21. Digestive & Metabolic Disorders Information, Support And Other Resources For UK The following links contain information about digestive disorders. antirefluxsurgery, or colostomies and ileostomies, some adapted for the Asian diet. http://www.equip.nhs.uk/topics/digest.html

var sc_project=455128; var sc_partition=2; Digestive and Metabolic Disorders Home Information Topics Related topics: eating disorders food intolerance hormone disorders nutrition ... Other information What are digestive disorders? The following links take you straight to pages of information about digestive disorders. This information has been checked by doctors to ensure it is correct and appropriate for UK patients. British Liver Trust Cancer BACUP - has information on cancer of the oesophagus, pancreas, liver, small and large bowel, anus and stomach as well as more general information on living with cancer Continence Foundation - a UK site with detailed information on the symptoms and treatment of bowel and bladder incontinence CORE (was Digestive Disorders Foundation) Patient UK Prodigy Society of Thoracic Surgeons - information on surgical treatment options written by an American doctor (barrett's oesophagus, gastrooesophageal reflux disease, achalasia and oesophageal motility disorders, oesophageal cancer) Surgery - Medicdirect has information on digestive system operations and surgical procedures EQUIP also has pages of information on eating disorders food intolerance and nutrition Back to the top of this page Links to useful websites: The following links contain information about digestive disorders. The information on these websites has not been checked by our doctors, but they are rated as good quality sites.

22. Living With A Digestive Disorder, UPMC Health Journal, UPMC | University Of Pitt An expert in treating disorders of the digestive tract discusses how lifestyle While it may be diet or stress-related, no exact cause is known. http://healthjournal.upmc.com/0405/DigestDisorder.htm

A new approach to brain surgery Information, advocacy key to avoiding diabetes ... Contact UPMC var ppb = " Living with a digestive disorder Everyone gets a stomachache from time to time. It is typically easily treated and goes away quickly. When the pain lasts longer and occurs more frequently, it may be something more serious, such as a digestive disorder. Serious digestive disorders can affect people for a lifetime, and doctors say they are on the rise. Miguel Regueiro, MD , a gastroenterologist and clinical director of the UPMC Inflammatory Bowel Disease Center According to Dr. Regueiro, better understanding of the condition, improved diagnosis through targeted testing, and less reluctance to diagnose gastrointestinal (GI) disorders in pediatric and younger patients may also be part of the equation. However, he says, clearly something in the environment has changed. The Division of Gastroenterology at UPMC is consistently recognized by for its efforts to understand the disease and provide the best care to patients.

23. Digestive Disorders: Online Reference For Health Concerns digestive disorders overview, types, causes, symptoms, supplements and However, dogs fed a high carbohydrate, heat-treated diet have been found to http://www.lef.org/protocols/prtcl-044.shtml

var WebSiteBaseURL = "http://www.lef.org" var ThisPageFullURL = "http://www.lef.org/protocols/prtcl-044.shtml" translation by SYSTRAN MEMBERSHIP PRODUCTS MAGAZINE ... CHECKOUT Health Concerns Selector Select Health Concern Acetaminophen (tylenol) Poisoning: Acute... Acne Adrenal Disease Age-associated Mental Impairment (cognit... Alcohol Induced Hangover: Prevention Allergies Alzheimer's Disease Amnesia Amyotrophic Lateral Sclerosis (als) Anemia-thrombocytopenia-leukopenia Anesthesia And Surgical Precautions Anxiety And Stress Arrhythmia (cardiac) Arthritis Asthma Atherosclerosis Attention Deficit Disorder (add) Autism Autoimmune Diseases Avoiding Vitamin - A Toxicity Bacterial Infections Balding Bell's Palsy Bladder Conditions Breast Cancer Bursitis Cancer - Overview Cancer Adjuvant Treatment Cancer Chemotherapy Cancer Clinics Cancer Gene Therapy Cancer Prevention Cancer Radiation Therapy Cancer Supplements Cancer Surgery Cancer Treatment: The Critical Factors Cancer Vaccines Candida (fungal, Yeast) Infections Cardiovascular Disease: Comprehensive A... Cardiovascular Disease: Overview Carpal Tunnel Syndrome Catabolic Wasting Cataract Cerebral Vascular Disease Cervical Dysplasia Cholesterol Reduction Chronic Fatigue Syndrome (cfs) Cirrhosis Colitis (ulcerative) Colorectal Cancer Common Cold Congestive Heart Failure And Cardiomyopathy Constipation Crohn's Disease Deafness Depression Dhea Replacement Diabetes Digestive Disorders Down Syndrome Emphysema And Chronic Obstructive Pulmon...

