Podcast appearances and mentions of rome iv

Can hypnotherapy really alter the physical sensations in your gut? Claire Hall, research lead at Mindset Health, joins Michelle to discuss gut-directed hypnotherapy for those with irritable bowel syndrome (IBS) and how their app, Nerva, provides an innovative mangement option that's challenging traditional dietary restrictions and shaping the future of gut health management.We discuss:What is gut-directed hypnotherapy and its distinction from “stage” hypnosis [1:33]IBS as a diagnosis of exclusion and its clinical definition using the Rome IV criteria [4:01]The biopsychosocial model of IBS, incorporating genetics, psychological factors, and early life experiences. [4:47]Comparison of hypnotherapy's effectiveness with other treatments such as the low FODMAP diet [13:22]The role of relaxation in managing IBS symptoms through hypnotherapy [15:28]The bi-directional relationship between the brain and the gut via the vagus nerve [16:23]How Nerva was developed and its focus on clinical trials and retrospective research [33:33]Potential expansion of hypnotherapy applications to other GI disorders and chronic pain [40:32]Success stories and patient feedback on using Nerva for IBS management. [43:03]The role of education in changing the conversation around IBS and its management [46:42]Watch the full episode on the Quiet The Diet Youtube ChannelThank you to our episode sponsors:Nerva:  Get a free 7 day trial of NervaPodcast Links: Quiet the Diet Podcast PageFollow the pod on IG Episode Page (with full transcript!)  Work with Michelle: Apply to work with a functional Registered Dietitian at MSN LLCJoin our holistic anxiety programLearn more about the practiceFree Resources: Get started with any of our free guidesSign up for the NewsletterJoin our FREE membership community!Connect with Michelle:Follow Michelle on IG

In this episode, Nurse Doza discusses the topic of bloating and provides tips on how to reduce it. Bloating is a common issue, with nearly 40% of the general population reporting experiencing it. Nurse Doza encourages listeners to take note of their own symptoms and do their own research to find strategies that work for them. This episode aims to empower listeners to take action and find relief from bloating.   00:00 START 02:29 Tips to reducing bloat. 07:40 Elimination diet and bloating. 10:38 Gut and brain interaction. 13:52 L-glutamine supplementation and gut health. 17:48 Support your liver. 21:10 Supporting the liver 23:41 Depression and Serotonin Production. 28:08 Digestive issues and processed foods. 30:39 Serotonin and mood support.   Elevate your mood naturally with Bliss. Our carefully formulated supplement is designed to support neurotransmitter production, ensuring a balanced and joyful life. Before diving into the episode, don't forget to click the link and explore how Bliss can transform your everyday experiences. https://www.mswnutrition.com/products/bliss/?ref=nursedoza 1. Diet and Bloating Examine your diet to identify potential causes of bloat. Low Fermentable Oligo-, Di- and Mono-saccharides And Polyols (FODMAP) Diet is highly recommended for treating IBS symptoms¹. IBS diagnosis is based on the Rome IV criteria, highlighting the relation of abdominal pain with defecation and changes in bowel habits¹. A significant percentage of IBS patients, especially women, associate their symptoms with food intake. Bloating and abdominal pain are the most frequent complaints¹. Commonly reported dietary triggers include carbohydrates, fatty foods, coffee, alcohol, and hot spices¹. Gluten can disrupt bowel barrier functions, especially in certain patients akin to celiac individuals¹. Excessive fructose intake exacerbates NAFLD markers² and can disturb the intestinal barrier, intensifying liver inflammation and fructose conversion into fatty deposits³. ¹ ² ³ 2. Gut Health and Bloating Address gut health to alleviate bloating. DGBIs encompass conditions like IBS, reflux hypersensitivity, and functional dyspepsia⁴. Several factors, including past infections and psychological conditions, can lead to DGBIs⁴. Disorders of gut–brain interaction or FGIDs are recognized as microbiota–gut–brain abnormalities prevalent worldwide⁵. Gut microbiota is susceptible to changes due to varying factors like diet and psychological state⁵. Methanogenic microbes in the colon can lead to slowed gut transit and constipation due to serotonin depletion⁵. ⁴ ⁵ 3. Bloodwork and Bloating Seek bloodwork to identify underlying causes. hs-CRP is linked with NAFLD⁶. IBS has been found to predict higher hs-CRP levels⁷. Elevated ALT is often observed in IBS patients⁸. Excessive gas correlates significantly with liver steatosis and heightened ALT levels⁹. ⁶ ⁷ ⁸ ⁹ 4. Liver Health and Bloating Support the liver for better digestion. IBS symptoms like abdominal pain and bloating can also indicate NAFLD¹⁰. Cholecystitis can lead to abdominal bloating¹¹. The gallbladder isn't essential for a healthy life¹¹. ¹⁰ ¹¹ 5. Mood, Serotonin, and Bloating Maintain a balanced mood and serotonin levels to manage bloating. Serotonin has diverse intestinal functions¹². IBS might be associated with serotonin dysfunction affecting gut motility¹². Changes in serotonin levels can be addressed with specific medications for symptom relief¹³. Essential components for serotonin synthesis include tetrahydrobiopterin (BH4) and pyridoxine (vitamin B6)¹⁴. ¹² ¹³ ¹⁴ As you've learned today, neurotransmitter balance plays a crucial role in our overall well-being. Why not support your body's natural balance with Bliss? Click on the link to discover how this transformative supplement can amplify your health journey. https://www.mswnutrition.com/products/bliss/?ref=nursedoza  

