Symptoms
The most common symptoms of IBS include abdominal pain, a change in bowel movement patterns, mucus in the stool, bloating and gas, and a feeling that you haven’t completely emptied your bowels. The pain typically goes away after a bowel movement.Causes
Although the exact cause of IBS is not known, experts believe a miscommunication between the digestive tract and the brain is the culprit. These signals can cause muscle contractions in the intestines leading to abdominal pain, cramping, diarrhea or constipation. For some, stress, hormonal changes and certain foods or medication can increase the frequency of symptoms. Although the link is unclear, people with mental health problems such as panic disorder, anxiety, depression, and post-traumatic stress disorder are more prone to IBS.Diagnosis
In order to diagnose whether you have IBS, your primary care clinician will review your symptoms and medical history and perform a physical exam. Studies have shown that IBS is more common in people with a family history of GI problems. Your primary care clinician may order tests to help rule out other medical problems that could be causing your symptoms.
To help your primary care clinician diagnose if you have IBS, it is helpful to keep a diary of your symptoms and bowel habits while noting what you ate and drank, your emotional state, and for women – your menstrual cycle.
Treatment
For most people, IBS can be treated by making lifestyles changes such as avoiding foods that cause symptoms, incorporating regular exercise into your life, and learning how to manage stress. If lifestyle changes don’t help, your primary care clinician may prescribe medication to help reduce the symptoms. Some tips to help reduce or avoid IBS symptoms include:
- Restrict your intake of fatty and fried foods
- Eating large meals can cause an increase in symptoms, so consider eating four to five small meals a day
- For diarrhea, limit dairy, fruit, and artificial sweeteners
- For constipation, increase the amount of fiber in your diet
- For gas and bloating, avoid foods such as beans, raw cauliflower, and cabbage. A low carbohydrate diet can also be helpful for gas and bloating.
- Although stress does not cause IBS, it can make symptoms worse so learn to manager your stress through relaxation techniques such as meditation, and regular exercise such as walking and yoga
- Consider taking a probiotic supplement such as Align or Culturelle
- Make sure to get enough sleep
When to See Your Primary Care Clinician
If you are experiencing blood in your stool, severe fever, increased pain or unexplained weight loss, contact your primary care clinician to schedule an appointment. If you’ve already been diagnosed with IBS, alert your primary care clinician of any significant changes in your symptoms or if your symptoms are not responding to your current treatment plan.