24. Le Magazine, October 1999 - Products: A European Solution For Digestive Disorder The traditional Eastern European diet consists of lots of animal fats and Considering the magnitude of the digestive disorders caused by the poor health http://www.lef.org/magazine/mag99/oct99-products.html

var WebSiteBaseURL = "http://www.lef.org" var ThisPageFullURL = "http://www.lef.org/magazine/mag99/oct99-products.html" translation by SYSTRAN MEMBERSHIP PRODUCTS MAGAZINE ... CHECKOUT LE Magazine October 1999 PRODUCTS The Life Extension Foundation regularly profiles and evaluates important new products on the market, often making them available directly to you, as well as to Foundation members at a discount via the Life Extension Buyers Club A European Solution For Digestive Disorders The difference in life expectancy between the best and worst European countries is more than 10 years. In the early 1990s, overall Eastern European mortality was 20 to 100% higher compared to the West. The reasons for these differences in mortality are attributed to poor diet, excess alcohol consumption, heavy smoking and other dangerous health behaviors. One dietary explanation for the decreased life span among Eastern Europeans is that their intake of antioxidants from fruits, vegetables and nuts is much lower compared to the West. A severe deficiency of antioxidant vitamins, along with low intake of folic acid and flavonoids, partially accounts for the high level of cardiovascular disease in Eastern Europe.

25. Veterinary Information - Digestive Disorders Of Cats digestive and Bowel disorders of Cats Colitis, food allergies, not eating, for cats, we have variable luck with acceptance of this diet. Some cats http://www.vetinfo.com/catdig.html

Sitemap Vetinfo Catinfo Catindex ... Canine Encyclopedia Please note: The information on our site is for everyone to read. Please use it as often as you like. We have discontinued the ask Dr Mike question and answer section of our website at this time. Please use the search engine or one of the indexes to see if the information you need is already online. Subscriber Info The income from the subscriptions helps defray the cost of maintaining the site and allows us to keep the large amount of information on www.vetinfo.com free to our readers. Digestive and Bowel Disorders of Cats Colitis, food allergies, not eating, hepatic lipadosis Chronic soft stools IBD,pancreatitis and cholangiohepatitis - triad syndrome - possible Vomiting and Diarrhea that start at a very young age - with anemia ... Resistant Giardia also see Triad syndrome also see Constipation also see Diarrhea also see Megacolon also see Pancreatitis also see Rectal Problems also see Chewing also see Ingesting odd items also see Intestinal obstruction also see Vomiting also see Inflammatory bowel disease Please note: The most recent medical information is at the top of the page to least current at the bottom.

26. Digestion. Digestive Disorders. How can we find out about digestive disorders? Endoscopy Nutrient supplementscan be added to the diet to and in severe cases, nutrients may be given by http://www.schoolscience.co.uk/content/4/biology/abpi/digestion/digest7.html

Digestion 7 of 8 Disorders of the digestive system There are a number of things that can go wrong with the digestive system. Many of them can be treated with medicines. Roll over the blue dots to find out more. Picture 17. Places where digestive problems can occur. Picture 18. Photograph of the large intestine (sigmoid) taken through a flexible sigmoidoscope. How can we find out about digestive disorders? Endoscopy Scientists can see right inside the intestines using fibre optics. Thousands of flexible optical fibres are bundled together in a tube. They carry an image back from inside the patient to the eyepie. The doctor can see directly into the patients guts. Sigmoidoscopy To examine the large intestine (the lower part of the colon called the sigmoid), doctors perform a sigmoidoscopy. The sigmoidoscope is similar to an endoscope but it is inserted through the anus and passes up into the large intestine. The doctor can take samples of the lining ( biopsies ) to check for infection or cancerous growths. Picture 19. See question 6.

