It had gotten so bad that I could barely ever live my hou. If you have a flare-up, they recommend taking two capsules three times a day for four weeks. That contradicts prevailing thinking that 10% to 25% of people with diverticulosis go on to develop diverticulitis. How much fiber should you aim for? Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Irritable bowel syndrome and colonic diverticular disease: Overlapping symptoms and overlapping therapeutic approaches. Both publications can help you feel better. Mayo Clinic, Rochester, Minn. Sept. 11, 2017. Differential diagnosis. That will alleviate heartburn or reflux issues. Whats even better for customers is that a peer-reviewed study on IBgard exists. The return policy also depends on the retailer you choose. Along with IBgard, they have developed other products for conditions like Ulcerative Colitis and Crohns Disease. Eating high-fiber foods and eating less red meat may lower the risk. Ohio State University School of Nursing. What It Does: Eases cramps, bloating, and gas, improves digestion, prevents heartburn. A liquid diet for a few days while your bowel heals. Taking this with Fiber Choice made all the difference. information and will only use or disclose that information as set forth in our notice of My bowels move well as the peppermint oil moves quickly to small intestine.no bouts of diahrr. I have other health conditions. Reddit and its partners use cookies and similar technologies to provide you with a better experience. You need to take on regular basis for best results.it may change your life like it did for me!! On examination, tenderness only in the left lower quadrant significantly increases the likelihood of acute diverticulitis (positive likelihood ratio = 10.4), as do a palpable mass and abdominal distention.9, Rebound tenderness, rigidity, and the absence of peristalsis are not accurate for diagnosis of acute diverticulitis, but may suggest peritonitis (positive likelihood ratio = 1.6; negative likelihood ratio = 0.4).11 A rectal examination may reveal tenderness or a mass if a low-lying pelvic abscess is present.2 Table 2 provides a summary of the accuracy of signs, symptoms, and laboratory tests for diagnosis of acute diverticulitis.9,1214 Figure 3 provides an algorithmic approach to patients with suspected acute diverticulitis.15. The usual practice in the United States for the treatment of diverticulitis includes broad-spectrum antibiotics against gram-negative rods and anaerobic bacteria (Table 4).2224 However, evidence supporting their use in uncomplicated diverticulitis is lacking. Symptom severity, signs of peritonitis, and the patient's ability to tolerate oral intake guide diagnostic testing and clinical management. After that, the following tests are likely: Our caring team of Mayo Clinic experts can help you with your diverticulitis-related health concerns WebIBgard capsules utilize patented Site-Specific Targeting (SST) technology which is designed to deliver IBgard peppermint oil where it is needed in the gut. No idea why something for your gut would cause a migraine but it definitely did. Doctors treat it with antibiotics, acetaminophen, and tricyclic antidepressant. JAMA. These statements have not been evaluated by the Food and Drug Administration. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. Diverticulosis is common, doesnt cause symptoms or need treatment. What Are the Other Ingredients In the IBgard? To provide you with the most relevant and helpful information, and understand which Patient information: See related handout on diverticulitis, written by the authors of this article. health information, we will treat all of that information as protected health Its this lining that is responsible for absorbing nutrients after digesting food. Fifteen to 30 percent of patients admitted with acute diverticulitis require surgical intervention during that admission. Your in-depth digestive health guide will be in your inbox shortly. Colonic diverticulosis and diverticular disease: Epidemiology, risk factors, and pathogenesis. Mayo Clinic is a not-for-profit organization. Theyre usually harmless. Mild cases of diverticulitis are usually treated with antibiotics and a low-fiber diet, or treatment may start with a period of rest where you eat nothing by mouth, then start with clear liquids and then move to a low-fiber diet until your condition improves. These include: You can read more about improving digestive health in Dr. Greenbergers book,4 Weeks to Healthy Digestion: A Harvard Doctors Proven Plan for Reducing Symptoms of Diarrhea, Constipation, Heartburn, and More, or inThe Sensitive Gut, a Special Health Report from Harvard Medical School. So should you try IBgard? also, many of the problems these individuals are having, have nothing to do with the medication. If you look