BadGut® Lecture: Irritable Bowel Syndrome (IBS) | Gastrointestinal Society 

been diagnosed with IBS for about 5 years, completely ruined my life, career choice, life choices and decisions to follow. It disgusts me seeing people say oh ya its quite common and 20% people may have this. The suicide rate would be through the roof i feel like if 20% of the condition was dealing with what I go through. From the digestion issues, pain, diarrhea, constipation, and epic amount of anxiety of being away from a bathroom, and the depression that follows. there's got to be a better answer then diet and meditation, this does nothing.

People think it’s no big deal, unless they’re living with it. It can play havoc with your life.

Thank you for acknowledging that extra fiber doesn't always work. I was told for many years that more fiber and water was the solution to my debilitating IBS-C. I added so much fiber and it didn't make a bit of difference. It wasn't until I used the FODMAP elimination diet that I found my food triggers and improved my situation dramatically. It's not a cure; stress is still a trigger. But I got my life back.

To me, this lecture just about sums it up. Thank you.

18:07 I just love the fact you put yourself into the patient mind.!!!! This is how every doctor should think. Highly intelligent, knowledgeable and ethical presentation. And again thank you for putting yourself into the patient mind. This IBS presentation is simply amazing and accurate. Thank you for posting

Thank you for this amazing share! And a big hug of support to everyone dealing with IBS! Hugs fam

Thank you doctor! Best advice and explanation I have seen. Concise and informative.

This was an excellent knowledge speech for people. Thank you so much

Thank you for the informative video ❤️

Awesome lecture - very comprehensive and thoroughly researched covers almost all IBS problems. Love it.

Thank u so much!! That was great and useful

I felt this meeting on IBS was so informative and interesting. I learned so much. It is comforting to hear all the facts and suggestions that were offered. Thank you again for your expertise.

Excellent information

Thank you sir , for actual information. Educating sufferers make them aware of management.

This is really great!

This answered many question for me & going to save me lots of money going from Dr to Dr which no-one has helped me.. TY for this

Northern New Jersey. 10 minutes from the GW bridge. Ty for this !

This video has been really helpful easing my mind. Most doctors won't give you a detailed explanation but disregard you as an anxious boring patient...

this guy's voice is so soothing

Thank you soooo much Tripped over this on UTube...if only I had heard this information before. I feel soo much relief.

Been a sufferer for two years. First Time I've watched a structured proper resource on this.

Excellent presentation. Thank you so much!

OMG! Why i just saw this vid (though i subscribed here)? Been seeing docs for the past years but only recently (who was a gen. Med. Doc) told me about IBS. He didnt explain to me further but he said “i think what you have is IBS-constipation”. I didnt see any doc after that. I wanted to see him again for the check up but couldnt get a sched with him (in this country hard to get an appointment with doc in public hospital. Needed to wait like 3-4 months before u get an appointment and not sure if u will have the same doc). And gotcha! I saw this vid and voila! I learned a lot! Everything about IBS! Thank you so much, Dr. James! God bless you and your fam!❤❤❤

This may not be a "fix" video, but it has been very settling for me and has prompted me to look deeper into what things I can do to try to remedy this very frustrating condition which I have suffered with for over a year. I like Dr Gray's style of delivery of information. He is not uptight about the subject in describing function, anatomy, etc and that is really appreciated. THANK YOU FOR POSTING THIS VIDEO!

I’ve lived with this for well over 20 years. I’m exhausted from trying remedies that don’t work. Mine is so embarrassing. If I don’t take Imodium every day I have time managing symptoms. I live in the US so like millions of us, I can’t afford healthcare. There are literally times where I have to go to the bathroom so urgently I can’t make it to a toilet (I can’t believe I am saying that publicly it’s so embarrassing). I don’t know what else to do at this point.