27. JHBMC: Motility And Digestive Disorders: Facts The Schuster Center for Motility and digestive disorders is the first center If you feel like you are having problems switch to more of a liquid diet. http://www.jhbmc.jhu.edu/Motil/motilfac.html

Facts About Motility Disorders What are Motility Disorders? Motility disorders refer to abnormal intestinal contractions, such as spasms and intestinal paralysis, that can result in the inability to eat (which may require patients to receive intravenous nutrition) and severe abdominal pain, nausea, vomiting, maldigestion, weight loss, diarrhea, constipation and incontinence. Motility Disorders encompass a variety of conditions, including: gastroparesis; achalasia; gastroesophageal reflux disease; chronic intestinal pseudoobstruction; constipation and irritable bowel syndrome. Irritable bowel syndrome, the most common of the disorders, results in pain and diminished quality of life for nearly 15 percent of this country's population. Rarer and more serious disorders produce excruciating pain and make it impossible to eat or digest food. Below is a listing and short description of some of the most serious and bothersome motility disorders and digestive diseases. Gastroparesis This is a disorder of the stomach where it fails to empty food properly. Symptoms include nausea, vomiting, weight loss and loss of appetite. It commonly occurs in patients with diabetes, or in patients with scleroderma or lupus. However, it may also occur after a viral or bacterial illness. Gastroparesis Diet 1) Small frequent meals - 5 to 6 small meals per day.

28. MyDNA.com - Digestive Center Home » Health Center » digestive disorders diet Center Visit myDNA s dietCenter Read More Yellow Pages Healthcare Find a Doctor Read More http://www.mydna.com/health/digestive/

Digestive Disorders News Constipation Crohns ... Lactose Intolerance Health Centers A to Z Listing AIDS / HIV Allergy Bipolar Disorder ... Weight Loss Resource Centers Clinical Trials Diagnostic Tests Diet Center Find a Professional ... Health Center Digestive Disorders Digestive Disorders add to favorites print this page e-mail this page Featured News GERD related sleep disorders Fri 02 Sep 2005 10:13 am CST BOSTON (myDNA News) The first major multi-center, randomized, double-blind, placebo-controlled trial addressing therapy for gastroesophageal reflux disease related sleep disorders is published in the September issue of The American Journal of Gastroenterology. Read More Latest Digestive Disease Headlines Can acid reflux worsen asthma symptoms? Commission on digestive diseases launched New thoughts on the origin of Crohn's New treatment option for childhood cholera ... More Digestive Disease News... Digestive Disease Featured Story Symptoms of IBS Learn more about the symptoms of IBS, that range from abdominal pain to diarrhea. Read More Free Newsletter - Subscribe Now! ... Web Directory Email: advertisement advertisement Home Search About Us Advertise ... Syndication Site Last Updated: September 20, 2005

29. Natural Medication For Digestive Disorders GERD, Crohn's Disease, IBS, Ulcerativ digestive disorders can be confusing! Here are some definitions. Diverticulosisis associated with a diet high in processed foods and low in fibre and http://www.nativeremedies.com/gastronicdr-digestassist-digestive-disorders.shtml

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30. Digestive Disorders digestive disorders (From the PDR Family Guide to Prescription Drugs) Reducing the fat content of your diet by 25 percent and consuming fibercontaining http://www.healthsquare.com/fgpd/fg4ch05p3.htm

Privacy About Linking Advertising Advertisement Home Conditions and Treatments Digestive Disorders Guide to Prescription Drugs Encyclopedia of Medicine Advertisement HEALTH INFORMATION CENTER AIDS / HIV Allergies ... Urological Conditions Digestive Disorders (From the PDR Family Guide to Prescription Drugs) From Our Sponsors Irritable bowel syndrome Inflammatory bowel disease is a blanket term covering three serious disorders: ulcerative colitis, proctitis, and Crohn's disease. Ulcerative colitis is an inflammation of the colon that produces ulceration of the inside wall. Its primary symptom is bloody, chronic diarrhea, often containing pus and mucus, and associated with abdominal pain and weight and appetite loss. When confined to the rectum, it's referred to as ulcerative proctitis. Though there is no known cause of ulcerative colitis, it does tend to run in families and is more common in Jews and caucasians than other ethnic or racial groups. Sometimes known as ileitis, Crohn's disease is an inflammation of the small and/or large intestine, with accompanying pain, cramping, tenderness, gas, fever, nausea, and diarrhea. Though usually mild, bleeding may occur and may sometimes be massive.

