Overcoming IBS (Irritable Bowel) & conquering Gut Health | Dr. William Chey, MD

A complete look at causes, diagnosis and treatment of IBS by one of the leading world experts. Gastroenterologist Dr. William Chey takes us through what causes Irritable Bowel (IBS), how to distinguish it from other similar diseases and how to treat it. The role of diet, medication, behavioral therapy, probiotics and acupuncture in IBS.

Follow Dr. Chey on Twitter: @umfoodoc

Connect with me:
Animations: Even Topland @toplandmedia

References:

Disclaimer: The contents of this video are for informational purposes only and are not intended to be medical advice, diagnosis, or treatment, nor to replace medical care. The information presented herein is accurate and conforms to the available scientific evidence to the best of the author's knowledge as of the time of posting. Always seek the advice of your physician or other qualified health provider with any questions regarding any medical condition. Never disregard professional medical advice or delay seeking it because of information contained in Nutrition Made Simple!.

#NutritionMadeSimple #GilCarvalho

0:00 Highlights
0:12 Intro
1:24 What is IBS?
10:59 What causes IBS?
24:50 Multipronged therapy
32:27 Diagnostic tests
41:00 Wheat intolerance & SIBO
48:03 Histamine intolerance
51:06 Low FODMAP & other diets
1:04:10 Fiber
1:08:07 Probiotics
1:13:35 Summary & Takeaways

[ultmiddle]

I love this expert; he doesn’t try to blow smoke and use statistical gymnastics to convince an audience that he and his peers can work magic. I very much appreciate his transparency.

[Sobchak]

Thanks Dr Carvalho, this is pure gold.
In a space mostly dominated by quacks, I hope everyone can appreciate how good this material is.

[dc]

Great job getting Dr Chey on your podcast. As a gastroenterologist, I can affirm that you got one of the top notch, highly respected leaders in our field speaking on this topic. Your other listeners will not realize nor appreciate how fortunate they are to listen to an evidence-based expert like Dr Chey and not some social media celebrity who knows how to sell themselves with attention-grabbing sound bites, but really do not have a good grasp of science (ie. Paul Saladino). Thanks for this episode!

[esotericsolitaire]

I suffered with IBS-D for years, as a young woman, and still have flare-ups of IBS-M now and then at age 62. I can be constipated in the morning then have diarrhea two hours later.
Stress and eating out a lot are huge factors. Cutting back on grains and seed oils has helped me tremendously too.
You see, I can eat a piece of bread with multigrain seeds on the crust, have abdominal pain five hours later, run to the bathroom and pass only seeds and water. Then the pain goes away.
My gastroenterologist said that type of event is classic IBS. Oddly, cooked broccoli/cruciferous doesn't bother me, but if I eat it raw, I'll bloat up a pant size and run to the bathroom. Home made coleslaw does not bother me though.
I find that olives, sauerkraut and pickles feel good. Fast food, especially biscuits, tear my stomach to pieces. Yogurt is very soothing, and I have a friend with Crohn's disease who finds yogurt to be soothing also.

[jmc]

This level and quality of medical/health prof’l discussion and integrity of MD (not selling books or ideology) is needed on social media. Unbiased evidence based info to benefit all vs driven by competition and profit.

[DM-qlps]

I know it's not completely nutrition related, but I would love an episode on cognitive behavioral therapy. I have found it very helpful for anxiety and insomnia and I know there is a lot of research behind it.

[abbiec]

As a doctor of acupuncture and Chinese medicine, I am VERY happy to hear this!!! Bravo, once again Gil! Thank you 🙏 ❤

[vhs]

Dr. Chey knows his field and is a good communicator of the information. I learned a great deal from this interview with him!

[doernerrr]

Thanks Dr Carvalho. This is great information, I only wish the video had been available to me about 10 years ago when I was struggling with IBS. My experience was that because IBS is, as you say, heterogeneous very few clinicians have the time needed to diagnose an individual case, so IBS suffers are pretty much on their own to find a solution. And because IBS is largely invisible those stricken suffer on their own with very little community support. Ultimately I was able to cure myself by adopting a very restrictive diet, low FODMAP, low carb, vegetarian, no wheat, no alcohol, no dairy. Sounds like a lot to give up but the symptoms of IBS are so debilitating that for me it is well worth doing without those foods and fortunately I’m still able to get adequate nutrition eating primarily whole fresh foods. My IBS symptoms started after I started taking PPI drugs for GERD. I wonder if the resulting low gastric acid production allowed SIBO to occur which in turn led to bile acid malabsorption then causing IBS. I suspect this chain of events is what happened to me but the only evidence I had was extremely dark stool which I think is indicative of bile acid malabsorption. So my question is, is there an established link between PPI drugs and IBS? BTW in my case GERD was the result of a food sensitivity, had I know that in the beginning I could have avoided a long period of ill health. Thanks again and keep up the great work, information is power.

[hagbard]

Had IBS for at least 15 years, stopped eating bread and took a probiotic on my GPs recommendation, and the blotting mostly stopped, but would get what I and my GP wife believe is diverticulitis flare ups. My symptoms evolved into many unexpected trips to the bathroom a day. Back in late summer my wife recommended Metamucil which worked really well, and I've since replaced it with psyllium powder which works even better. Should mention I had Covid around the same time I started this. Then in early Nov started a lower carb, no processed food, diet with intermittent fasting (dinner till five, breakfast at 10am sometimes skipped), no snacking, which as lowered my weight (180lbs to 176lbs) and improved blood pressure (from 138/85 to 123/80). Oh, and I now do eat some sourdough bread with no consequences occasionally. IBS is now mostly gone.

[eileenharris]

I loved this interview, so helpful and informative. Would that we all had access to integrative medicine for our gut health issues! Until then, please could you have a registered dietician and behaviorial psychologist provide more details on these aapects of treatment? Thank you for your consistently excellent content.

[SewWhittle]

“Bothersome” is stating it lightly. It has ruined my life. I’ve had IBS-D for 40 years.

[sebleblan]

Would love more details on the restriction and re-introduction phases!

[JamieR]

Excellent interview and information from Dr. Carvalho!

One thing I didn't catch in the interview, which i wish was included -- has there been any studies and finding in the correlation between IBS and trauma, CPTSD or PTSD.

[helios]

Fasting was the best treatment for my IBS.

[yo]

I am actually a perfect case study for the post covid ibs. I am mildly autistic and I eat the same things every day. Same routine, same workout routine, same amount of stress, same enviroment everything the same.

[Nick-cpsr]

Dr Carvalho.. If you were to go through the dietary strategies for IBS I would really recommend Kate Scarlata. She has worked with Dr Chey and is incredibly knowledgeable in the area! Thanks so much for promoting an evidence based approach!

[Panitalaszlo]

Very useful information! I would love to hear the perspective of a registered dietitian as well related to diet therapy in IBS

[JeffroJames]

Been impatiently awaiting this for months! Thanks Gil!

[krc]

I was diagnosed in the late 60s with IBS. I was in HS at the time. The fact that this was viewed as a psychological problem was exactly how it was presented to me. This follows that predominately women were affected and so there was not a physical cause presumed. Maybe in the 1970s and later men were having this condition and that bringing a closer look into what was really going on. TY for this video.