My experience: I've had IBS for at least 20 yrs. Bouts that last from several days to several months. Having a bad time right now-everything giving me D. Eating soft, low residue foods helping a bit. I noticed the intensity and symptoms have changed since I aged...painful gas and nausea. The restroom emergencies are affecting my life. I believe one mistake I made was when I first noticed mild symptoms I should have addressed it. No oily food, skins, seeds, chocolate, nuts, onions, peppers, soda, pasta, dairy, heavy food or overeating. So no fun for me. I believe sugar is a big culprit. I struggle to cut it out of my diet. Last bout I ate poached fish and apple sauce until I healed. Anyway, thank you Doctor and good health to all!

Thank you Dr James Gray. That was a wonderful lecture which made a lot of the issues quite clear. It will definitely help people who are suffering from IBS to reduce if not completely overcome their problems. I personally have successfully managed to get rid of most of the problems by going on a diet using a trial and error method.

Very informative easy to understand for the patient

Doc, thank you so much for this video. This really relieved me to understand IBS better. This was a fantastic lecture.

I was diagnosed 30 years ago ibs nothing worked except, food allergy testing, answer dairy sensitive, oat sensitive , elimination of most these foods was my solution, goat milk , easy digestion. No nuts , no grains. Symptoms relieve , not cure but comfort . I hope this helps, as my symptoms were endless suffering. Bless you should u try, bless u should it work.

💥💥💥💥💥 Great speech!! Thank you Doctor !!

Thanks for the valuable information you provided.

Very well explained.Thank u sir

Very helpful for me I have IBS from my teenage times now Iam 30 above and it getting worst very informative speech......

Thank you so much. I was told I have IBS and not told anything else. This is so helpful. I now have things I can do to help control it. I do intend to see a Doctor. First I will apply the things I learned to see if it is controlled. I will keep doing what I have learned and if necessary still see a Doctor that specializes in this disease.

Thanks for this valuable information

Good video. I blame all the alchole and energy drinks I consumed last year. I can't stop going!!!

Im off to see the doctor tomorrow as ive had alot of symptoms of ibs, my late gran had ibs and my dad has ibs, i really cant wait any longer to see what is going on but i am convinced its ibs

Very informative. Thanks

This was a great talk. Educated me on my problem, that I 've been struggling with on and off for a couple of years. I used peppermint oil, and I was much better, the stopped using it, and ibs got worse. Hoping I can get it under control again with the peppermint oil.

This is the best lecture I have listened to on IBS. I would not have gotten through my recent out of the blue flare of 12 weeks (after eating 12 dried apricots😩) without this information. Wish my Gastroenterologist had been this informative. Education on one’s condition is so needed!

All of the above I suffer daily . God bless

One tip that may help some people is intermittent fasting/one meal a day diet. I have found for me that the longer my bowels have to process the food I eat, and rest afterwards, the less symptomatic I feel. Everyone is different so don’t take my word for it that this will work for you. I’m just sharing my personal experience.

This is so comprehensive. I finally got diagnosed with ibs triggered by stress and also secondary by some food triggered. Thank you so much

My IBS-D began with my first period . It’s a dibilitating condition . Diet has been the only relief I’ve had. I think you might be on to something with fibromyalgia theory . I also have esophageal spasms and rectal spasms . Thank you for making me know I’m not a mental case- no one in my family has IBS ?

I've had ibsd since kindergarten, and I'm turning 65 next week. I was constantly being sent home from school. My mom was chronically constipated and always told me to be glad that I could go, but she didn't understand that the going never stopped. I have found that keeping a food/emotion diary is helpful to spot trends. This is how I learned that chocolate triggered migraines. Still, I haven't found anything helpful for the ibsd. I tend to get dehydrated since I avoid fluids when traveling or knowing I'll be far from a toilet. And, I tend to just not eat. Food hurts, so I avoid it. Then the dr says I'm anorexic, but I'm not and he doesn't get it either. No dr does, so far.

Thanks alot. This cleared so many doubts of mine. The presentation style was fantastic, each and every slide is founded on actualy research. I will stay reassured and try to develop positive attitude towards this condition of mine.