31. Digestive Disorders digestive disorders (From the PDR Family Guide to Prescription Drugs) A highfiber diet and prompt, strain-free defecation help relieve mildly http://www.healthsquare.com/fgpd/fg4ch05p4.htm

Privacy About Linking Advertising Advertisement Home Conditions and Treatments Digestive Disorders Guide to Prescription Drugs Encyclopedia of Medicine Advertisement HEALTH INFORMATION CENTER AIDS / HIV Allergies ... Urological Conditions Digestive Disorders (From the PDR Family Guide to Prescription Drugs) From Our Sponsors Hemorrhoids are dilated veins in the lower rectum and anus. They affect 50 percent of people over age 50. Diets low in fiber are thought to be a major cause. Straining at defecation to evacuate hard stools also seems to promote their development. A high-fiber diet and prompt, strain-free defecation help relieve mildly symptomatic hemorrhoids. Local swelling and pain can be decreased with local anesthetic creams, lotions, or suppositories; astringents; or cold compresses. For those with severe symptoms, rubber band ligation, cryosurgery, injection therapy, or surgical removal may be needed. Constipation is the term given for infrequent or difficult evacuation of small, hard stools, accompanied by mild abdominal discomfort. When the condition is chronic, it may include nausea, stomach rumbling, appetite loss, and malaise. Constipation is a common condition that affects mostly the very young and the aged. While the number of bowel movements is variable in the general population, a normal individual should have at least three per week, or, ideally, one daily.

32. ABC7Chicago.com Digestive Disorders digestive disorders. March 24, 2003 — About 62 million people in the United States He suggests we limit the amount of sugar in our diet to about twelve http://abclocal.go.com/wls/health/032403_hs_digetivedisorders.html

33. Virgin Coconut Oil For Digestive Health - Tropical Traditions More severe digestive disorders would include Crohn’s Disease, Adding coconutoil to your diet can help overcome these problems that affect our health http://www.tropicaltraditions.com/vcnocrohns.htm

Tropical Traditions Home of America's favorite Coconut Oil Support Local Ministries. Offer housing! Click Here Home Search Purchase ... Contact Crohn's - IBS Crohn's Disease, Irritable Bowel Syndrome, and Coconut Oil for Digestive Health Digestive Health and Weight Gain When we are eating healthy whole foods with the absence of highly refined carbohydrates, weight gain should not be a problem. However, many people who have switched over to healthy diets, and have even limited their carbohydrate intake, still have problems losing weight. One reason is because many Americans suffer from some kind of digestive disorder that prevents them from properly digesting their food. Without a properly working digestive system, essential vitamins and minerals that are necessary to maintain proper weight may not be absorbed adequately from the foods we eat, even if we are eating healthy foods. Candida is one digestive disorder where the digestive tract is overloaded with yeast because of the lack of probiotics in our digestive system. You can read more about Candida and coconut oil here . Other digestive disorders common today would include disorders such as irritable bowel syndrome, ulcerative colitis, gastritis, diverticulosis and constipation. More severe digestive disorders would include Crohn’s Disease, where many people have such a hard time digesting foods properly that they are actually underweight.

34. Digestive Disorders: Living With Lactose Intolerance Although dairy products are ubiquitous in the Western diet (and a common source The digestive disorders White Paper from The Johns Hopkins White Papers http://www.hopkinsafter50.com/html/silos/digestive/dig2005_01.php

Sign up for email updates Bookstore Arthritis Coronary Heart Disease ... Vision Living With Lactose Intolerance What Is Lactose Intolerance? Lactose intolerance is a deficiency of the enzyme lactase, which is responsible for the digestion of lactose, the major sugar in milk. (Milk and all products made from milk contain lactose.) Normally lactase, which is produced in the lining of the small intestine, breaks down lactose into the simpler sugars glucose and galactose. The liver then converts galactose into glucose, which enters the bloodstream and is used by cells as an energy source. Most people with lactose intolerance do not have enough lactase to digest lactose properly. Diagnosing Lactose Intolerance Lactose intolerance usually develops slowly, and the symptoms associated with it can have other causes. If you think you are lactose intolerant, you can first check for it on your own. Try excluding all dairy products from your diet for about three days; if drinking a glass of milk after this period causes symptoms, you may be lactose intolerant. Your doctor can confirm a diagnosis of lactose intolerance by taking a medical history and discussing with you the results of your dietary manipulations. If necessary, the doctor can run a blood or breath test to confirm the diagnosis.

