyle modifications been shown to be effective? #BWHGIchat
Food intolerance, as a general rule of thumb, is portion driven. #Dietitians help individuals expand their diet to their personal threshold. #BWHGIchat
Another great point! What is #healthy for one person may be #painful to another. We are all different. #BWHGIchat We also can increase #fiber more slowly for better tolerance.
Agree! Many FODMAPs are in healthy foods! We commonly see patients presenting with worsening of their #IBS symptoms when trying to eat a healthier diet. #BWHGIchat
T5: Data on #probiotics for #IBS is mix – likely provide some benefits. Products with Bifidobacterium are effective (B infantis 35624 has best data). Need more high quality data for definitive recommendations. #BWHGIchat #WorldIBSDay
So much to talk about with diet! In addition to diet:
T5: What are other therapies for IBS such as yoga or probiotics? #BWHGIchat #WorldIBSDay
Agree! Many FODMAPs are in healthy foods! We commonly see patients presenting with worsening of their #IBS symptoms when trying to eat a healthier diet. #BWHGIchat
It's important to know: Innately, FODMAPs are found in many healthy foods & do not bother most people. In individuals with IBS, FODMAPs can trigger digestive distress. Eating FODMAPs does not cause IBS but the low FODMAP diet can be a solution to managing IBS symptoms. #BWHGIchat
I am not a fan of a very low carb diet for #IBS. We know a diversity of fibers are important for our gut microbes--and fiber is a carbohydrate! #BWHGIchat
@KateScarlata_RD What are you thoughts on the role of a very low carbohydrate diet on IBS? #BWHGIchat #WorldIBSDay
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