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IBS: Understanding, Diagnosis and Treatment

 

01 July 2024

IBS: Understanding, Diagnosis and Treatment

Understanding and diagnosing IBS is the key to proper therapy.

 

Definition of IBS


Irritable bowel syndrome (IBS) is one of the most common gastrointestinal disorders, affecting about 10% of the population worldwide.

It is characterized by a variety of symptoms, such as abdominal pain, bloating, diarrhea or constipation, which can significantly affect the daily functioning and quality of life of those affected. A key part of managing IBS is proper diagnosis, which allows for effective treatment and symptom relief. In this article, we will take a closer look at the process of diagnosing IBS and discuss the main symptoms that may indicate this condition. Ready to explore the diagnosis and symptoms of IBS? I invite you to read on!

Is IBS a symptom of another disease?


Irritable bowel syndrome (IBS) is a condition that may appear to be a health problem in its own right, but is often the cause of other ailments as well. There are numerous cases where IBS is merely a manifestation, a symptom of another disease or disorder.

For example, it is common for IBS symptoms to be the result of

  • food intolerance

  • allergic reactions

  • inflammatory bowel diseases

  • bacterial infections, e.g. Campylobacter, Salmonella, Shigella, e. Colli

 

IBS is not just an isolated case, but can be part of a broader health context that needs to be fully diagnosed and understood. Therefore, it is important for doctors to consider the possibility that IBS symptoms may indicate something more, and conduct appropriate diagnostic testing to fully understand the patient's condition

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Causes of Irritable Bowel Syndrome (IBS)


Irritable bowel syndrome (IBS) is a complex gastrointestinal disorder whose causes can be varied and often complex. Here are some of the main factors that can contribute to the development of IBS:

 

1. Intestinal flora disorder


Microbial imbalance in the gut can be one of the key provocative factors of IBS. Normal intestinal flora plays an important role in maintaining intestinal health by producing nutrients and antibodies, as well as regulating immunity. Disturbances in this flora can lead to abnormal digestion and excessive gas production, which in turn can lead to abdominal pain, bloating and other symptoms characteristic of IBS.

 

2 Infection


Some cases of IBS can be rooted in past intestinal infections, especially those caused by bacteria such as Salmonella, Campylobacter or Escherichia coli. These infections can lead to long-term changes in the gastrointestinal tract, including changes in the intestinal microbiome and irritable bowel, which in turn can lead to the development of chronic IBS symptoms.

 

3 Candidiasis, parasites


A history of fungal infections such as candidiasis (Candida) and the presence of parasites in the intestines can also lead to the appearance of IBS symptoms. Both fungi and parasites can interfere with normal intestinal function, causing abdominal pain, diarrhea or constipation.

4 Stress


Stress has a strong impact on the digestive system, both through direct activation of the gut-brain axis and through changes in the gut microbiome. Individuals under chronic stress may have an increased risk of developing or exacerbating IBS symptoms.

5 Antibiotic therapy


Undergoing long-term antibiotic therapy can disrupt the natural balance of the gut microbiome, leading to dysbiosis and the onset of IBS symptoms. Antibiotics can eliminate not only pathogens, but also beneficial bacteria that are important for intestinal health.

6 SIBO (Small Intestinal Bacterial Overgrowth).


SIBO, or overgrowth of bacteria in the small intestines, is often associated with IBS symptoms. Excess bacteria in this area of the intestines can lead to the fermentation of excess carbohydrates, causing bloating, abdominal pain and other unpleasant symptoms.

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Irritable Bowel Syndrome (IBS) - Symptoms


There are 3 types of IBS; constipation, diarrhea and mixed. Symptoms occur at least once a week over the past 3 months. Read more about the diagnosis here

 

Constipated IBS (IBS-C)
 

Definition: constipating IBS is a subtype of irritable bowel syndrome in which constipation is the predominant symptom. People with IBS-C may experience bowel movement difficulties that last at least 3 days or longer.

Symptoms:

  • Rare bowel movements: Bowel movements occur less than 3 times a week.

  • Difficulty having a bowel movement: Effort and pain when trying to have a bowel movement.

  • Hard and dry stools: Stools are small, hard and difficult to pass.

  • Feeling of incomplete bowel movement: A feeling remains after a bowel movement that the bowel has not been completely emptied.

  • Flatulence: Excessive gas in the intestines, leading to a feeling of bloating and discomfort, usually after a meal or several hours later

  • Burping: Audible sounds coming from the intestines, which are caused by the movement of gases and fluids in the intestines.

  • Abdominal pain: Cramping or pain in the lower abdomen that may increase after meals and decrease after a bowel movement.

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Diarrheal IBS (IBS-D)
 

Definition: Diarrheal IBS is a subtype of irritable bowel syndrome in which diarrhea is the predominant symptom. People with IBS-D may experience frequent, watery stools.

Symptoms:

  • Frequent bowel movements: Bowel movements occur more than 3 times a day. Usually within an hour after a meal.

  • Watery or loose stools: Stools have a watery or loose consistency.

  • Sudden need to have a bowel movement: A strong and sudden urge to have a bowel movement that is difficult to stop.

  • Abdominal pain: Abdominal cramps or pain, often associated with bowel movements.

  • Flatulence: Excessive accumulation of gas in the intestines.

  • Gas: Frequent bloating and gasping.

  • Weakness and fatigue: May result from dehydration and electrolyte loss.

  • Dehydration: Symptoms such as dry mouth, decreased urine output, dizziness and thirst may indicate dehydration due to excessive fluid loss.

 

Mixed IBS (IBS-M)
 

Definition: Mixed IBS is a subtype of irritable bowel syndrome in which both episodes of constipation and diarrhea occur.

Symptoms:

  • Variable bowel movements: Alternating periods of constipation and diarrhea.

  • Abdominal pain: Abdominal cramps or pain that may increase after meals and decrease after a bowel movement.

  • Flatulence: Excessive gas in the intestines, leading to feelings of bloating and discomfort.

  • Gas: Frequent bloating and gasping.

  • Sudden need to have a bowel movement: A strong and sudden urge to have a bowel movement that is difficult to stop in cases of diarrhea.

Treating irritable bowel syndrome (IBS) can be made much easier with a few simple changes in daily habits. One effective way is a low-FODMAP diet, which helps avoid ingredients that trigger symptoms. Additionally, probiotics can support healthy gut microflora, which also provides relief.

Remember, however, that IBS symptoms can sometimes indicate other health problems, such as bacterial infections, food intolerances or inflammatory bowel disease. That's why it's a good idea to consult a nutritionist or doctor. A specialist will help you understand exactly the cause of your ailments and develop a plan that will best suit your needs.

Don't wait, make an appointment with a nutritionist or doctor! With their support, you can regain comfort and joy in every day. Get professional help to enjoy life without the bothersome symptoms of IBS!

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