35. Digestive Disorders: Gallbladder Disorders Check with your doctor before pursuing any diet for rapid weight loss. The digestive disorders White Paper from The Johns Hopkins White Papers series is http://www.hopkinsafter50.com/html/silos/digestive/digLIB_JHSR_Gallbladder.php

Sign up for email updates Bookstore Arthritis Coronary Heart Disease ... Vision Gallbladder Disorders Symptoms Moderate to severe pain in the upper-right abdomen, often spreading into the chest, right shoulder, and back. Pain due to gallstones may occur in separate episodes lasting from 30 minutes to four hours. Inflammation of the gallbladder causes pain that gradually increases in severity and may worsen upon deep breathing. Cancer of the gallbladder produces steady pain. Possible nausea and vomiting accompanying the attacks of pain. Fever and chills (gallbladder inflammation). Abdominal fullness or bloating. Severe belching, heartburn, and gas. Weight loss (cancer of the gallbladder). Jaundice. When To Call Your Doctor Call a doctor if you develop severe abdominal pain. Emergency: Call an ambulance if you experience upper-right abdominal pain and nausea accompanied by shortness of breath and sweating. Such symptoms may also signal a heart attack.

36. Constipation Diabetes, digestive disorders, Endocrinology, Environmental Medicine, Eye Care The patient follows a highfiber diet during the course of the test, http://www.healthsystem.virginia.edu/uvahealth/adult_digest/constpn.cfm

[ Skip Navigation ] Health System Home For Health Answers Healthcare Professionals ... Advanced Search Health System Search Search for Information People UVa Home Health System News Health System Events (all) Health System Publications ... Making a Gift Topics All About Cancer Blood Disorders Bone Disorders Breast Health Cancer Cardiovascular Disease Dermatology Diabetes Digestive Disorders Endocrinology Environmental Medicine Eye Care Glossary Gynecological Health Infectious Diseases Kidney Disease Men's Health Mental Health Nervous System Disorders Non-Trauma Emergency Oral Health Orthopaedics Otolaryngology Pathology Pediatrics, General Health Prostate Health Radiology Respiratory Disorders Skin Cancer Surgical Care Urology Women's Health UVa Health Topics A to Z FIND A DOCTOR Colorectal Cancer: Assessment Colorectal Cancer: Medical Oncology Colorectal Cancer: Surgery ... WHY CHOOSE UVA Search This Site Constipation What is constipation? Constipation is a condition in which a person has uncomfortable or infrequent bowel movements. Generally, a person is considered to be constipated when bowel movements result in passage of small amounts of hard, dry stool, usually fewer than three times a week. About 3 million people in the United States have frequent constipation. Constipation is the most common gastrointestinal complaint, resulting in two million physician visits annually.

37. Digestive Disorders Protocol For some people, digestive disorders are a source of irritation and However,dogs fed a high carbohydrate, heattreated diet have been found to develop http://www.health-marketplace.com/p-Digestive.htm

Categories: Amino Acids Anti-aging Antioxidants Aromatherapy ... Womens Health Digestive Disorders Protocol It is estimated that some form of digestive disorder affects more than 100 million people in America. That is more than half of the U.S. population. For some people, digestive disorders are a source of irritation and discomfort that may cause them to drastically limit their lifestyles and to frequently miss work. For others, the disorders may be extremely crippling and even fatal. The Gastrointestinal Tract The gastrointestinal tract (GIT) is a long muscular tube that functions as the food processor for the human body. The digestive system includes the following organs: mouth and salivary glands, stomach, small and large intestines, colon, liver and pancreas, and the gallbladder. Irritations or inflammation of the various sections of the GIT are identified as gastritis (stomach), colitis (colon), ileitis (ileum or small intestines), hepatitis (liver), and cholecystitis (gallbladder). The GIT is not a passive system. Rather, it has the capability to sense and react to the materials that are passed through it. For a healthy digestive system, every person requires different food selections that match their GIT capacity.