Suffering since 2 months.. recovering day by day... Last 3 days completely normal... What I followed is.. 1. Elimination gluten and Sugar 2. Gentle Yoga 3. Pranayam 4. 35 mins walk... Day by day I feel I am improving a little bit.. Dear IBS community, have you ever observed if we are in hurry or if we are supposed to complete any target in time may it be simple cooking or any simple task in time... Due to even simple worry our stomach contracts. And doesn't feel like relax stomach... We have to observe this very carefully,....I think this is the reason.. it starts feeling abnormal,.. For that meditation, stressfree no time bound commitment, slow and peaceful working style.. rhythmic pattern of breathing is very necessary to keep brain gut in sync.. I had this IBS 3 YEARS BACK resolved in 2 months then again 1 year back... Again resolved in 1 month and now since last 2 months... Resolving slowly .. since last 3 days....❤

Great presentation! However, it is important to remind patients that IBS is not a single disease. It is a collection of symptoms that may have various root causes and that will guide how it should be treated. I.e., post-infectious IBS vs. overuse of antibiotics vs. secondary to an autoimmune disease or fibromyalgia vs. motility disorders vs. microbiome driven imbalances that produce symptoms (SIBO/IMO or just dysbiosis), etc. Furthermore, it is known that approximately 80% of IBS patients have SIBO due to a faulty ileocecal valve (backwash of colon microbes into the small intestine).

If you're still eating wheat ... Don't expect to get any better !!! That alone can make a HUGE DIFFERENCE .

Thanks a lot great information

Thank you

Concise and thorough lecture. Respect for content. Are frequent traces of light to moderate mucus in stool a symptom of IBS?

It's inevitable that we will find the mechanism and cure as IBS becomes more prevalent. Especially when it affects determined scientists who have high standards for life and won't settle for coping mechanisms. I still remember when I felt normal and could eat anything with perfect stools. I won't stop asking questions until I find a solution with actual results

Have had ibs for over 40 years. This is the best explanation ever. Thanks

I feel good when I visit few specific towns... I've noticed I can eat n feel good which I usually cannot in the same born n brought up town. I think atmosphere helps some sort, I'm not saying 100% cure but it makes sense.

I have IBS 8 years. You said it goes away. I hope it happens soon. Still suffering now and then.

Thank you! Amazing presentation! All my questions have been answered. As a woman, living with brain Cancer, I believe that IBS began then, but I know have the logic and medical suggestions as to how to fix the silly bumpy road. It will be my 25th Cancer-Versary in July and IBS is the least of my worries! Mind you, thanks to the Surgeon I saw yesterday who told me I have IBS...I am grateful for his and your compassion, knowledge, guidance and most of all laughter! Have a "Magical" day!

thank you for this infomation . what about if you have it with ibs with cecum promblem.

Why is he not mentioning the most awful symptom: excruciating pain for 1-2 or more hours? It’s debilitating and prevents one from going out and about.

I get extremely nauseous for days when I have a diarrhea morning. Sometimes I have constipation and no nauseous. I'm also hypothyroid as well. Extremely frustrating!!

This was useful. I did got to the doctor earlier and all she said that I should just avoid dairy. I didn't understand why she just wanted me to diagnose myself. She didn't bother to send off for any blood tests. I don't understand why she just assumed that I should self diagnose myself. I have relations who are Jewish and I have an aunt who had bowel cancer. However, I think it is Lactose intolerant mainly but I am getting so much pain if I accidently eat something 'wrong' and I have had extremely painful cramps and sweating/fever. One time it was so bad I was told to go to hospital but I had no car to get there at night. I had it today, but with the sweating and fever it makes me feel afraid I will die of pain, even though IBS isn't supposed to be life threatening. I am going to the doctor in 2 weeks time and I hope that I can get some kind of test or medications if I have sudden cramps.

Thanks you so much for this. I've been suffering with ibs since 2013 when I got diagnosed. The major issues I have is bloating, spasms in stomach and I can't hold a bowel movement like I was once able to

Oldie but goodie video. Looking forward to seeing another video. I will be putting out a video and will offer one-on-one support. Stay tuned! 😸

My theory is that more women have IBS than men is that our bowels, like children are more delicate and sensitive to foods which contain toxins from pesticides, sugar which is in 'everything, glyphosate. There was no bowel problems in my childhood days but many children have problems with their bowels, such as my grandchild. I've had IBS for over 30 years and I've always ate healthily. Nothing I received from doctors have helped me. Codeine helped with pain but constipation.