This is a summary. The unabridged original full episode can be found here. Enjoy! IMAGE:  La morte di Cesare, Abel de Pujol, 1808. Oil on canvas. This piece is housed at the Musée des beaux-arts de Valenciennes in Valenciennes, France. Via Wikimedia Commons: https://commons.wikimedia.org/wiki/File:La_cl%C3%A9mence_de_C%C3%A9sar.jpg 

Dr. Tom Fabian discusses Mast Cell Activation, Dysbiosis, and IBS at the Functional Medicine Discussion Group meeting on August 24, 2023 with moderator Dr. Ben Weitz.   [If you enjoy this podcast, please give us a rating and review on Apple Podcasts, so more people will find The Rational Wellness Podcast. Also check out the video version on my WeitzChiro YouTube page.]    Podcast Highlights 6:18  IBS is a condition that is diagnosed mainly by symptoms and these are part of the Rome IV Criteria.  [These are found at TheRomeFoundation.org]  There are four recognized subtypes of IBS: IBS-C (constipation), IBS-D (diarrhea), IBS-M (mixed), and IBS-U (undefined).  Bloating and distension are common symptoms associated with IBS, but they are not officially included in the Rome IV criteria.  There is no currently accepted test for the diagnosis of IBS.  This is a good review article on what we currently know about IBS: Camilleri M, Boeckxstaens G.  Irritable bowel syndrome: treatment based on pathophysiology and biomarkers.  Gut. 2023 Mar;72(3):590-599.    11:38  There are a number of conditions that result in similar symptoms to IBS, including Bile-acid malabsorption, exocrine pancreatic insufficiency, carbohydrate intolerance, SIBO, SIFO, Dyssynergic defecation, Ehlers-Danlos syndrome, mast cell activation syndrome, eosinophilic gastroenteritis, intra-abdominal adhesions, celiac disease, and giardiasis. Dr. Fabian noted that we are learning that a significant number of patients with IBS symptoms, esp. on the diarrhea side, have a sucrase-isomaltase deficiency, which is one of the brush border enzymes in the small intestine.  This leads to a malabsorption of sucrose and certain starches. 16:15  IBS Mechanisms.  Diet is an important factor since 85% of IBS patients report their symptoms are triggered by eating, often 60 min or so after eating.  Leaky gut is a factor in most GI conditions. We see immunoactivation/inflammation, though a more subtle form of inflammation than what we see with inflammatory bowel disease like Crohn's disease. This is where mast cells come into play. There is also the gut-brain axis. 18:12  Disorders of Gut-Brain Interaction.  The new name for functional GI disorders being adopted in research is Disorders of Gut-Brain Interaction.  This is a good review article on this:  Vanuytsel T, Bercik P, Boeckxstaens G.  Understanding neuroimmune interactions in disorders of gut–brain interaction: from functional to immune-mediated disorders  Gut 2023;72:787-798.   We see as part of the pathophysiology in IBS a subtle mucosal infiltration of immune cells, especially mast cells and eosinophils, along with the increased release of  nociceptive mediators, which lead to visceral hypersensitivity, which plays a role in abdominal pain. 22:20  The pathogenesis of IBS is explained well in the following article: Carco C, Young W, Gearry RB, Talley NJ, McNabb WC, Roy NC. Increasing Evidence That Irritable Bowel Syndrome and Functional Gastrointestinal Disorders Have a Microbial Pathogenesis. Front Cell Infect Microbiol. 2020 Sep 9;10:468.  Dysfunctional microbiota leads to increased intestinal permeability that leads to immune activation that results in mast cell activation and visceral hypersensitivity that leads to abdominal pain, bloating, and altered motility.                         Dr. Tom Fabian is a leading expert on the role of the microbiome in health, immune function, chronic disease and aging. He received his PhD in molecular biology from the University of Colorado Boulder, and he's worked as a biomedical researcher in the biotechnology industry and more recently as a consultant in the microbiome testing field.  Currently, Dr. Fabian serves as a consultant and science advisor with Diagnostic Solutions Lab. Tom's website is Microbiome Mastery.com.  Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorder...

