17 Jan 2018


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Irritable_bowel_syndrome 1_h

Gastrointestinal infection can act as triggering factor for inflammatory conditions in susceptible individuals.

This can result in acquired gluten and lactose intolerance leading to abdominal pain, bloating, diarrhoea with urgency previously known as post gastroenteritis Irritable Bowel Syndrome.

Viral or bacterial gastroenteritis can cause structural changes to the small bowel mucosa, including locally reduced digestive enzymes activities, changing the microbiota and increasing intestinal permeability.

Peptidase deficiency resulting from infected small bowel can cause accumulation of partially digested gluten peptides and damage the intestinal mucosal cells.

Damages and deficiencies might cause transitory or permanent intolerances to gluten and other nutrients.  This is why some patients might develop intolerance to gluten only over a short period of time and others might be affected permanently.

The site of infection in the gut may lead to the type of symptoms experienced: involvement of the small bowel and colon may cause IBS-like symptoms, whereas involvement of the stomach and duodenum may cause functional dyspepsia

It is possible that the pathology of acquired gluten intolerance has been miss-treated under the mask of IBS.

Chronic inflammatory conditions, such as inflammatory bowel disease, are associated with a high prevalence of lactose intolerance and clinicians are also aware that patients with gastroenteritis may develop transient lactose intolerance.

Naturopathic treatment would include exclusion of gluten and lactose.  Also herbal medicines and supplements to reduce infection, and to improve gut integrity and gut microbiome.