1. Gastronol Presenter SA Natural Products (Pty) Ltd

2. Alfred Vogel 1902 - 1996

3. Irritable bowel syndrome (IBS) Irritable bowel syndrome (IBS, or spastic colon) is a symptom- based diagnosis characterized by: Chronic abdominal pain Discomfort Bloating Alteration of bowel habits

4. Irritable bowel syndrome (IBS) As a functional gastrointestinal disorder (FGID), IBS has no known organic cause. Diarrhea or constipation may predominate, or they may alternate (classified as IBS-D, IBS-C or IBS-A, respectively). Historically a diagnosis of exclusion, a diagnosis of IBS can now be made on the basis of symptoms alone, in the absence of alarm features such as age of onset greater than 50 years, weight loss, gross hematochezia, systemic signs of infection or colitis, or family history of inflammatory bowel disease.

5. Irritable bowel syndrome (IBS) Onset of IBS is more likely to occur after an infection (post-infectious, IBS-PI), or a stressful life event, but varies little with age. Although there is no cure for IBS, there are treatments that attempt to relieve symptoms, including dietary adjustments, medication and psychological interventions. Patient education and a good doctor- patient relationship are also important.

6. Gastronol Indications: Stomach pains, cramps and colic Mild diarrhea Flatulence/bloatedness Sense of fullness Indigestion Food stays in stomach for a long time

7. Gastronol Contents: Botanical name Common name Nux Vomica – D4 trit 20% Poison nut Aesculus Hipp – D4 trit 20% Horse chestnut Argentum Nitricum – D4 trit 20% Nitrate of silver Alumina – D8 trit 20% Aluminum Bryonia – D4 trit 10 % Wild hop Colocynthis – D4 trit 10% Bitter apple

8. Gastronol Nux Vomica– Sense of fullness, too much to eat or drink Aesculus Hipp – Assists with fullness Argentum Nitricum – Indigestion due to sugar Alumina – Lazy bowel Bryonia – Discomfort, not wanting to move, – talk or be disturbed Colocynthis – Pain, better when – bending double

9. Gastronol Comments: A Vogel Gastronol tablets is a superb combination of remedies for discomfort of the stomach. This is a wonderful remedy which should be in everyone’s house, handbag and suitcase when traveling. A Vogel Gastronol tablets can be used on a need to basis or daily if the lower bowel is sluggish or if there is a spastic colon.

10. Irritable bowel syndrome (IBS) Can you recall? IBS – D? IBS – C? IBS – A? IBS – PI?

11. Irritable bowel syndrome (IBS) Can you answer? Indications on package? How many tablets in container? How often to take? Swallow with water? Pregnancy?

12. Thank you Presenter SA Natural Products (Pty) Ltd