Irritable bowel syndrome, or as it was called in the past, spastic colitis, is a condition associated with gas entrapment in the small intestine that often results in pain. There is no diagnostic test that indicates that someone has irritable bowel syndrome, and it is a diagnosis that is arrived at after ruling out other conditions associated with similar symptoms. Today I would like to say some things about irritable bowel syndrome that are important for you to know, because it is a condition that occurs very often and is not as innocent as some people think. To begin with, I would like to explain what is the cause of this syndrome, or rather what are the causes. The syndrome Irritable bowel syndrome is usually not due to one cause, but to a number of factors that coexist in a person. These factors are divided into two large groups. Factors which are reversible and factors which are irreversible. When someone comes to my office to help them deal with the symptoms of irritable bowel syndrome, they often ask me why they have it. First I analyze the non reversible factors, i.e. factors that are currently too late or impossible to change. For example, gender, we know that women experience such disturbances more often than men. So, being a female patient puts her at greater risk of suffering from the syndrome. But we cannot change this. We also see that the probability of occurrence is related to age. This means that the syndrome rarely occurs when someone is 10 years old, while it is not at all rare when someone is 30 or 40 years old. So, the probability of someone suffering increases with age. But we can't change age either. We also know that it plays a very important role role of infant nutrition, i.e. nutrition in the first one or two years of our life, as well as the use or abuse of antibiotics in childhood. Obviously, we can't change these either. We cannot go back in time and change infant nutrition. Other irreversible factors are genes, childhood trauma and abuse, sensitivity to pain perception, and others. But there are also some factors that play an important role and are reversible. The most important reversible factor is diet. Another reversible factor is anxiety and depression. These two we know greatly affect the likelihood of someone experiencing symptoms, and we can change them. Another factor that is reversible and difficult to change is environmental pollution. Of course it is difficult to change the pollutants that our bodies are exposed to, but theoretically one can go and live in a village where the air is cleaner and the water in much better condition. Surely the foods he will find there will be less loaded with pesticides and other toxins. But it is difficult to make such a drastic change. Also, lack of exercise is a factor we can deal with. We know that people who exercise regularly experience irritable bowel syndrome less often, while people who don't exercise and suffer from irritable bowel syndrome when they start exercising we usually see a significant improvement in symptoms. These are the main reversible factors, and such you see they are all very hard to reverse. But if one wants to see an improvement in the symptoms of irritable bowel syndrome one must choose one or more of these factors and improve them. I will show you how I deal with irritable bowel syndrome when it comes someone in my practice. First, we spend time preparing a diet that excludes foods that trigger the symptoms of irritable bowel syndrome and disrupt the intestinal flora. This is the first step of the treatment and it concerns nutrition. In the second year, the issue of anxiety and depression is raised. If this factor seems to be related to the onset of symptoms then we take some measures to deal with it. I typically choose one or more of the herbs in the stress-reducing herb family, such as St. John's wort, ashwagandha, or ginseng, depending on the medical history, and at the same time we start acupuncture to deal with stress and improve the condition. This approach also includes some vitamins, minerals and trace elements that I know play a very important role in dealing with stress, such as vitamin D, magnesium and omega-3. Finally, we consider the possibility of increasing physical activity. We look into the daily life of the sufferer to find ways to introduce activity, even if it is just a little walk a week. In this case our basic principle is at 3,000 we have already accomplished something great. We have managed to increase the daily activity by 50%, and I know from my experience that even this helps the situation a lot. But as you have understood, treating irritable bowel syndrome is an art that unfortunately very few doctors possess. The application of treatment varies greatly from patient to patient and it is important that the doctor has a wide range of treatment options to be able to help each person. The approach is not the same for everyone, but is individualized according to each person's medical history and needs. As a doctor, I have a lot of experience in dealing with this syndrome because many people ask for my help. As a result I have accumulated three decades of experience in dealing with this problem and have come to the point where I am very satisfied with the results. If you have a problem with irritable bowel syndrome I will be more than happy to help you. But why should anyone bother doing anything to deal with irritable bowel syndrome? In the final analysis it is not a condition that is going to lead to the shortening of our lives in some way. It is true that irritable bowel syndrome does not affect the quantity of our lives in any way, but it significantly affects the quality of our lives and can be a source of great distress. and stress. There are also some studies showing that women who have irritable bowel syndrome are twice as likely to have a miscarriage or other pregnancy and fertility disorders. What we also see is people ignoring symptoms of major bowel diseases, such as cancer, attributing them to irritable bowel syndrome, which significantly delays the diagnosis that needs to be made early to improve the prognosis of the condition. Finally, the irritable bowel syndrome has been associated with disorders of the gut flora and the immune system, which although it is not clear which of the two pre-exists, is certainly a sign that the immune system and the gut flora are in trouble. Irritable bowel syndrome is a problem that needs to be treated properly. Thank you very much.