on other websites that sell IBgard, you can find high customer ratings as well. Somerville, K. W., Richmond, C. R., & Bell, G. D. British journal of clinical pharmacology, 18(4), 638640. AskMayoExpert. Stollman N, et al. Thompson AE. What makes IBgard so special is its patented Site Specific Technology that delivers substances directly to the troubled area, which can provide more effective relief. I tried Xifaxin antibiotic and peppermint oil capsules without success. For gut health maintenance, take two capsules once daily. Treatment depends on the severity of your signs and symptoms. Alamo RZ, Quigley EMM. Stress, depression, and anxiety often accompany the disease. An over-the-counter, gastroenterologist recommended herbal supplement, IBgard was invented to manage the symptoms of IBS. She approved for me to try it and so I did. She has written multiple books focused on living with irritable bowel syndrome. .st2 { What kinds of tests do I need? clip-path: url(#SVGID_6_); Does anyone else experience this? Possibly, but there isnt yet convincing proof of it. It plays a part in symptomatic diverticular disease and may mimic irritable bowel syndrome. Heidi was named a journalism fellow, foods and drinks with added sugar (including syrup and orange juice). A retrospective cohort study of 1,088 patients with left-sided diverticulitis diagnosed by CT found an increased risk of colorectal cancer in patients with an abscess (odds ratio [OR] = 7) or fistula (OR = 18) found on CT.18 However, another retrospective longitudinal study of 292 patients suggested that colonoscopy is unnecessary in uncomplicated diverticulitis.19 Therefore, colonoscopy is recommended four to six weeks after resolution of symptoms in patients with complicated disease or for another indication, such as age-appropriate screening. I deal with the worse gnawing pain every night when I lay down. All rights reserved. Triggers such as food, stress, environment, infections, and genetic predispositions can lead to this disruption, which can lead to reversible, low-grade inflammation. A liver enzyme test, to rule out liver-related causes of abdominal pain. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. A low-fiber diet limits fiber intake to between 8 and 12 grams of fiber, as i read some of the negative reviews, i notice that those individuals are not following the directions as they should. Accessed July 24, 2018. Abdominal computed tomography is the test of choice in patients with suspected diverticulitis. You can do this by eating high-fiber foods or taking a fiber supplement. i tested FC by itself and IBgard by itself and it didn't work. digestive health, plus the latest on health innovations and news. If we combine this information with your protected Irritable bowel syndrome. Should I remove or add any foods in my diet? At first I thought it was just some other factor but this is the second time Ive given it a go and yepthe same pains start up. 2017 Jun;117(6):48-55. doi:10.1097/01.NAJ.0000520253.57459.01. Opiate analgesics, like corticosteroids, are A pregnancy test for women of childbearing age, to rule out pregnancy as a cause of abdominal pain. Inpatient management is recommended in patients with moderate to severe diverticulitis. Women younger than 51 should aim for 25 grams of fiber daily. Probiotics foods or supplements that contain beneficial bacteria are sometimes suggested as a way to prevent diverticulitis. Drink slowly 30 mins before the meals (do not add anything). 1. SST has the added benefit of minimizing side-effects such as heartburn. Inpatient management includes intravenous fluid resuscitation and intravenous antibiotics. The decision on surgery is an individual one and is often based on the frequency of attacks and whether complications have occurred. Keep a diary of foods, symptoms, and bowel habits to see if patterns emerge. Acute diverticulitis is inflammation of the colonic diverticulum, which may involve perforation or microperforation (Figures 1 and 2). Patients often present with acute, constant abdominal pain that is usually in the left lower quadrant.1,9 Other possible symptoms include anorexia, constipation, nausea, diarrhea, and dysuria.1 Patients may have a history of diverticulosis or diverticulitis. It works by helping the muscle of the bowel wall to relax. In addition to taking this product, dietary and lifestyle interventions are necessary. Laparoscopic surgery results in a shorter length of stay, fewer complications, and lower in-hospital mortality compared with open colectomy.31 Emergency colectomy is associated with significant morbidity (e.g., pneumonia [25 percent], respiratory failure [15 percent], myocardial infarction [12 percent]) and increased mortality in older persons.32 A systematic review of 54 studies concluded that resection with primary anastomosis