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Irritable Bowel Syndrome

Irritable Bowel Syndrome

Irritable bowel syndrome, or IBS, or spastic colon, is a type of gastrointestinal disorder.

What is IBS?

Irritable bowel syndrome is a gastrointestinal disorder characterized by the presence of a cluster of symptoms and signs in adults or children that include cramping, abdominal pain, increased gas, altered bowel habits, food intolerance, and bloating (distention).
Irritable bowel syndrome is a "functional" disorder. This term refers to the changes in the functioning of the digestive system that results in the collection of symptoms referred to as IBS, meaning that it is a problem with the movement (motility) rather than any damage to the tissues of the digestive system.
In the past, irritable bowel syndrome was also called spastic colon or bowel, functional bowel disease, mucous colitis, or nervous colon.


Signs and Symptoms

Irritable bowel syndrome is characterized mostly by abdominal pain and cramping.


Other symptoms and signs include:

  • Diarrhea: IBS with diarrhea (IBS-D) can come with sudden urges to have bowel movements and loose stools.
  • Constipation: IBS with constipation (IBS-C) can be accompanied by straining during bowel movements and infrequent stools.
  • Increased gas
  • Abdominal swelling or bloating
  • Abdominal pain or discomfort
  • Cramping pain after eating certain foods
  • Nausea
  • Nausea
  • Unexplained weight loss
  • Loss of appetite

While not technically a symptom, nearly 70% of people with IBS also experience indigestion.

Symptoms are often relieved by bowel movements. Women with IBS may have more symptoms during their menstrual periods.

Causes

The exact cause of irritable bowel syndrome is unknown. It is believed to be due to a number of factors, including alteration in the gastrointestinal (GI) tract motility, abnormal nervous system signals, increased sensitivity to pain, and food intolerances. The following are risk factors thought to cause IBS:


  • Abnormal movements of the colon and small intestines (too fast or slow, or too strong)
  • Hypersensitivity to pain from a full bowel or gas
  • Food sensitivities, possibly caused by poor absorption of sugars or acids in food
  • Gastroenteritis ("stomach flu" or "stomach bug"), a viral or bacterial infection of the stomach and intestines, may trigger IBS symptoms.
  • Psychological conditions such as anxiety or depression are observed in many people with IBS, though these conditions have not been found to be a direct cause of IBS.
  • Reproductive hormones or neurotransmitters may be off-balance in people with IBS.
  • Small intestinal bacterial overgrowth (SIBO)
  • Genetics is thought to be a possible cause of IBS, but so far, this hereditary link has not been proven.

Diet

What you eat and how you eat can affect symptom of this condition. While it may not be possible to completely prevent IBS symptoms, you may find that certain foods trigger IBS symptoms. To help figure out which foods cause you symptoms, a doctor may suggest keeping a food diary.


Some foods can help in the prevention of symptoms.

Foods to eat that may provide symptom relief (home remedies and others) for some people:

  • Dietary fiber supplements
  • Water
  • Low-fat foods
  • High-carbohydrate foods (such as whole wheat pasta, brown rice, and whole grain breads)
  • Probiotics (containing Lactobacillus acidophilus a and Bifidobacterium) and prebiotics

Some people report kefir or Aloe Vera juice helps symptoms. Talk to a doctor about these home remedies.

A high-fiber diet may help relieve constipation in some cases of IBS, but it may also worsen some symptoms such as bloating and gas. The current recommended daily fiber intake is 20-35 grams daily. Most people fall short of this daily fiber intake and can benefit from a small increase in fiber, but it is best to increase the amount in your diet slowly to reduce gas.

Foods to avoid or limit if you have IBS

Dairy products, including milk and cheese (Lactose intolerance symptoms can be similar to IBS symptoms.)
Certain vegetables that increase gas (such as cauliflower, broccoli, cabbage, Brussels sprouts) and legumes (such as beans)


  • Fatty or fried foods
  • Alcohol, caffeine, or soda
  • Foods high in sugars
  • Artificial sweeteners
  • Chewing gum
  • Nuts

What is the prognosis for a person with irritable bowel syndrome (IBS)?s

Irritable bowel syndrome is a chronic disease with symptoms that tend to come and go. The overall prognosis for patients with IBS depends on the severity and frequency of symptoms, and the patient's ability to control these symptoms, whether by diet, lifestyle changes, or medications.
There is no known cure for IBS, but there are many treatment options to reduce or eliminate symptoms. Good communication with a doctor is important to help manage this condition.




What natural and home remedies or other lifestyle changes may help IBS symptoms and signs?

Some lifestyle changes that can also help relieve symptoms are:


  • Quit smoking
  • Exercise regularly
  • Take probiotics
  • Avoid caffeine
  • Use stress management and relaxation techniques
  • Mindfulness training
  • Gut-directed hypnosis
  • Biofeedback
  • Pain-management techniques
  • Cognitive behavioral therapy or psychotherapy
  • Regular exercise such as walking or yoga
  • Get an adequate amount of sleep
  • Try ginger or peppermint, which may help digestion
  • Avoid laxatives unless prescribed by your health-care professional