Rome kills 80,000 of their own soldiers because of a personal beef. Support the show: https://www.patreon.com/lionsledbydonkeys Sources: Theodor Mommsen. The History of Rome IV "The Revolution" Plutarch. Life of Marius. Richard Evans. Rome's Cimbric Wars Peter Tsouras. The Cimbrian War, 113-101 BC Mike Duncan. The Storm before the Storm

In this episode, we review the clinical presentation, history and physical examination as well as the ROME-IV diagnostic criteria for a diagnosis of IBS. We review the different subtypes of IBS as well as symptom management and emerging treatments for IBS. Our medicine minute focuses on the evidence supporting the use of eluxadoline in patients with IBS-D. Podcast written by: Dr. Nawid Sayed (Internal Medicine Resident)Reviewed by: Dr. David Rodrigues (Neurogastroenterology)  and Dr. Laura Marcotte (General Internist)Sound editing by: Dr. Alison LaiInfographic by Dr. Caitlyn VlasschaertSupport the show

The Intern At Work In this episode, we review the clinical presentation, history and physical examination as well as the ROME-IV diagnostic criteria for a diagnosis of IBS. We review the different subtypes of IBS as well as symptom management and emerging treatments for IBS. Our medicine minute focuses on the evidence supporting the use of eluxadoline in patients with IBS-D. Podcast written by: Dr. Nawid Sayed (Internal Medicine Resident)Reviewed by: Dr. David Rodrigues (Neurogastroenterology)  and Dr. Laura Marcotte (General Internist)Sound editing by: Dr. Alison LaiInfographic by Dr. Caitlyn VlasschaertSupport the show https://www.listennotes.com/e/76e035ba43924a3c9327865b6accfbee/

Christian and Mike take an evidence based look at colic. Definitions, possible causes, treatment options and what evidence is still required. REFERENCES: 1.6.1.2 Abdominal migraine - ICHD-3. (n.d.). Retrieved March 22, 2021, from https://ichd-3.org/1-migraine/1-6-episodic-syndromes-that-may-be-associated-with-migraine/1-6-1-recurrent-gastrointestinal-disturbance/1-6-1-2-abdominal-migraine/ Adam-Darque, A., Freitas, L., Grouiller, F., Sauser, J., Lazeyras, F., Van De Ville, D., … Leuchter, R. H. V. (2020). Shedding light on excessive crying in babies. Pediatric Research, 1–6. https://doi.org/10.1038/s41390-020-1048-6 Carnes, D., Plunkett, A., Ellwood, J., & Miles, C. (2018, January 1). Manual therapy for unsettled, distressed and excessively crying infants: A systematic review and meta-analyses. BMJ Open, Vol. 8, p. e019040. https://doi.org/10.1136/bmjopen-2017-019040 Ellwood, J., Draper-Rodi, J., & Carnes, D. (2020). Comparison of common interventions for the treatment of infantile colic: A systematic review of reviews and guidelines. BMJ Open, 10(2), e035405. https://doi.org/10.1136/bmjopen-2019-035405 Gelfand, A. A. (2016). Infant Colic. Seminars in Pediatric Neurology, 23(1), 79–82. https://doi.org/10.1016/j.spen.2015.08.003 Gelfand, A. A. (2018). Episodic syndromes of childhood associated with migraine. Current Opinion in Neurology, 31(3), 281–285. https://doi.org/10.1097/WCO.0000000000000558 Goksan, S., Hartley, C., Emery, F., Cockrill, N., Poorun, R., Moultrie, F., … Slater, R. (2015). fMRI reveals neural activity overlap between adult and infant pain. ELife, 4. https://doi.org/10.7554/eLife.06356 Holm, L. V., Jarbøl, D. E., Christensen, H. W., Søndergaard, J., & Hestbaek, L. (2021). The effect of chiropractic care on infantile colic: results from a single-blind randomised controlled trial. Chiropractic & Manual Therapies, 29(15), 1–11. https://doi.org/10.1186/s12998-021-00371-8 Keil, B., & Fludder, C. (2021). Letter to the Editor: “The effect of chiropractic care on infantile colic: results from a single-blind randomised controlled trial” and “Identifying potential treatment effect modifiers of the effectiveness of chiropractic care to infants with colic through prespecified secondary analyses of a randomised controlled trial.” Chiropractic & Manual Therapies 2021 29:1, 29(1), 1–2. https://doi.org/10.1186/S12998-021-00386-1 Perry, R., Leach, V., Penfold, C., & Davies, P. (2019). An overview of systematic reviews of complementary and alternative therapies for infantile colic. Systematic Reviews, 8(1), 271. https://doi.org/10.1186/s13643-019-1191-5 Prevost, C. P., Gleberzon, B., Carleo, B., Anderson, K., Cark, M., & Pohlman, K. A. (2019). Manual therapy for the pediatric population: A systematic review. BMC Complementary and Alternative Medicine, 19(1). https://doi.org/10.1186/s12906-019-2447-2 Yu, H., Shearer, H., Taylor-Vaisey, A., Mior, S., Verville, L., Connell, G., & Côté, P. (2021). Methodological flaws on “manual therapy for the pediatric population: a systematic review” by Prevost et al. (2019). BMC Complementary Medicine and Therapies, 21(1). https://doi.org/10.1186/S12906-020-03145-6 Zeevenhooven, J., Koppen, I. J. N., & Benninga, M. A. (2017, March 1). The new Rome IV criteria for functional gastrointestinal disorders in infants and toddlers. Pediatric Gastroenterology, Hepatology and Nutrition, Vol. 20, pp. 1–13. https://doi.org/10.5223/pghn.2017.20.1.1