in selected patients is a safe alternative to the traditional multistage procedure (Hartmann procedure).33, Patients who present with symptoms consistent with recurrent diverticulitis warrant a complete evaluation. I finally have my life back. 2018;113(11):1701-1710. Antibiotics to treat infection, although new guidelines state that in very mild cases, they may not be needed. Helped relieving bloated feeling and also regulated me. You can unsubscribe at any Lower abdominal pain and tenderness, particularly on the left side, Abrupt change in bowel movements, such as constipation or diarrhea. Dobbins C, et al. Five days later, I cannot eat, I struggle to swallow, I have heartburn and my throat and tonsils are swollen, I feel nauseous, I can hear the diarrhea move through my body with this gurgling, sloshing feeling. Im not sure one is worth the other. I have learned to take 2 capsules with 1-2 tsp of yogurt or applesauce..no aftertaste or burping peppermint! Mild diverticulitis is treated with antibiotics. I finally have my life back. Boostrom SY, et al. This article discusses the causes, symptoms, and treatments used for diverticulitis and IBS. I certify that I have read and agree with the Terms & Conditions, Privacy Policy and About our Ads. 3 times in a day for 15 days. Qin, H. Y., Cheng, C. W., Tang, X. D., & Bian, Z. X. Yay! If you dont receive our email within 5 minutes, check your SPAM folder, then contact us Its quite beneficial. Journal of Gastrointestinal Surgery. A more recent article ondiverticular disease is available. When having a flare-up, take two capsules, three times a day, for four weeks. This IBgard review would like to inform its readers that a peer-reviewed study is top-rated since its evaluated by other experts in the same field. Before this review goes into further detail on how this product exactly works, lets discuss some key features of IBgard. There is sufficient clinical and scientific evidence on the effectiveness of peppermint oil to help with symptoms of IBS. Amazon.com features over 11,000 reviews with an average rating of 4.5/5 stars. Being ready to answer them may make time to go over points you want to spend more time on. Ritika is a Holistic Nutritionist based in Toronto, Canada. The researchers reviewed the results of 80 studies of diverticulitis and its treatment. All Rights Reserved. Broad-spectrum antibiotics covering gram-negative rods and anaerobic bacteria should be used in patients with complicated diverticulitis. It felt great to be normal again. Other researchers have concluded that a link may exist, but that the connection and its implications for treatment are not yet clear. time. Annals of Allergy, Asthma & Immunology, Volume 95, Issue 6, 2005, Pages 593-599, Am Fam Physician. Abdominal radiography may be helpful in patients with suspected perforation of a diverticulum, because it may demonstrate free air. Although these factors are not necessarily associated with IBS, making these changes will help to improve your overall and digestive health: People with IBS may also find it helpful to: Before making any major changes to your diet, it is best to talk to your healthcare provider for advice. I am so happy to say that I have been taking IBguard and no other IBS medications for over 3 months now and have had NO MORE IBS SYMPTOMS!! 2006;8:37. As discussed before, one of the main IBgard ingredients is ultra-purified peppermint oil, with each capsule containing 90mg of peppermint oil. 2017 Sep;40(3):607-613. doi: 10.3892/ijmm.2017.3072, Feuerstein JD, Falchuk KR. I can't believe this product is available on the market given the outright lies about its lack of side effects (as evidenced by the number of people here claiming to have the same experience as I did).Read More Read Less. 2. Copyright 2023 American Academy of Family Physicians. Your doctor is likely to recommend: This treatment is successful in most people with uncomplicated diverticulitis. These are microcrystalline cellulose, gelatin, methacrylic acid copolymer, hypromellose, methylcellulose, triethyl citrate, polysorbate 80, FD&C Yellow #5, and FD&C Green #3, which are all additives. Ive tried many things. It should be used to stratify a patient's risk before surgery (Table 5).30 Other complications requiring surgical consultation include phlegmon, fistula, and obstruction. In turn, the inflammation can disrupt how fast food moves through your body leading to constipation or diarrhea. 2023 Dotdash Media, Inc. All rights reserved. IBgard seems to have a calming effect on my gut. Treatment for IBS symptoms may include PLUS, the latest news on medical advances and breakthroughs from Harvard Medical School experts. The content on this website is for educational purposes only and should not be considered to be medical advice. Since you cannot purchase it from the website, the shipping policy varies depending on the retailer you choose. se because I was either in too much pain, or needed to stay in a bathroom. This should also be taken 30-90 minutes before meals with water. IBgard seemed to have a calming effect on my gut. Mix all items 1 unit each in a big jar. Once your symptoms improve, you can gradually add solid food to your diet. