@racoeur063:

Rachel Lavaux
Rachel Lavaux
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Region: CD
Friday 01 August 2025 20:58:35 GMT
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victor.patrick79
Victor Patrick :
moi c'est Victor je suis français 🇫🇷 résidents en Amérique j'ai 48 ans je recherche une relation sérieuse qui Aboutirait au mariage.
2025-08-06 22:20:53
9
user8609988482004
user8609988482004 :
Pourquoi vous faites pas le mariage à leur ambassade….j espère qu’il va enregistrer ton mariage civil à leur ambassade.svp sois sage
2025-08-02 12:17:23
38
user2099419665840
JOBSKY.NOAB :
félicitations ma cher
2025-08-16 13:24:47
0
juliaenzo70
juliaenzo :
comment vous faites pour trouver des whity vous autres ?🥺
2025-08-03 06:56:58
6
meandrelove
nnyje :
cette femme est très belle et dégage de la simplicité. que Dieu te bénisse ma soeur
2025-08-03 18:02:08
10
abedmalonga
Assiettes d’amour ❤️❤️ :
Mbala liboso na sepela na semeki ma sœur félicitations
2025-08-02 16:45:32
16
imkongolese
I'm kongolese🇨🇩❤️🤞🏿🫀🫦 :
cette simplicité 🥰🥰🥰 tellement canon trop beau 🥰
2025-08-02 13:41:02
24
ruth.anita16
Ruth Anita :
aide moi aussi a trouve l'amour de ma vie
2025-08-14 14:51:03
2
missdial19
diadouahoudé :
jeune femme célibataire au secours au secours 🥰
2025-08-14 01:54:48
1
n.m.s133
D.S🌹 :
Felicitations 🥳🎊🎊
2025-08-02 13:24:30
2
paokens_mamina
M'amina Esanga :
félicitations ma petite ❤️❤️❤️
2025-08-01 21:04:24
1
mamiekalonda3
mamiekalonda :
très jolie je vous vie n'a commune de Kinshasa
2025-08-02 09:09:33
2
yvettebamolon
Yvette Bamolona :
félicitations
2025-08-10 08:27:30
1
faidatelinde
faidatelinde :
trop mimique ☺️☺️☺️
2025-08-02 09:49:47
2
user1935298196148
tabisi lachuga congolais 🇨🇩 :
très chic
2025-08-06 19:03:09
0
gayou3320
Gayou :
La mariée est tellement belle, avec un si jolie teint
2025-08-03 01:54:53
3
mannequindeluxe11
@barbie🫶 :
bonjour moi c'est Davila j'ai 23ans je suis célibataire gabonaise 🇬🇦 je recherche une relation très sérieuse
2025-08-16 10:14:58
0
flavie285
mariammariamarie :
Simple mais beau , félicitation au couple,
2025-08-02 12:30:50
2
yavettelumbwe
Yavette Lumbwe :
Heureux ménage à vous 🥰
2025-08-02 16:10:34
2
toumarasawadogo
user2223074565244 :
mon rêve 🥹🤲🤲
2025-08-05 18:23:10
0
esthysimon2
esthy Simon❤️❤️‍🩹❤️ :
Wow super 🥰🥰
2025-08-13 17:16:12
1
citronnelle731
Citronnelle🥰 :
Mindelé ba sopani n’a tiktok n’a 2025 hein
2025-08-14 01:52:23
1
didia984
didia984 :
❤️❤️🥰félicitations
2025-08-02 17:08:45
1
lafaconde
La Faconde. R :
Vous êtes si rayonnante et d'une simplicité éclatante. Heureux ménage à vous ☺️☺️☺️
2025-08-16 13:07:11
0
user4926917100432
user4926917100432 :
félicitations ma chérie ❤️❤️❤️🇨🇩
2025-08-09 16:30:25
1
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Treatment and Management of Irritable Bowel Syndrome (IBS) involves a multidisciplinary approach that includes lifestyle changes, dietary modifications, medications, and psychological support depending on the type (IBS-C, IBS-D, IBS-M). 