Welcome to Constipation 101!

Ave, citizen! It's Episode 4 of our Roman epic and the ailing Republic is divided in two. It's East vs. West, brains vs. brawn and man vs. woman (okay that's a stretch) as Gaius Octavius steps into the limelight to face off against Mark Antony and his Egyptian Queen Cleopatra. It's been a long haul...

Ave, citizen! It's Episode 4 of our Roman epic and the ailing Republic is divided in two. It's East vs. West, brains vs. brawn and man vs. woman (okay that's a stretch) as Gaius Octavius steps into the limelight to face off against Mark Antony and his Egyptian Queen Cleopatra. It's been a long haul...

Wednesday Wisdom from Pastor Mitchell Bland

In this episode of Bowel Sounds, hosts Drs. Temara Hajjat, Peter Lu, and Jason Silverman talk to Dr. Jeffrey Hyams about the management of pediatric patients with IBD. We begin by hearing how he developed his passion for not only IBD but also functional GI disorders — and how he became the first author of the Rome IV criteria. We then ask the expert himself how he approaches the management of pediatric patients with ulcerative colitis and Crohn's disease. We briefly touch on new therapies in IBD. Finally, we discuss controversial topics in the management of patients with IBD.As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Produced by: Temara HajjatSpecial requests:Thank you to everyone for listening to our podcast. If you enjoyed this content and thought it was useful, we ask you to consider doing any or all of the following three things:Tell one person who you think would like this type of content about the podcast. We want to reach more GI doctors and trainees and general pediatricians, pediatric residents, and medical students.Leave a review on Apple Podcasts -- this helps more people discover our podcast.You can also support the show by making a donation to the NASPGHAN FoundationSupport the show (https://www.naspghan.org/content/87/en/foundation/donate)

(Mostly) updated Mondays Current series: "Catholic Worldbuilding"--building our Pope-colored glasses This episode: Rome IV: The Rule of Three Next episode: Rome V: Imperium / Imperator Imbroglio (coming 1/11/21) Next series: Quick overview of Papal history from Peter to Francis Recommendation: Totalus Rankium (https://totalusrankium.podbean.com/)

In Week 5, we look at the teaching of Luther in Heidelberg before shifting over to look more deeply at the Doctrine of Justification and what we mean by saying that our salvation comes Sola Fide (by Faith Alone). The differences between two key theological phrases: Imputation (as taught by the Reformers) and Infusion (as taught by Rome) have major implications for us even today.

Arriving at the Great Library of Alexandria, Andre's character Pyrrho of Pergamum searches for the secret plans for the floating statue. But in order to get his hands on them, he must first solve several science and engineering challenges. Along the way, we learn a great deal about the Library of Alexandria and its marvelous discoveries. Be sure to support the show at www.patreon.com/deadideaspod to get your portrait drawn! Custom map of Rome by Adam McKithern. Music by Rachel Westhoff. Maps, pics, references and more at www.deadideas.net.