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Ultrasonography has good diagnostic accuracy for diverticulitis compared with CT; however, it is inferior to CT for estimating the extent of large abscesses and for evaluating for free air.13 The accuracy of ultrasonography is suboptimal in patients who are obese and in patients with overlying gas that may obscure structures.13 Ultrasonography should be considered for pregnant women suspected of having diverticulitis to avoid ionizing radiation. A stool test, to rule out infection in people who have diarrhea. Insertion of a tube to drain an abdominal abscess, if one has formed, You have a complication, such as a bowel abscess, fistula or obstruction, or a puncture (perforation) in the bowel wall, You have had multiple episodes of uncomplicated diverticulitis. If you have any questions, ask your doctor or Before coming to the Health Letter, she was an award-winning television news anchor and medical reporter for 25 years. Weaver KR, Melkus GD, Henderson WA. Some experts suspect that people who develop diverticulitis may not have enough good bacteria in their colons. But that advice hasn't been I wish I could figure out why this happens. Are you a part of the 10-15%[1] of the US population that is affected by Irritable Bowel Syndrome (IBS)? Shift work can harm sleep and health: What helps? WebIBgard is designed with Ultra-Purified Peppermint Oil which can help normalize the digestion of food and the absorption of food nutrients For daily gut-health support: take two capsules once a day or as directed by a healthcare provider. And if your doctor wants you to take it, can they write a prescription for you? Accessed July 24, 2018. Wald A, Patient education: Irritable bowel syndrome (Beyond the Basics). You havediverticulosisif you have diverticula, pouch-like structures that form in the muscular wall of the colon. I don't poop every morning but no more bloating and gas and no need of the many laxatives with syool softners that tear up my stomach and give me diarrhea throughout the day. WebIt helps relieve stomach cramps, bloating and farting (flatulence), particularly if you have irritable bowel syndrome (IBS). I have had bloating & diahrrea for years followed by constipation & abdominal pain. Can electrical brain stimulation boost attention, memory, and more? And then repeat the whole process for over 2 years. Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox. Also, some customers mention that IBgard is slightly expensive. Almario CV, et al. It doesn't appear in any feeds, and anyone with a direct link to it will see a message like this one. Diverticular disease (information sheet). This was recommended by my gastroenterologist for IBS -D. Amazing results - one tablet at bedtime and one in am. Sometimes I will take it in the evening too if I feel Im in a stressful situation or eating a lot of trigger foods, both of which typically trigger my IBS flare ups. There are some other notable ingredients which will be discussed later in this IBgard review. More fiber can also bring relief to a condition with symptoms similar to diverticulosis and diverticulitis called myochosis, which is part of the spectrum of diverticular disease. No, as the capsules are made with gelatin. Considering herself as a lifelong student, Ritika then pursued further trainings in Holistic nutrition as well as Yoga. Cramping? Save my name, email, and website in this browser for the next time I comment. Important to wait at least 30 minutes before eating in the morning. Press question mark to learn the rest of the keyboard shortcuts. WebIBgard oral Reviews User Reviews for IBgard oral Comments & ratings on the side effects, benefits, and effectiveness of IBgard oral . I dont really have another brand recommendation. Palliative care frightens some people: Heres how it helps, Parents don't always realize that their teen is suicidal. Search date: April 15, 2012. American Gastroenterological Association Institute Guideline on the Management of Acute Diverticulitis. Ive also been taking SunFiber which I tolerate well. IBgard is the #1 Gastroenterologist recommended product for IBS, four years in a row! 2005 - 2023 WebMD LLC. Diverticulitis is a condition in which diverticulasmall pouches (sacs) that can form in the lining of the large intestinebecome inflamed or infected. 