Let’s Talk 2

Hello Friends. I know it’s June now…but April was a busy month for me…traveling to NYC for 2 events. One event was a very unique and informative event sponsored by Salix Pharmaceuticals; this post is sponsored too…but as always, the opinions in the post are mine.

The event I attended featured, Mark Pimentel, MD, FRCP(C), executive director of the Medically Associated Science and Technology (MAST) program at Cedars-Sinai Medical Center as well as Ceciel Rooker – executive director of The International Foundation for Functional Gastrointestinal Disorders (IFFGD), a nonprofit education and research organization that addresses the issues surrounding adult and pediatric gastrointestinal diseases. I have been fortunate over the many years working in GI Nutrition to know both of these great speakers, personally.

Dr. Mark Pimentel kicked off the meeting speaking about the state of the state of IBS, future directions for treatments and a great overview. He truly is a maverick in the field. Mark has worked tirelessly in his research to truly identify the pathomechanism of IBS-D.

A few important facts about IBS:

  • There are up to 16 million Americans living with IBS-D.
  • IBS affects about twice as many women as men.
  • Microbial imbalance has been linked to symptoms of IBS-D.
  • IBS is the 7th most common diagnosis by primary care physicians.
  • 67% of IBS sufferers experience symptoms for 1+ year before seeing a doctor. (Hello, that needs to change!)

There were a variety of editors, bloggers and influencers asking questions about IBS and some shared their personal stories.

We talked about the term ‘Irritable Bowel Syndrome’.  How using the word syndrome can sometimes marginalize the diagnosis. Add the words “irritable” + “bowel”…. and it’s no wonder people don’t talk about IBS! There are up to 1 billion suffering with IBS globally and in the U.S., up to 75% are undiagnosed! IBS symptoms are unpredictable…the timing of symptoms, the form of the poop and the frequency of needing to use the restroom.

In case you don’t know Dr. Pimentel’s most significant work in the area of IBS include:

  1. Discovered a treatment for irritable bowel syndrome with diarrhea (IBS-D).
  2. Developed the first blood test for IBS on the basis of IBS being derived from acute gastroenteritis in some patients.
  3. Described the association between IBS + SIBO, which had led to the basis of development of therapies targeting the gut microbiome in IBS.
  4. Identified M. smithii as the primary methane-producing microbe in humans, linked with constipation.

Here we are as a group (business partners, doctors, and influencers in this space) at the end of this great program!  Note the microbe artwork on the walls. 🙂

As part of this innovative program, an artist illustrated symptoms associated with IBS in very unique, hand-painted body art.

What do you think?

I was introduced to a new website, Let’s Talk 2. This website is an informative resource to help individuals identify common triggers and causes of IBS with diarrhea predominance, as well as provides helpful tips to help patients talk to their doctors more openly about their digestive health. Talking about poop can be an embarrassing topic–but it shouldn’t be.

Believe me, GI doctors and dietitians often love to talk poop! So feel free to open up!

When 2 See a Doctor:

If for at least six months you have abdominal pain that keeps coming back at least 1 day per week in the last 3 months and is associated with loose stool, an urgent need to go, and/or the way your poop looks, it could be irritable bowel syndrome with diarrhea (IBS-D).

What 2 Know Before You Go 2 the Doctor:

  1. Write down your symptoms and triggers.
  2. Make a list of all your medications.
  3. Plan questions in advance, such as:
  • What is the most likely cause of my symptoms?
  • Should I change my diet and lifestyle?
  • What treatment options do you recommend?

If you know someone that has digestive symptoms, encourage him or her to talk to their doctor. It is not normal, to not feel normal.  








9 replies on “Let’s Talk 2

    • Ashley Montez

      I did Xifaxan twice and it was helpful, but does NOT cure. There is no cure for IBS-D. But it can help get rid of some of that nasty bacteria in the gut and then you can work on trying to keep them as low as possible with diet modification.

  • Karina

    Thank you for sharing and for keeping advocating for us IBSers…. it’s always encouraging to hear that there are GI’s out there not afraid of diagnosing IBS. I’ve had a GI doctor saying how much he hates IBS and treating IBS. That was the most frustrating appointment I had in my life. Decided to go back to my current GI because he at least listens to me and put up with my complains but never brings up the ‘forbidden’ word IBS.
    I also don’t understand why studies/blogs/professionals don’t focus on constipation more… I know diarrhea can cause more problems but from my personal experience (having had to deal with both) I would change my C for D any day…. Constipation is my worse nightmare and I’m thankful for dieticians like you for helping us feel better. Low Fodmap diet changed my life… 😉

    • katescarlata

      I totally agree, Karina. Having had problems with both–constipation is a nightmare. There are some great GIs out there–but still so much advocacy work to be done. Thanks for your comment! 🙂

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