IBS patients may experience both diarrhoea and constipation. Women tend to exhibit more symptoms around the time of menstruation. Menopausal women experience fewer symptoms.
Irritable bowel syndrome (IBS) is a common condition in the community. It can present with abdominal pain, cramps, bloating, excess gas, diarrhoea, constipation or both.
While the majority of people with IBS have minor symptoms, a small percentage of patients can have severe signs and symptoms. Some people can manage their symptoms by changing their diet, lifestyle, and stress levels, while others require medication and counselling.
The signs and symptoms of IBS vary, but the most common include abdominal pain, cramping, or bloating associated with passing a bowel movement or changes in the bowel movement. Bloating and increased gas or mucus in the stool are frequently associated symptoms.
Some of the symptoms, such as weight loss, nighttime diarrhoea, rectal bleeding, iron deficiency anaemia, unexplained vomiting, difficulty swallowing, and persistent pain that isn’t relieved by passing gas or a bowel movement, are more serious signs and symptoms and sometimes can imply a major underlying condition like colon cancer. Hence, it is very important to get any of these symptoms evaluated by a qualified gastroenterologist rather than assuming these to be related to IBS.
The severity and duration of IBS symptoms vary from person to person. Symptoms typically last at least three months and occur at least three days per month. IBS patients may experience both diarrhoea and constipation. Women tend to exhibit more symptoms around the time of menstruation. Menopausal women experience fewer symptoms.
Contractions of the intestine’s muscles: The intestines are lined with layers of muscles that contract as food passes through the digestive tract. Stronger and longer-lasting contractions can cause gas, bloating, and diarrhoea. Weak intestinal contractions can cause food passage to be slowed and hard, dry stools to form.
Nervous System: Inadequately coordinated signals between the brain and the intestines can cause the body to overreact to normal digestive process changes, leading to pain, diarrhea, or constipation.
Severe infection: IBS can develop after a severe bout of diarrhoea (gastroenteritis) caused by bacteria or a virus. IBS might also be associated with a surplus of bacteria in the intestines (bacterial overgrowth).
Early Life Stress: People who have been exposed to stressful events, particularly as children, are more likely to develop IBS symptoms.
Microbe changes in the gut: Changes in bacteria, fungi, and viruses, which are normally found in the intestines and play an important role in health, are some examples. According to research, the microbes in people with IBS may differ from those in healthy people.
Microbe changes in the gut: Changes in bacteria, fungi, and viruses, which are normally found in the intestines and play an important role in health, are some examples. According to research, the microbes in people with IBS may differ from those in healthy people.
Food allergies or intolerances play an unknown role in IBS. However, many people experience worse IBS symptoms when they consume certain foods or beverages, such as wheat, dairy products, citrus fruits, beans, cabbage, milk, and carbonated beverages. Most people with IBS experience worse or more frequent signs and symptoms during periods of increased stress.
The different types of IBS are classified based on the various bowel movement problems, which also affect treatment because certain medications are only effective for certain types of IBS. The types of IBS include:
A medical history and physical exam are the first steps in diagnosing IBS. The doctor will ask you questions about your symptoms, such as bowel movement pain, frequency of change in bowel movement, change in poop appearance, how frequently the symptoms occur, when the symptoms began, what medications you are taking, and any stressful events in your life.
Other tests may be required to confirm the diagnosis depending on the symptoms. The following tests may be recommended to rule out other medical conditions:
Although no single therapy is effective for everyone, IBS treatment plans can be tailored to the individual’s requirements. Dietary and lifestyle changes are common treatment options.
Dietary changes:
Activity Changes:
Medical Changes
If you have IBS, you can prevent flare-ups by avoiding triggers. Generally, dietary and physical activity changes improve symptoms over time. Identifying the triggers, on the other hand, can aid in the prevention of IBS. Certain foods can cause IBS, so an exclusion strategy for triggering diets is usually recommended. Counselling, psychotherapy, or guided meditation can help you manage stress, while progressive relaxation exercises can help your muscles relax in the body.
About Author –
Consultant Medical Gastroenterologist
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