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Behavioral and Diet Therapies in Integrated Care for Patients with Irritable Bowel Syndrome Authors: W.D. Chey, L. Keefer, K. Whelan, P.R. Gibson Irritable bowel syndrome (IBS) is a common, symptom-based condition that has negative effects on quality of life and costs healthcare systems billions of dollars each year. Until recently, management of IBS has focused on over the counter and prescription medications that reduce symptoms in fewer than half of patients. Patients have increasingly sought natural solutions for their IBS symptoms. However, behavioral techniques and dietary modification can be effective in treatment of IBS. Behavioral interventions include gastrointestinal-focused cognitive behavioral therapy and gut-directed hypnotherapy, to modify interactions between the gut and the brain. In this pathway, benign sensations from the gut induce maladaptive cognitive or affective processes that amplify symptom perception. Symptoms occur in response to cognitive and affective factors that trigger fear of symptoms or lack of acceptance of disease, or from stressors in the external environment. Among the many dietary interventions used to treat patients with IBS, a diet low in fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) is the most commonly recommended by healthcare providers and has the most evidence for efficacy. Patient with IBS who choose to follow the low-FODMAP diet should be aware of its 3 phases: restriction, reintroduction, and personalization. Management of IBS should include an integrated care model, in which behavioral interventions, dietary modification, and medications are considered as equal partners. This approach offers the greatest likelihood for success in management of patients with IBS. Keywords cognitive behavioral therapy, hypnosis, FODMAPs, ARFID © 2020 by the AGA Institute
Greetings all. I am the author of the IBS Audio Program 100 which after 8 years development was released in 1998. The program has been used in over 45 countries to date. I am now looking for help with a Hindi version of the program. All recordings have been professionally created and now I'm looking for help translating the booklet which accompanies the program. If you are a Hindi reader and writer and you think you might be able to help translate from English to Hindi, please contact me either through this site, or through www.healthyaudio.com In return we can offer you a free copy of the Hindi IBS Audio Program 100 when it is completed. A nominal fee, and the satisfaction of knowing that your help, will go towards helping many IBS sufferers for years to come. Kind regards Michael