2020 Jul-Aug;33(4):549-560. doi: 10.3122/jabfm.2020.04.190328, Hsu SM, Lin HJ, Lin MC, Huang ST. The American journal of gastroenterology, 113(Suppl 2), 118. Barbara Bolen, PhD, is a licensed clinical psychologist and health coach. as a physician with IBS, this is one of the best products i have ever take and i recommend it to all of my patients. Game changer! Irritable bowel syndrome (IBS) and diverticulitis are both diseases that affect your digestive system. https://www.uptodate.com/contents/search. However, in 2020, Nestl Health Science acquired the private company and its brands. Dr. Greenberger points to other foods and drinks that can cause problems in people with underlying diverticular disease and irritable bowel, which have overlapping symptoms. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. It depends if they have clear cut diverticulitis accompanied by pain, fever, elevated white blood cell count, and an abnormal physical exam. Did you know that IBS is the second leading cause of absenteeism after a common cold, as this study[2] found? Sorry, you need to enable JavaScript to visit this website. I have learned to take 2 capsules with 1-2 tsp of yogurt or applesauce..no aftertaste or burping peppermint! Gastroenterology Clinics of North America. A few months ago my grandfather saw a commercial for IBguard and suggested I talk to my doctor about it. Uncomplicated diverticulitis, more complicated than we thought. Data Sources: A PubMed search was completed in Clinical Queries using the key terms diverticulitis, diverticulosis, diverticular disease, pathogenesis, diagnosis, and treatment. I repeat NO problems since.. 6. This site complies with the HONcode standard for trustworthy health information: verify here. Computed tomography (CT), ultrasonography, and magnetic resonance imaging (MRI) are useful in selected patients to establish the diagnosis and the extent and severity of disease, and to exclude complications.13 Abdominal CT is the test of choice in patients with suspected diverticulitis.12,17 A meta-analysis of eight studies involving 684 patients found the diagnostic accuracy of CT to be excellent, and CT is the most commonly performed test.12 The most sensitive CT findings are bowel wall thickening and fat stranding, and the most specific findings include abscesses, arrowhead sign, fascial thickening, free air, inflamed diverticulum, intramural air, intramural sinus tract, and phlegmon.17 A disadvantage of CT is the potentially harmful effects of ionizing radiation. I cant tell you how many patients with irritable bowel drink two to three cans of cola a day, says Dr. Greenberger. A urinalysis is useful for ruling out urinary tract infection, and a human chorionic gonadotropin urine test should be considered in premenopausal women to exclude pregnancy, particularly if antibiotics, imaging, or surgery is being considered. Preparation is 1/2 spoon of the mixture, boil 5 mins with 250ml water then cool It down. Adults should get 25 to 30 grams of dietary fiber every day. Heidi Godman is the executive editor of the Harvard Health Letter. Be the first to know about new product updates, insights and more! Definition and facts for diverticular disease. Symptoms and causes of diverticular disease. Company lies about side-effects. Customers have a lot of positive things to say about the product, such as, My digestive symptoms made my life incredibly uncomfortable and unpleasant. Imai, H., Osawa, K., Yasuda, H., Hamashima, H., Arai, T., & Sasatsu, M. Ford, A. C., Moayyedi, P., Chey, W. D., Harris, L. A., Lacy, B. E., Saito, Y. Diverticulosis refers only to the presence of these pouches in the colon, with no inflammation or infection involved. WebMany studies show that eating fiber-rich foods can help control diverticular symptoms. The decision to proceed to surgery in patients with recurrent diverticulitis should be individualized and based on patient preference, comorbidities, and lifestyle. You may opt-out of email communications at any time by clicking on Your doctor will start with a physical examination, which will include checking your abdomen for tenderness. I am so happy to say that I have been taking IBguard and no other IBS medications for over 3 months now and have had NO MORE IBS SYMPTOMS!! Possible side effects[14] of peppermint oil include heartburn and perianal burning although the SST technology claims to reduce these side effects. When the patient has left lower quadrant tenderness and a CRP level greater than 50 mg per L (476.20 nmol per L) in the absence of vomiting, the likelihood of acute diverticulitis is significantly increased (positive likelihood ratio = 18).9 However, this simple decision rule has not been prospectively validated. THAD WILKINS, MD, KATHERINE EMBRY, MD, AND RUTH GEORGE, MD. Nothing helped. World journal of gastroenterology, 20(39), 1412614131. WORKS WELL FOR BLOATING, BUT SEEMS TO HAVE SLOWED DOWN MY BOWELS WHICH WAS NOT A