What is Irritable Bowel Syndrome (IBS)?

Irritable bowel syndrome (IBS) is a common, chronic bowel disorder in which there is abdominal pain associated with change in consistency and frequency of stool. There are 3 different patterns of this disorder namely IBS- C (Constipation predominant) , IBS —D ( Diarrhoea predominant) and IBS — M ( Constipation + Diarhoea). The same patient can have different patterns at different times.

You may also experience abdominal bloating, mucus in the stool and the sensation of incomplete emptying after defecation. IBS is a chronic condition, although there may be times when the signs and symptoms are worse and times when they improve or even disappear completely. Similar symptoms can also occur in other serious bowel diseases especially if there is presence of blood in stool, weight loss, fever, loss of appetite and if the symptoms occur for the first time after the age of 50 years. If any of these are present then you must consult your doctor immediately.

IBS is a multifactorial disorder where there is interplay of intestinal hypersensitivity , psychological stress and gut bacteria . This leads to abnormal intestinal movements and associated symptoms.

IBS Triggers vary from person to person:

Stimuli that don’t bother other people can trigger symptoms in people with IBS — but not all people with the condition react to the same stimuli. Common triggers include:

Foods: Chocolate, spices, fats, fruits, beans, cabbage, cauliflower, broccoli, milk, Stress: Most people with IBS find that their signs and symptoms are worse or more frequent during periods of increased stress.

Hormones: Researchers believe that hormonal changes play a role in this condition. Many women find that signs and symptoms are worse during or around their menstrual periods.

Other illnesses: Sometimes another illness, such as an acute episode of infectious diarrhea (gastroenteritis) or too many bacteria in the intestines (bacterial overgrowth), can trigger IBS.

Lifestyle Modification

1.Exercise regularly: Exercise helps relieve depression and stress, stimulates normal contractions of your intestines.

2.Drink adequate amount of water

3.Make sure you eat regular and controlled meals as advised by your doctor/dietician. •

4.Stop smoking and tobacco use

5.Avoid excessive coffee/caffeine and chewing gum.

6.Avoid excessive alcohol consumption

7.Use relaxation techniques: deep breathing, meditation,Yoga

Foods to choose (Low FODMAP diet):

Following foods reduces symptoms and improves quality of life.

Fruits: Bananas, muskmelon, grapes, kiwi, lemon, orange, pineapple,

Vegetables: Carrots, cabbage, broccoli, corn, cucumbers, green beans,

Cereals and grains: Biscuits, cereals, noodles, gluten-free breads

Meat, fish & poultry: Chicken, lamb, pork, eggs & fish

Milk alternatives: Lactose-free milk and its products, rice or coconut

Beverages: Water, fruit er vegetable juices, tea or coffee.

Beverages: Water, fruit er vegetable juices, tea or coffee.

Foods to avoid (High FODMAP diet):

Following foods reduces symptoms and improves quality of life.

Fruits: Apples, apricot, blackberries, canned fruit, dates, dried fruits.

Vegetables: Garlic, onion, cauliflower, peas, mushrooms

Cereals and grains: Barley, bran, muesli, rye, semolina, wheat

High lactose diary: Milk, buttermilk, cream, ice-cream, cheese, custard

Beverages: Cold drinks, Coconut water, sodas, fennel tea, herbal tea

FAQs:

How Common is IBS?

IBS is widely prevalent. IBS is the most common disease diagnosed by gastroenterologists and one of the most common disorders seen by primary care physicians. It is estimated that 10 tot 5 percent of the adult population suffers from IBS symptoms.

How Does IBS Affect Patients’ Lives?

 IBS can have a substantial impact on patients’ lives. IBS symptoms can disrupt patients’ daily lives causing them to miss school or work, reduce social activities and interactions, skip meals or make other changes to diet and nutrition. Symptoms can be reduced by managing diet, lifestyle and stress. Consultation with doctor and medication is important.

What Causes Bowel Symptoms in Irritable Bowel Syndrome?

The exact cause of IBS is not clear. IBS is a multifactorial disorder where there is interplay of intestinal hypersensitivity, psychological stress and gut bacteria . This leads to abnormal intestinal movements and associated symptoms.

Infrequent, occasional constipation or diarrhea is not abnormal. Most people experience these symptoms from time to time. Diarrhea or constipation that is frequently accompanied by abdominal pain or bloating is a sign that you may have IBS and need to see the UOCIOr.