IBS Transcript


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Canadian Health and Family




MS on Dr. Armstrong Dr. Armstrong: Patient involvement in the management of their IBS symptoms is hugely important. In fact, I would argue that without patient involvement, it’s almost impossible to treat IBS.
B-roll (sitting down for interview, different angles, walking with Jeff CEO) VO: Dr. David Armstrong is a consultant gastroenterologist at Hamilton Health Sciences and Professor of Medicine at McMaster University. He also serves with the board of directors for the Canadian Digestive Health Foundation. CDHF is affiliated with the Canadian Assocation of Gastroenterology which provides expert advice and compassionate support to the millions of Canadians who suffer from digestive disorders.
MS on Dr. Armstrong

BRoll…(creative POP shots)


Dr. David Armstrong, Consultant Gastorenterologist, Hamilton Health Sciences, Associate Professor, McMaster University

VO: The thing about the irritable bowel syndrome is that it’s a real condition. About 60% of people with symptoms of the irritable bowel syndrome, never actual visit a physician and don’t think of it as a specific disease. And in fact, the name “syndrome” implies that it’s a collection of symptoms that interfere with people’s quality of life, and their day to day activities.



VO: IBS is a frustrating, underdiagnosed and undertreated condition that affects 10-20% of the Canadian population.
MS on Dr. Armstrong


B-Roll (pain, holding stomach. :01https://www.youtube.com/watch?v=mfsK5w9AlUc  Person coming out of washroom)

Dr. Armstrong: The key symptom that people complain of and that’s used in the definitions is abdominal pain. Now that may be mild or it may be severe, and it’s not just abdominal pain because that could be caused by a number of different conditions. It’s abdominal pain where there are other symptoms such as bloating or distention. There is often increased flatus. Patients also often have disturbance of bowel habits, so they may have diarrhea, constipation, they may have alternating diarrhea and constipation.
B-roll (executive, teacher, family) VO: IBS, although being very common, is very rarely recognized for the impact its symptoms have upon the individual, their family, work life, and society as a whole.
MS on Dr. Armstrong

B-Roll ( friends, swimmer in pool, family)


It’s estimated that the costs to
IBS in North America are $5-6 billion per year.

Dr. Armstrong: In fact, it has a significant effect on patients’ day to day lives, so it will reduce their quality of life, and reduce their day to day social activities, activities with the family. But it also has an effect on their work life.



Food moves to fast or too slow, causing diarrhea, constipation, or both.

VO: The symptoms of IBS often occur and average of 90 minutes after eating. This reflects the time it takes for food to reach the small intestine. Recent evidence points to this area as the site of disturbance in IBS where transit time is disrupted. It is also the site where gas is trapped and pain originates.
MS on Dr. Armstrong




Common foods which alter small bowel activity:

·      Dairy products

·      Fruits, fruit sugars, fructose

·      Vegetables

·      Grain Products

Dr. Armstrong: It’s helpful to understand the way that the gastrointestinal tract works, which is that when we eat, food is stored and initially digested in the stomach. And then, a little bit is let out at a time into the small bowel, where the food is digested. And it is at that point often that symptoms start.



Non-medical therapies may include:

·      Increased soluble fiber

·      Low FODMAPS diet
(Fruit sugar)

·      Some probiotics

·      Digestive enzymes

·      Peppermint preparations

VO: Treating the symptoms of IBS is complex because it isn’t a single disease. The good news is there are many medications available with both patients and physicians, having preference for lifestyle modifications and non-medicinal options as a starting point.
MS on Jeff Suggitt

B-Roll (CDHF website, jeff scrolling in office)


Jeff Suggitt

Chief Executive Officer

Canadian Digestive Health Foundation

Jeff: We just launched a new website, which basically still focuses on our GI disorders, but we’ve opened up a new section on the website that basically all about healthy living. It looks at nutrition and dietary recommendations; it approaches your mental health. It looks at not just the motility, but the sensitivity that’s involved in the actual syndrome.



VO: Majority of patients suffering from IBS never seek medical advice. They are however, seeking relief from their symptoms.


MS on Dr. Armstrong




Screen text: Peppermint oil has been prove effective for symptoms of pain in IBS

Dr. Armstrong: I’m actually very comfortable with patients taking natural products, or over the counter medications. Some have more medical evidence than others. And there also some over the counter medications, anti-spasmodics, for example such as Buscopan. There are other medications such as peppermint oil preparations that reduce the contractility of the bowel and help with symptoms.



Product shots…sequences Kat

:01-:04 bloating pain IBS

:11 ibgard in the gut


Screen Text: IBgard sould be taken 30 to 90 minutes before each meal

VO: An example of a non-prescription natural health product for the management of IBS is IBgard. It is clinically proven to provide relief from abdominal pain and discomfort, abdominal bloating and distention, urgency of bowel movement. It is the only peppermint oil formulated into tiny microspheres to help deliver product quickly and reliably to the lower bowel, minimizing potential for heartburn, which may occur with regular peppermint oil. When it comes to managing IBS, patients should feel empowered that they have options within lifestyle and behavior modifications as well as many treatment options, medicinal or natural, which have medical based evidence to their potential efficacy.
MS on Dr. Armstrong Dr. Armstrong: Patients involvement in the treatment process is hugely important. I, as a healthcare professional, just like all other healthcare professionals, can give advice. We can’t live people’s lives for them. None of these works on everybody. None of them is a magic bullet or a panacea. But most patients can find something or some treatments and approaches to their life that will get their symptoms.
Canadian Health and Family



To learn more about managing the symptoms of IBS, please visit the website below. www.cdhf.ca

\VO: To learn more about managing the symptoms of IBS, please visit the website below. www.cdhf.ca


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