38. G.I. Disorders Gastrointestinal disorders (GI) is a digestive disorder that interferes with the Adequate intake of a balanced diet is the goal of patients with IBD. http://www.betterhealthusa.com/public/239.cfm

Home Symptoms Español Search ... Person About us See us in print See us on TV What people say Who we support Feature articles Free content Lab test information Special reports Members' Forum For your doctor Health news FAQs Health statistics Shopping Cart Allergy free recipes Find a Doctor Email this page G.I. Disorders BetterHealthUSA Editor Gastrointestinal Disorders (GI) is a digestive disorder that interferes with the workings of the intestine. GI generally falls into two categories — functional and inflammatory... Functional GI disorders , such as Irritable Bowel Syndrome (IBS), chronic diarrhea, constipation and intestinal pain, are characterized by symptoms and not by a visible sign of disease or injury. Inflammatory GI disorders include Inflammatory Bowel Disease (IBD), Crohn’s Disease and ulcerative colitis. Women are three times more likely than men to develop IBS, and most IBS sufferers experience their first symptoms before their mid-thirties. Irritable bowel syndrome (IBD), a prominent GI Disorder usually begins in early adulthood and results in recurring cramping, pain or discomfort in the lower abdomen; bloating; diarrhea; constipation; or alternating diarrhea and constipation. Symptoms can range from mild to severe, and can occur daily or periodically. The syndrome affects 25 to 45 million Americans, about two-thirds of them women, according to the International Foundation for Functional Gastrointestinal Disorders in Milwaukee. Doctors suggest that hormones seem to be a contributing factor in this disease. Dr. Lawrence J. Brandt, the chief of gastroenterology at the Montefiore Medical Center in the Bronx agrees that during some phases of the menstrual cycle, intestinal activity is not normal as it is slower in some women and faster in others. Dr. Brandt believes that there is a clear relationship between hormones and IBD but it could not be considered a hormonally mediated disease.

39. Digestive Disorders A glutenfree diet is the only treatment for persons with celiac disease. digestive disorders Home Page Aging Information Resources Celiac Disease http://www.rush.edu/rumc/page-1098987322966.html

Gastroenterology Digestive Disorders Alcohol’s Effect on Intestinal Lining Celiac Disease A Gluten-Free Diet Persons on a gluten-free diet must avoid all foods containing wheat, rye, barley and (possibly) oats. This includes foods containing spelt, triticale, and kamut and most grain, pasta, cereal and processed foods. While this excludes many foods, persons with celiac disease can still enjoy a well-balanced diet, substituting foods made with potato, rice, soy, or bean flour. There are also a variety of gluten-free breads and pastas available at health food stores and through special food companies. Scientists are still trying to determine whether persons with celiac disease can eat oats, as some people are able to without having a reaction. Until studies are more definitive, persons with celiac disease should follow their physician's or a dietitian's advice. Plain meat, fish, rice, vegetables, and fruits do not contain gluten, so these can be eaten without worry. It is important for persons with celiac disease to be especially careful when dining out, or eating at school, work, or social functions. A gluten-free diet must be a lifetime commitment to keep celiac disease under control. Consult your physician, dietitian, or other healthcare professional to learn more about a gluten-free diet. Celiac Disease What is celiac disease?

40. Digestive Disorders Eating a proper diet is important with irritable bowel syndrome. In some casesof IBS, digestive disorders Home Page Aging Information Resources http://www.rush.edu/rumc/page-1098987318987.html

Gastroenterology Digestive Disorders Alcohol’s Effect on Intestinal Lining Irritable Bowel Syndrome (IBS) Irritable Bowel Syndrome (IBS) What is irritable bowel syndrome (IBS)? Irritable bowel syndrome (IBS) is an intestinal disorder that causes the following: crampy pain gassiness bloating changes in bowel habits IBS has inaccurately been called by many names, including the following: colitis mucous colitis spastic colon spastic bowel functional bowel disease IBS is called a functional disorder because there is no sign of disease when the colon is examined. Because physicians have been unable to find an organic cause, IBS often has been thought to be caused by emotional conflict or stress. While stress may worsen IBS symptoms, research suggests that other factors also are important. IBS often causes a great deal of discomfort and distress, but it is not believed to: cause permanent harm to the intestines. lead to intestinal bleeding of the bowel. lead to a serious disease such as cancer. It has not been shown to lead to serious, organic diseases, nor has a link been established between IBS and inflammatory bowel diseases such as Crohn's disease or ulcerative colitis. What causes irritable bowel syndrome?

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