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abdominal pain addition agents alcohol antispasmodics barium belching bloating blood bowel movements breath caffeine calories cancer cause Chapter chronic colitis colonoscopy common complex carbohydrates constipation cramps dairy products develop diagnosis diarrhea diet diary dietary fiber digestive tract disorders doctor drug elimination endoscopy esophagus evaluate exam example excessive gas exercise factors feel fiber supplements fibromyalgia food intolerance food sensitivities Foods to Avoid frequently gallbladder gastrointestinal tract grams headaches heart rate hemorrhoids hydrogen breath test ibs sufferers ibs symptoms increased intake intestinal tract irritable bowel syndrome lactase enzyme lactose intolerance lifestyle meals medications menstrual milk muscle nervous system normal nutritional occur patients peptic ulcer problem protein reactions recommend rectum relaxation result side effects sigmoidoscopy Simethicone small intestine spastic colon stool stress reduction sugar swallowing symp symptoms of ibs techniques tion tolerate treating ibs treatment trigger ulcer disease usually vegetables wheat worsen