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Understanding IBS

Written By: Kent Hospital Staff on April 2, 2025


Irritable Bowel Syndrome (IBS) is a common digestive disorder that affects millions of people, yet it’s still widely misunderstood. If you’ve ever dealt with frequent stomach pain, bloating, or unpredictable bathroom trips, you’re not alone. IBS doesn’t cause lasting damage to the intestines, but it can seriously impact daily life. The good news? With the right knowledge and management strategies, you can take control of your symptoms and feel more comfortable.

What is IBS?
IBS is a chronic condition affecting the large intestine, presenting with symptoms such as abdominal pain, bloating, and altered bowel habits (diarrhea, constipation, or both). Unlike other gastrointestinal disorders, IBS doesn’t cause changes in bowel tissue or increase the risk of colorectal cancer.
What are the Causes and Risk Factors of IBS?
The exact cause of IBS remains unclear, but several factors are believed to contribute:
  • Gut-Brain Interaction: Abnormalities in the signals between the brain and the intestinal tract can lead to IBS symptoms.
  • Intestinal Motility: Altered muscle contractions in the intestine may result in diarrhea or constipation.
  • Hypersensitivity: Those with IBS often have a heightened sensitivity to intestinal distension, leading to pain or discomfort.
  • Infections: A history of severe gastroenteritis or bacterial overgrowth in the intestines can trigger IBS.
  • Microbiome Imbalance: Changes in the gut microbiota have been linked to IBS symptoms.
Risk factors include:
  1. Family history
  2. Psychological stress
  3. Certain food intolerances
What are the Symptoms of IBS?
Common symptoms of IBS include:
  • Abdominal Pain: Cramping or discomfort, often relieved by bowel movements.
  • Bloating: A sensation of fullness or swelling in the abdomen.
  • Altered Bowel Habits: This can manifest as diarrhea (IBS-D), constipation (IBS-C), or alternating between both (IBS-M).
Other symptoms may include mucus in the stool and a sensation of incomplete evacuation.
How is IBS Diagnosed?
Diagnosing IBS involves a comprehensive evaluation:
  • Medical History: Assessing symptom patterns and duration.
  • Physical Examination: Checking for abdominal tenderness or bloating.
  • Diagnostic Criteria: The Rome IV criteria are commonly used - which focuses on recurrent abdominal pain associated with defecation or changes in stool frequency/form.
  • Exclusion of Other Conditions: Tests may be conducted to rule out celiac disease, inflammatory bowel disease, or infections.
There is no specific test for IBS; diagnosis is primarily based on symptoms and excluding other conditions. 
How is IBS Managed?
While there is no cure for IBS, there are some strategies that can help manage symptoms:
  • Dietary Modifications: Restricting certain fermentable carbohydrates, increasing fiber intake, and identifying trigger foods can help.
  • Stress Management: Techniques such as mindfulness, meditation, and yoga can alleviate stress-related symptoms.
  • Medications: Depending on symptoms, antispasmodics, laxatives, or antidiarrheal agents may be prescribed.
  • Probiotics: These may help restore a healthy balance of gut bacteria, but more research is needed.
Taking Control of Your Health
Talking to a doctor or healthcare provider can help you find a treatment plan that works best for you. The first step to managing IBS is understanding it - once you know your symptoms, triggers, and what works for your body, you can take control and live a more comfortable, fulfilling life.

Learn more about your digestive health here.

 

Disclaimer: The content in this blog is for informational and educational purposes only and should not serve as medical advice, consultation, or diagnosis.  If you have a medical concern, please consult your healthcare provider or seek immediate medical treatment.