REAL PROBLEM. I hope it has the same effects because daddy needs sleep!!! WebClinically shown to help manage a combination of occasional symptoms: cramping, bowel urgency, diarrhea, constipation, bloating, and gas. Also, dont take IBgard if you suffer from reflux issues since peppermint oil can aggravate those issues. In fact, the gut is called our second brain! However, further studies[3] are needed to prove the long term effect of using peppermint oil for IBS, especially compared to other treatments of IBS such as antispasmodic drugs and anti-inflammatory drugs. Review article: The pathophysiology and medical management of diverticulosis and diverticular disease of the colon. I had really horrible diarrhea afterward, but since that's been a regular occurrence in my life, I figured I was having a flare-up. This fact alone requires action to be taken by those who suffer from IBS day in, and day out! IBgard has a very good promotional add, "but" it does not deliver what it promises. Review/update the This Its available on prescription or to buy from a pharmacy or a shop. The main ingredient in IBgard is ultra-purified peppermint oil which contains methanol as its active ingredient. 2011 Mar;40(1):1-10. Jay Yepuri, MD, MS, is a board-certified gastroenterologist and a practicing partner at Digestive Health Associates of Texas (DHAT). The ad's on tv and the description on the label of the box, sounds like a very promising product, but for a person who has a mild case of IBS, who I would think it should have worked according to it's promise..it does not "work". Symptoms that can occur in both diverticulitis and IBS include: Symptoms that are characteristic of diverticulitis include: For many people, diverticulosis alone causes no symptoms and is only diagnosed incidentally during another imaging test of the colon. I have never been in so much pain. The website says to discontinue and contact your doctor if you experience headache. In some cases, surgery may be necessary. Imaging is not necessary in most patients with mild symptoms. enable-background: new; Take 30 to 90 minutes before meals, with water. Barbara Bolen, PhD, is a licensed clinical psychologist and health coach. IBgard may also promote the bacterial balance in the small intestine(5). 2012;16:1744. WebAcute colonic diverticulitis is the inflammation of abnormal colonic outpouchings and is most common in the left colon in Western countries. Click here for an email preview. Once again, I want to remind you to talk to your doctor before you start using this product. References: Because leukocytosis is present in 55 percent of patients with acute diverticulitis, a complete blood count should be obtained.2 Blood should be collected for a basic metabolic panel to assess electrolytes and renal function. Hungin, A.P.S., Chang, L., Locke, G.R.,Dennis, E.H. and Barghout, V. Alimentary Pharmacology & Therapeutics. One is age: 70% of people age 80 and older have the condition. Preparation is 1/2 spoon of the mixture, boil 5 mins with 250ml water then cool It Just wish it was available through prescription so my insurance would help with the cost. My doctor would put me on rounds of Imodium and hyoscyamine to stop the pain and diarrhea and within a couple days I would be suffering from constipation from the anti-diarrheal medications. It works within a half hour. }. Actually had the worst diverticulitis flare up of my life after taking these. So lets dig deeper into IBgard, its ingredients, unique scientific technology, benefits, possible downsides, customer ratings, promotions, and all other details you are looking to decide if this is the right product for you. Int J Mol Med. I was skeptical but it really works well for mecan feel a release of bloat pressure within 30-45 minutes followed by relaxation of bowel. Also I did the FODMAP to determine foods that trigger my symptoms..I eliminated some things like broccoli, artificial sweeteners, boxed wheat cereals! Start Here. Copyright 2013 by the American Academy of Family Physicians. Likewise, some people need surgery, especially if theyve had two episodes of diverticulitis in a six-month period, says Dr. Greenberger. Patients with a localized abscess may be candidates for computed tomographyguided percutaneous drainage. Peppermint oil is also known to relax smooth muscles in the digestive tract and help with digestion, according to this study[7]. Not sure but it seems to be peppermint oil. The only downside is sometimes I will burp up mint (could be worse, right?) After years of not pooping without help from laxatives and Miralax, my doctor gave me Ibgard to try. Diverticulosis is the presence of and diverticulitis is inflammation and infection of one or more diverticula (bulges in your colon wall). Women generally have a pelvic examination as well to rule out pelvic disease.