I have celiac disease, ibs, severe food allergies and one neurodegenerative disease which affects my intestine. I was missdiagnosed with all of the three that I mentioned up above. What a shame

Just because "it doesn't turn in to anything" doesn't mean it isn't just as destructive. Treatments may have become extensive, but they have not become effective. Too many doctors are simply prescribing anti spasmodics and telling people to eat or take fiber supplements and this does not get people back onto a healthy path. I fail to understand how people who lose 30-40 pounds and walk around weighing 85 pounds or less are not immediately admitted to a hospital for supplemental nutrition, but they are not, they are sent home to suffer on their own or along with the families trying to take care of them. Can you imagine feeling that you have no hope, no healthy food options and being so low of energy that you couldn't help yourself if you wanted to? Can you imagine the fear of whether or not you would come out of this situation? This is what happens when doctors don't take this "syndrome" seriously. I'm on year 16 trying to help a loved one figure this thing out. Every city needs an IBS clinic and nutritionists, as well as gastro's who are well versed in the business of IBS that can be on call 24/7 for people.

Megasporbiotics really helped my gut.

I’ve had it around ten years I work six days a week so I only eat dinner those days it’s miserable I cry almost daily

I have it and the gas is very, very bad to an embarrassing extent. The medication I take, Amitriptyline, seems to reduce to the pain yet the side effects have me like a 70 year old man in terms of my libido. Excellent video though!

I've had IBS and sibo for the last 5 years with all the symptoms but with no solutions from doctors. Now I have developed hyper salivation in my mouth. I went to see an oral surgeon and he basically told me I was exaggerating and it was all in my head. So now I guess I'm stuck with another problem.

stress...it’s stress stress stress. I can’t stress this enough, but I believe that stress is the main cause of IBS. somebody needs to do neurological tests and dig deep into this, it’s not diet, it’s not exercise. IT’S STRESS

Affected by IBS for past 10 years. Solution - cook 1 cup of rice leave it for 8 hours. Add 2 cups of water and mix with cooked rice. Leave it over night. Drink the water every morning. Its been 6 months and i am out of my misery.

Where is vedio of question and answer? Very informative and knowledgeable discussion about irritable bowel syndrome. Our second brain " Gut Buddies"

I’ve been really stressed and anxious because I’ve been having a lot of stomach problems lately. I keep thinking colon cancer but I’m only 20, thus stresses me out and makes my stomach issues worse. I hope that it’s nothing serious but this presentation helps me look at my symptoms differently.

I wish they'd spend more time finding a cure instead of giving talks that pretty much always conclude "try this, but it probably wont work"

at 54:50, I don't understand what is meant by situation diarrhea. I get it before going on a train or taxi and a few other places. I thought IBS was food triggered and not situationally triggered. I treat my thing as a phobia of being away from a toilet rather than IBS. I've totally gone the psych route! so confusing.

I have IBS Constipation. I am affraid of developing piles or other colon infection.

There is test for motility disorders sips mark studies,and there's another test to see if it effects your stomach aswell but you have to go to a gastrologist. I know my whole life I dealt with not going for weeks at all to the point of nearly having obstructions and having to have part of my bowel removed because of infection. There is help but you have to keep going.there is a hugh part of the population that have motility disorders. Life is not normal when you go for weeks on end with no bathroom trips and so much pain.no amount of fiber, exercise or stress modifications work.Trust me I've been living with this for 45years. Fiber makes mine so much worse.

hi i'm erin I'm 39 years old i have never had tummy problems until i got older and my mom and i both have ibs if i eat popcorn it gets me every time if i eat lots of cheese i get so upset stomach!

