DeathRebirth t1_jdexjvu wrote on March 23, 2023 at 10:15 PM

Reply to comment by SaltZookeepergame691 in Study has shown evidence of a specific pathway of cells and nerves linking the gut to the brain that may be responsible for irritable bowel syndrome and anxiety by giuliomagnifico

Except that IBS is a big pot doctors throw people into when they don’t have any other easy answers. Some studies suggest a massive overlap with SIBO which really puts into question if this isn’t a mine field of misdiagnosis and lack of fundamental understanding of what’s going on in these patients.

I experienced exactly this first hand until now.

SaltZookeepergame691 t1_jdgrqm4 wrote on March 24, 2023 at 8:05 AM

I agree to some extent in practice, but recent changes to diagnostic criteria (ie Rome IV, and shortly Rome V) and a shift towards positive diagnosis are reducing the number of patients defined as having IBS.

There is certainly an overlap with conditions like SIBO, but as I said to another commenter, these are mechanisms within the DGBI umbrella given the need for visceral overreactivity to convey symptoms.