Understanding Irritable Bowel Syndrome (IBS): Your Questions Answered

Expert Answers to Common IBS Questions

Gastroenterology

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Last updated: Mar 24, 2025

What is IBS?

Irritable Bowel Syndrome is a functional gastrointestinal disorder affecting the large intestine. It causes recurring abdominal pain and changes in bowel movements without visible damage to the digestive tract.

Common Symptoms

  • Abdominal pain or cramping
  • Bloating and gas
  • Diarrhea and/or constipation
  • Mucus in stool
  • Changes in bowel movement frequency

Triggers and Risk Factors

  • Stress and anxiety
  • Certain foods
  • Hormonal changes
  • Previous gastrointestinal infections
  • Family history

Diagnosis

Rome IV Criteria must be met:

  • Recurrent abdominal pain at least 1 day/week in the last 3 months
  • Pain associated with:
    • Defecation
    • Change in stool frequency
    • Change in stool appearance

Treatment Options

  1. Dietary Modifications

    • Low-FODMAP diet
    • Food diary maintenance
    • Regular meal timing
  2. Lifestyle Changes

    • Stress management
    • Regular exercise
    • Adequate sleep
  3. Medications

    • Antispasmodics
    • Fiber supplements
    • Probiotics
    • Antidepressants (in some cases)

When to See Your Doctor

  • Severe pain
  • Unexplained weight loss
  • Rectal bleeding
  • Persistent changes in bowel habits
  • Nighttime symptoms

Living with IBS

While IBS is a chronic condition, symptoms can be effectively managed through proper treatment and lifestyle modifications. Work closely with your healthcare provider to develop an individualized management plan.

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