With first-hand experience, I can tell you the theory of hypersensitivity is wrong. But the link between IBS and fibromyalgia is interesting, because the same things that may cause fibromyalgia can cause IBS. One example is oxalate-rich food. If you’re sensitive to oxalates and eat much of food rich in them you may experience both IBS and fibromyalgia. Examples: spinach, potatos, rice, kiwis. Ditto for lectin-rich food, like grains and legumes. The problem is not hypersensitivity, but low capability to get rid of the toxins of these foods.

can we get the slides he showed in pdf or some jpef form?

If u take lactaid do u still have to avoid lactose to diagnose intolerance? I took the pills for 2 weeks before all dairy and my symptoms did not resolve so i assumed it wasnt that. Correct? Thanks for the info but still deal w gas/bloat/abdominal pain and occ diarrhea. Ugh.

Hi doc I cannot eat anything with fiber should I worry as I'm not having any fruit or anything in veg

Good Lecture. I am suffering from IBS since 10 years and I visited many doctors but the symptoms never reduced.Please suggest me medications. I am 28 years old now and i am frustrated with this.

It is a functional somatic disorder. Not to say its 100% psychological, but the evidence is pretty clear now that its around stress and pain centralization.

I have IBS and I al always constipated no matter what. I always use miralex/drink. Prune juice or doesn’t always work for me. I also know medicine doesn’t always work either. I just don’t eat much at all. I always suffer. I rather be hungry then be eating.

I have a mix of IBSD and IBSC. Thought it was cancer, but had that ruled out. Depending on my diet at the time, I shit 5 to 8 times a day and some days it's like 2 times a day. It legit depends on what I eat. I've noticed when I fast it almost resets. I did a water fast for 3 days and that was the best thing I've ever done for it. Alcohol kills my stomach along with coffee. If I watch what I eat I'm fine for the most part. Still when I get an attack... Lord it hurts and I have damn near no control over my bowels.

My stools are the size of pencils. Then big ones then I can’t go. I’m constipated and strain mostly and I get chills when I wake up. My main problem is cramping lower ribs, painful bloating and distended and abdominal pain. Everyday this happens and several doctors can’t even help!!! It’s awful. And then about a year ago I started get totally exhausted and feel like I’m dying. And they sent me to a shrink and he gave me Paxell and then I really felt like I was dying. I’m living in hell with this cramping, bloating, and terrible pain and constipation is really bad and feeling run down and this very heavy malaise feeling.

Its Part Mental health and Gut health get these two things checked,I had PTSD,Anxiety and depression,I did not know until it got to a point where I was suicidal, then was the time I got really sick and met a physicatrist and life started to get better , before a GP would prescribe ant biotics thinking it's a infected stomach.That killed my good bacteria then I was given my mental health meds and pro biotics which made me a new person, Today I own a business now have a family and own my own house and car.

please find a cure doctors i have had mine for 5 years and its mainly constipation followed my extreme gas bloating and urinary problems too. its a living nightmare!!

I started on fiber with the first diagnosis. It made me ten times worse!

What's the definition of constipation ? If someone has soft stool and has to stay in the toilet for longer than usal but doesn't feel properly evacuated.What would you call that ?

I’m 55 and my IBS has only gotten worse.

It is incredible to me that there are so little tools for diagnosing, answers and treatment, given the prevalence of it. SMH

I'm shocked to know that some people can actually have one bowel movement a week! What the actual fuck ? I have to go atleast 3 times a day!!!

Why are people not talking about the connection between IBS and Endometriosis in women!

wish he was in nc as im in bad shape when my ibs acts up, and no one knows what to do. The pain is so bad, ive gone into labor and can say its worse than child birth lsbor. i was given 3 morphines one time and it didnt cover or even touch the pain. I just got to have something for when it acts up but noone wants to prescribe anything quick acting and very powerful, but i also understand why with people becoming addicts. so what is someone suppose to do in my case? If anyone has a clue. i have ibs-d, reacts to stress, menstruel cycle, and certain foods, ive contemplated suicide because im in my forties and was diagnosed at age 15. it is a crippling, dibilitataing disease, but no one will try anything. if anyone out there able to help please , please do so.

I am 21 and I don't think I am going to live much longer this situation is getting worse day by day .when I come off my medication I feel I am going to die in couple of days

Do we lose weight in ibs condition?