Irritable Bowel Syndrome

Irritable Bowel Syndrome, also called IBS, is a prevalent gastrointestinal disorder that impacts the stomach and intestines. Common symptoms include cramps, abdominal pain, constipation, and diarrhea. IBS is a chronic condition requiring ongoing management.

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OVERVIEW

The symptoms are severe and vary among individuals, with some being severely affected while others can effectively control their symptoms through dietary choices, lifestyle adjustments, and stress management. Importantly, IBS does not lead to structural changes in bowel tissue, nor does it elevate the risk of colorectal cancer.

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SYMPTOMS

Irritable bowel syndrome (IBS) can manifest in various ways, often persisting over an extended duration. Among the most prevalent symptoms are:

  • Abdominal discomfort, cramps, and bloating are frequently associated with the act of having a bowel movement.
  • Changes in the visual characteristics of bowel movements.
  • Fluctuations in the frequency of bowel movements.
  • Additional symptoms may include a persistent sensation of incomplete evacuation and gas or mucus in the stool.
CAUSES

The precise cause of IBS remains elusive, but several factors are believed to contribute to its development:

Intestinal Muscle Contractions: The intestines are lined with layers of muscle that contract to propel food through the digestive tract. Muscular, prolonged contractions can lead to gas, bloating, and diarrhea, while weak contractions can result in slow food passage and hard, dry stools.

Nervous System Involvement: Issues with the nerves in the digestive system can lead to discomfort when the abdomen expands due to gas or stool. Inadequate communication between the brain and the intestines can cause the body to overreact to regular digestive changes, resulting in pain, diarrhea, or constipation.

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Post-Infectious IBS: IBS can sometimes develop following a severe episode of diarrhea caused by a bacterial or viral infection, known as gastroenteritis. It may also be associated with an excess of bacteria in the intestines (bacterial overgrowth).

Early Life Stress: Individuals who have experienced stressful events, particularly during childhood, are more likely to exhibit IBS symptoms.

Alterations in Gut Microbiota: Changes in the composition of gut microorganisms, including bacteria, fungi, and viruses, naturally reside in the intestines and play a crucial role in overall health. Research suggests that the microbial makeup in individuals with IBS may differ from those without the condition.

TRIGGERS

The symptoms of IBS can be brought on by:

Food

The relationship between food allergies or intolerances and IBS is unclear. True food allergies rarely lead to IBS, but many individuals notice that their IBS symptoms worsen after consuming specific foods or beverages. These include wheat, dairy products, citrus fruits, beans, cabbage, milk, and carbonated drinks.

Stress

For most people with IBS, symptoms tend to worsen or become more frequent during times of heightened stress. However, it's important to note that while stress can exacerbate symptoms, it is not the root cause of IBS.

COMPLICATIONS

Chronic constipation or diarrhea can contribute to the development of hemorrhoids. Furthermore, IBS is linked to:

Impaired Quality of Life

Individuals with moderate to severe IBS often report a reduced quality of life. Research shows that people with IBS miss approximately three times as many work days compared to those without bowel symptoms.

Mood Disorders

The experience of IBS symptoms can lead to depression or anxiety. Conversely, depression and anxiety can also exacerbate IBS symptoms.

RISK FACTORS

While occasional IBS symptoms can affect many individuals, you are at a higher risk of developing the syndrome if you:

  • IBS is more prevalent in people under 50.
  • IBS is more common among women. Additionally, the use of estrogen therapy before or after menopause is a risk factor for IBS.
  • Genetic factors may play a role, along with shared environmental factors within a family or a combination of genetic and environmental influences.
  • A history of mental health conditions, including a background of sexual, physical, or emotional abuse, may also increase the risk of IBS.
WHEN TO SEE A DOCTOR

It's essential to seek medical attention if you observe enduring alterations in your bowel patterns or experience symptoms that could suggest a more severe condition, such as colon cancer. These symptoms may include:

  • Unexplained Weight Loss
  • Persistent Diarrhea
  • Rectal Bleeding
  • Iron Deficiency Anemia
  • Unexplained Vomiting
  • Pain that doesn't subside after passing gas or having a bowel movement.

Please consult a healthcare professional promptly if you encounter any concerning signs.