QUOTE (Rosepurple @ Jul 6 2009, 06:03 AM)

Hi
I've been reading some of the threads on this forum with much interest and thought that some of the symptoms described in terms of the pain felt during and in between periods could be attributed to irritable bowel syndrome (IBS). I suffer from IBS and find that around period time the pain can be really, really bad (and even in between periods I've had some horrible and inexplicable kinds of pain).
A few days ago I had a period after almost 3 months of not having one and this seems to have really aggravated my IBS. I am now getting over the period but am experiencing inflammation and soreness when I press down on the left side of my abdomen where the bowel loops and goes down. I've had IBS on and off for years and am used to some discomfort, but for some reason this month it's been really bad and I am stressing, thinking it might be something more sinister, even though I've had something similar last year and the year before.
The pain starts just before I have a period and then my ovaries seem to flip out while the period is coming and they hurt like hell, then when the actual period pain calms down I get this weird inflammation sensation (mostly on the left side, but sometimes on the right) and it feels really bad when I do certain movements that jar my body or when I press down on it. The pain is sore and sharp. I've had a couple of ultrasounds in the last 2 years, thinking it was an ovarian cyst that ruptured or something, but all came out normal. I also had an occult blood test where they test stools for microscopic blood in case it's something serious, and that was normal also. I didn't have the courage to have a colonoscopy, but the doctor usually insists on this if she/he finds microscopic blood, which in my case thankfully this wasn't the case. I will be repeating this test soon for peace of mind, but this still doesn't stop me from worrying. I find that with perimenopause it's one thing after another and I am so anxious and depressed that sometimes I don't know what to do.
Does anyone out there suffer from IBS, and if so do your symptoms get worse around period time? Any suggestions or comments would be appreciated.
Cheers, Sylvia
Hi Sylvia,
IBS was one of my worst peri symptoms. When I look back I just shudder at the almost constant aggro that my unbalanced hormones were causing me. I cannot really point you to a solution except that you are terribly careful about sticking to a gentle and fairly bland diet. I feel that in peri the gut is under stress. Its protective mechanisms do not function correctly and there is little you can do about that. Think of the inside of your gut as being like a skin with dermatitis. What would happen if you bathed in a a higly perfumed bubble bath? You would be in trouble and that is how the peri bowel reacts. I could not eat tomatoes, citrous fruits or anything spicy during the worst times. Trouble is the bowel is hidden so you cannot actually see when problems are occuring. You will have to be very clever to identify the things that trigger problems.
To be quite frank with you I had to accept almost constant abdominal discomfort, that changed from day to day and with the fluctuations of my cycle. At one stage I was convinced that I had endometriosis. It really did feel as though something was stuck to the left side of my colon, sort of, eating away at it. I always had problems at ovulation and sometimes during the bleed itself. I think that it is very easy to convince yourself that something insiduous and terrible is going on but in my case, there is no doubt that it was the STUPID hormones that were making my life a misery. At times I had pain around the rectal area in relation to my cycle. At menopause it stopped and I can now eat tomatoes again. How ridiculous is that?
The most difficult aspect of all this is knowing when to investigate problems. I think that fever, any blood loss, dark stools, anaemia, uncharacteristic diarrhoea, severe constipation, weight loss or unrelenting pain that keeps you awake all night should be looked at but otherwise trying to find a diagnosis can become a bit of a search for the holy grail. It must be remembered that procedures like colonsocopy are invasive and do carry an uncomfortable degree of risk. If the operative is not up to the task it is possible for them to perforate the bowel which always has unhappy consequences.
Perhaps you could keep a simple journal and it may to be possible to identify the times of the month when your hormones cause you the most grief and this might ease your mind a little.
I will tell you that I once chatted to one of the most senior gastroenterologists in the UK on this topic and he was in no doubt that the fluctuation of female hormones could play absolute havoc with gut function. Sad thing was, he admitted that they do not have a clue how to 'sort it.'
Take care,
XIII