This podcast focuses on developing an approach to constipation in children. After listening to this podcast the learner should be able to: understand the pathophysiology of constipation in pediatric patients, differentiate between organic and functional constipation, diagnose functional constipation from history and physical exam using the Rome IV guidelines, and develop an approach to treating functional constipation.  This episode was developed by Harrison Anzinger, a second-year medical student at the University of Alberta, in collaboration with Dr. Jason Silverman, a pediatric gastroenterologist at the Stollery Children’s Hospital and Assistant Professor at the University of Alberta.

This episode of CRACKCast covers Rosen’s Chapter 95, Large Intestine. This chapter covers a number of pathologies affecting the large colon, including their associated risk factors & complications.     List features that are typical for IBS. (Describe the Rome IV criteria and list 4 medications used to treat irritable bowel syndrome - show notes) What is the pathophysiology of diverticular disease? List clinical presentations of diverticular disease. How is diverticular disease managed in the ED? Which patients should be admitted to hospital? List 3 complications. List the types and potential causes of large bowel obstruction. What are the four types of GI volvulus? What are the risk factors for developing each type? List the extra-intestinal manifestations of IBD. What are the pathologic and clinical differences between UC and Crohn’s?  List 4 categories of medical therapy for IBD and give one example for each. Describe the radiologic features of toxic megacolon. What the potential causes of toxic megacolon? Which conditions are associated with the development of colonic ischemia? List 4 precipitants of ischemic colitis in the elderly and 3 in young patients List 4 ddx for colitis Differentiate between acute and chronic radiation proctocolitis in pathophys and clinical presentation   Wisecracks:   1) What is Ogilvie’s Syndrome? List 3 RFs 2) Compare AXR findings in SBO with LBO 3)  What is the difference between each Cecal and Sigmoid volvulus on AXR? How is management different? 4) List 3 Perianal complications and 6 Extra-intestinal manifestations of Crohn’s disease. 5) How does adult intussusception differ from peds

This episode of CRACKCast covers Rosen’s Chapter 95, Large Intestine. This chapter covers a number of pathologies affecting the large colon, including their associated risk factors & complications.     List features that are typical for IBS. (Describe the Rome IV criteria and list 4 medications used to treat irritable bowel syndrome - show notes) What is the pathophysiology of diverticular disease? List clinical presentations of diverticular disease. How is diverticular disease managed in the ED? Which patients should be admitted to hospital? List 3 complications. List the types and potential causes of large bowel obstruction. What are the four types of GI volvulus? What are the risk factors for developing each type? List the extra-intestinal manifestations of IBD. What are the pathologic and clinical differences between UC and Crohn’s?  List 4 categories of medical therapy for IBD and give one example for each. Describe the radiologic features of toxic megacolon. What the potential causes of toxic megacolon? Which conditions are associated with the development of colonic ischemia? List 4 precipitants of ischemic colitis in the elderly and 3 in young patients List 4 ddx for colitis Differentiate between acute and chronic radiation proctocolitis in pathophys and clinical presentation   Wisecracks:   1) What is Ogilvie’s Syndrome? List 3 RFs 2) Compare AXR findings in SBO with LBO 3)  What is the difference between each Cecal and Sigmoid volvulus on AXR? How is management different? 4) List 3 Perianal complications and 6 Extra-intestinal manifestations of Crohn’s disease. 5) How does adult intussusception differ from peds

In this week’s episode, I have the pleasure to interview Dr. Miechelle O’Brien, my first gastroenterologist guest. Dr O'Brien explains IBS and other GI issues while sharing her knowledge and passion with us. Also you can find out, how she got the fantastic idea of creating the TrueSelf™ Foods products to help many IBS sufferers with convenient, yet healthy and delicious snack bars that won't trigger their symptoms.  In this episode, you’ll learn: What is a gastroenterologist? How important is to see a gastroenterologist for someone suffering from digestive issues? What is the difference between syndrome, disorder and disease? What does “brain in our gut” means? What causes IBS? How common is IBS around the world? What is post-infectious IBS? Are women more prone to IBS than men? What is the best way to find out if you have IBS? What is the Rome IV criteria all about? How is IBS different from IBD (Inflammatory Bowel Disease)? How to treat IBS symptoms? How Dr. O’Brien found out about the low FODMAP diet? How knowledgeable are other GI specialists about the low FODMAP diet? How Dr. O’Brien came up with the idea of creating low FODMAP food products? To read the show-notes for this episode, please visit www.lowfodmapdiets.com/23

In this episode, Fr. John discusses Muscovite Russia's encounter with the West in the face of Uniatism, military invasion, and theological "captivity," all of which contributed to the decline of eastern Christendom.