🔍 Types of IBS IBS-C – constipation-predominant IBS-D – diarrhea-predominant IBS-M – mixed (alternating constipation and diarrhea) ✅ General Management Principles 1. Lifestyle Modifications Regular exercise (30 mins daily) Adequate sleep Stress reduction (meditation, yoga, cognitive behavioral therapy) Hydration 2. Dietary Management 🔹 Low FODMAP Diet Avoid fermentable carbs: Onions, garlic, apples, beans, milk, wheat 🔹 Increase soluble fiber (for IBS-C) Psyllium husk (ispaghol) Oats, bananas, carrots 🔹 Avoid trigger foods Caffeine, spicy foods, fatty meals, artificial sweeteners 💊 Pharmacological Treatment 🔹 For IBS-C (Constipation-predominant) Fiber supplements (Psyllium) Laxatives (Polyethylene glycol, Lactulose) Lubiprostone or Linaclotide (in severe cases) 🔹 For IBS-D (Diarrhea-predominant) Loperamide (Imodium) Rifaximin (antibiotic for gut flora balance) Bile acid binders (cholestyramine) Eluxadoline (moderate to severe cases) 🔹 For IBS-M (Mixed type) Symptom-targeted treatment Combination of above based on current symptom 🧠 Psychological Therapies Cognitive Behavioral Therapy (CBT) Hypnotherapy Antidepressants  Tricyclics for IBS-D SSRIs for IBS-C or anxiety component 📋 Patient Education Reassure that IBS is chronic but not life-threatening Symptom diary to track triggers Regular follow-ups to monitor and adjust therapy #IBSandAnxiety #StressRelief #MindGutConnection #RelaxForIBS #IBSMentalHealth #MeditationForIBS #CBTForIBS  #LowFODMAP #IBSDiet #GutHealing #HealthyGut #BloatingRelief #StomachIssues #IBSFriendly #FiberFoods #StomachCare #IBSRecipes  #IBSDoctor #IBSRemedies #IBSMedication #Gastroenterology #Laxatives #ProbioticsForIBS #IBSManagement #IBSAdvice #IBSCure  #HealthTips #MedicalTikTok #TikTokDoctor #DigestiveTips #StomachPainRelief #HealthyLifestyle #ChronicIllness #WellnessTok
Treatment and Management of Irritable Bowel Syndrome (IBS) involves a multidisciplinary approach that includes lifestyle changes, dietary modifications, medications, and psychological support depending on the type (IBS-C, IBS-D, IBS-M). 🔍 Types of IBS IBS-C – constipation-predominant IBS-D – diarrhea-predominant IBS-M – mixed (alternating constipation and diarrhea) ✅ General Management Principles 1. Lifestyle Modifications Regular exercise (30 mins daily) Adequate sleep Stress reduction (meditation, yoga, cognitive behavioral therapy) Hydration 2. Dietary Management 🔹 Low FODMAP Diet Avoid fermentable carbs: Onions, garlic, apples, beans, milk, wheat 🔹 Increase soluble fiber (for IBS-C) Psyllium husk (ispaghol) Oats, bananas, carrots 🔹 Avoid trigger foods Caffeine, spicy foods, fatty meals, artificial sweeteners 💊 Pharmacological Treatment 🔹 For IBS-C (Constipation-predominant) Fiber supplements (Psyllium) Laxatives (Polyethylene glycol, Lactulose) Lubiprostone or Linaclotide (in severe cases) 🔹 For IBS-D (Diarrhea-predominant) Loperamide (Imodium) Rifaximin (antibiotic for gut flora balance) Bile acid binders (cholestyramine) Eluxadoline (moderate to severe cases) 🔹 For IBS-M (Mixed type) Symptom-targeted treatment Combination of above based on current symptom 🧠 Psychological Therapies Cognitive Behavioral Therapy (CBT) Hypnotherapy Antidepressants Tricyclics for IBS-D SSRIs for IBS-C or anxiety component 📋 Patient Education Reassure that IBS is chronic but not life-threatening Symptom diary to track triggers Regular follow-ups to monitor and adjust therapy #IBSandAnxiety #StressRelief #MindGutConnection #RelaxForIBS #IBSMentalHealth #MeditationForIBS #CBTForIBS #LowFODMAP #IBSDiet #GutHealing #HealthyGut #BloatingRelief #StomachIssues #IBSFriendly #FiberFoods #StomachCare #IBSRecipes #IBSDoctor #IBSRemedies #IBSMedication #Gastroenterology #Laxatives #ProbioticsForIBS #IBSManagement #IBSAdvice #IBSCure #HealthTips #MedicalTikTok #TikTokDoctor #DigestiveTips #StomachPainRelief #HealthyLifestyle #ChronicIllness #WellnessTok

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