Conditions

Irritable bowel syndrome (IBS)

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What is IBS? (Also known as Irritable Colon or Spastic Colon)

Irritable bowel syndrome (IBS) is a common disorder that affects the digestive system and is prevalent in 5-10% of the population. The person with IBS has a colon that is more sensitive and reactive than usual, responding strongly to stimuli that would not bother most people. This is believed to be from a critical abnormality and impaired communication and/or regulation between the gut and the brain via the nervous system in both directions (from gut to brain and brain to gut). Emotional conflict or stress may play an important role and exacerbate symptoms. 

Women with upset stomach
Why It Matters

IBS is a chronic condition, meaning it can last a long time or come and go over time. It is a lifelong problem that you’ll need to manage. While only a small number of people with IBS have severe symptoms, it can be a very frustrating condition to live with. Although IBS can have a big impact on your everyday life, it does not increase your risk of colorectal cancer. 

IBS

Types of IBS

  • IBS-C: Predominant constipation
  • IBS-D: Predominant diarrhea
  • IBS-M: Mixed bowel habits (alternating constipation and diarrhea)

Causes and Risk Factors

The underlying cause of irritable bowel syndrome is likely to be explained by many different factors that are unique to each individual. Certain factors have been found to ‘trigger’ attacks in susceptible individuals include:

  • Gastroenteritis (infection of the digestive tract) 
  • Food intolerance
  • Stress: Strong emotions, such as anxiety, stress and depression can affect the nerves of the bowel.
  • Medications (antibiotics, antacids, painkillers, etc)
  • Nervous system sensitivity
  • Hormonal changes

Signs and Symptoms

  • Abdominal cramping or pain
  • Bloating and gas
  • Diarrhea, constipation, or both
  • Mucus in the stool
  • Relief of pain after a bowel movement

You should not experience more serious symptoms such as:

  • Weight loss
  • Diarrhea at night
  • Rectal bleeding
  • Nausea and vomiting
  • Pain that is not relieved by passing gas or a bowel movement

If you experience any of these symptoms, it may indicate a more serious condition, such as colon cancer.

Diagnosis

If you suspect you have irritable bowel syndrome, it is important to seek medical advice to make sure your symptoms aren’t caused by any other illness, such as diverticulitis, inflammatory bowel disease, celiac disease (an immune intolerance to gluten), and dietary intolerance, such as lactose intolerance.

The evaluation includes:

  • Medical history and symptom review
  • Physical examination
  • Blood tests and stool tests (to rule out other conditions)
  • Colonoscopy may be warranted

Treatment Options

IBS can be successfully managed with treatments tailored to the individual. There are good treatments that can improve your symptoms and quality of life.

  • Dietary changes: Low FODMAP diet, fiber supplements
  • Medications: Laxatives, antidiarrheals, antispasmodics, neuromodulators
  • Lifestyle: Regular exercise, stress management, and adequate sleep