Thursday 20 June 2019 ,
Thursday 20 June 2019 ,
Latest News
  • Bangladesh fastest economy in Asia-Pacific: ADB
  • Govt to introduce health insurance: PM
  • Ex-MP Rana gets bail in double murder case
  • Increase transparency in climate budget: BCAF
  • Upbeat Tigers take on Australia on Thursday
20 May, 2019 00:00 00 AM

Irritable bowel syndrome (IBS): a long-term gastrointestinal disorder

Medeical News Today
Irritable bowel syndrome (IBS): a long-term gastrointestinal disorder


Irritable bowel syndrome, or irritable bowel disease, is a long-term gastrointestinal disorder. It causes abdominal pain, bloating, mucous in stools, irregular bowel habits, and alternating diarrhea and constipation.

Irritable bowel syndrome (IBS) or irritable bowel disease (IBD), is also known as spastic colitis, mucus colitis, and nervous colon. It is a chronic, or long-term, condition, but symptoms tend to change over the years.

IBS can cause persistent discomfort, but most people will not experience severe complications.

Symptoms often improve as individuals learn to manage the condition. Severe and persistent severe symptoms are rare.

Fast facts on irritable bowel syndrome

Here are some key points about irritable bowel syndrome.

IBS can cause discomfort, but it does not usually lead to serious complications.

Currently, there is no cure for IBS.

Dietary and emotional factors can play a key role in IBS.

Reducing alcohol intake can ease symptoms.

Excluding foods that cause gas can also improve symptoms.


IBS can lead to discomfort and abdominal pain.

The most common symptoms experienced by people with IBS are:

changes in bowel habits

abdominal pain and cramping, which often lessen after using the bathroom

a feeling that the bowels are not fully emptied after using the bathroom

excess gas

passing of mucus from the back passage, or rectum

a sudden urgent need to use the bathroom

swelling or bloating of the abdomen

Symptoms often worsen after eating. A flare-up may last from 2 to 4 days, and then symptoms may either improve or go away completely.

Signs and symptoms vary considerably between individuals. They often resemble those of other diseases and conditions. They can also affect different parts of the body.

These can include:

frequent urination

halitosis, or bad breath


joint or muscle pain

persistent fatigue

pain with sex (for females) or sexual dysfunction

irregular menses

Anxiety and depression may also occur, often because of the discomfort and embarrassment that can accompany the condition.


Dietary factors can play a role. Symptoms are often worse after consuming certain products, such as chocolate, milk, or alcohol. There may be either constipation or diarrhea.

Some fruits, vegetables, and sodas can trigger bloating and discomfort. It is unclear whether a food allergy or intolerance plays a role.

Common dietary triggers of cramping or bloating include:

foods that cause flatulence, such as beans, celery, onions, carrots, raisins, bananas, apricots, prunes, brussel sprouts, pretzels, and bagels

dairy products

sugar-free gum

some candies

products with caffeine in them, maybe due to lactose (sugar), sorbitol, or caffeine intolerance, rather than IBS

Fiber: Some people with IBS need to increase their fiber intake, while others have to consume less. A proper balanced level of fiber in the diet can help promote healthy digestion.

Probiotics: These may help some people. The benefits take about 4 weeks to appear.

Food diary: Keeping a record of foods eaten and their effect will help identify the major trigger foods.

Changes in eating habits can help control symptoms. There is no IBS diet that works for everybody, so the person may need to go through a process of trial and error to achieve an optimum diet.


It is unclear what causes IBS, but it is not contagious or cancer-related.

Factors that may be involved include:


environmental factors, such as stress

genetic factors


digestive organs being excessively sensitive to pain

an unusual response to infection

a malfunction in the muscles used to move food through the body

an inability of the central nervous system(CNS) to control the digestive system properly

A person's mental and emotional state may have an impact. People who have had a traumatic experience have a higher risk of developing IBS.

Hormonal changes can make symptoms worse. They are often more severe in women, for example, around the time of menstruation.

Infections, such as gastroenteritis, can trigger post-infectious IBS or PI-IBS.


IBS is uncomfortable, but it generally does not have serious medical implications.

No specific imaging or laboratory test can diagnose IBS.

Diagnosis involves ruling out conditions that produce IBS-like symptoms and then following a procedure to categorize the symptoms.

There are 3 main types of IBS:

IBS with constipation (IBS-C): There is stomach pain, discomfort, bloating, infrequent or delayed bowel movements, or hard or lumpy stools.

IIBS with diarrhea (IBS-D): There is stomach pain, discomfort, an urgent need to go to the toilet, very frequent bowel movements, or watery or loose stools.

IIBS with alternating stool pattern (IBS-A): There is both constipation and diarrhea.

Many people experience different types of IBS as time goes by.

The doctor can often diagnose IBS by asking about symptoms, for example:

Have there been any changes in your bowel habits, such as diarrhea or constipation?

Is there any pain or discomfort in your abdomen?

How often do you feel bloated?

A blood test may help rule out other possible conditions, including:

lactose intolerance

small intestinal bacterial overgrowth

celiac disease

If specific signs or symptoms suggest another condition, further testing may be required.

These could be:


localized swelling in the rectum and abdomen

weight loss (unexplained)

abdominal pain at night

progressively worsening symptoms

significant blood in the stool

family history of inflammatory bowel disease, colorectal cancer, or celiac disease

Patients with a history of ovarian cancer may require further testing, as will patients over the age of 60 whose change in bowel habits have persisted for longer than 6 weeks.

Risk factors

The following groups of people are more likely to have IBS:

Younger adults: IBS affects people of all ages, but diagnosis usually occurs before the age of 45 years, often at 20 to 30 years.

Gender: It is more likely to affect women.

Family history: If a close relative has or has had IBS, there may be a higher chance of developing it. However, there is no clear link.

Environment: Ongoing research is investigating whether the family-history risk of IBS is linked to genes, a shared family environment, or both.

Research into IBS is ongoing. Improved preventive measures and new treatments will undoubtedly be discovered in the future.


As the causes are uncertain, treatment for IBS aims to relieve symptoms and improve quality of life.

This usually involves some dietary and lifestyle changes, as well as learning how to manage stress.

The following may help:

avoiding sorbitol, found in some chewing gums, diet foods, and sugar-free sweets, as it can cause diarrhea

consuming more oat-based foods to reduce gas or bloating

not skipping meals and eating at the same time every day

eating slowly

limiting alcohol intake

avoiding carbonated sugary beverages, such as soda

limiting intake of certain fruits and vegetables

limiting tea and coffee intake to three cups per day

drinking enough fluids, at least eight cups of fluid per day for most people

It may help to avoid or limit the intake of resistant starch, commonly found in processed or recooked foods and in some legumes. Resistant starch is not broken down in the digestive tract and counts as a component of dietary fiber.

Anxiety and stress

The following may help reduce or relieve symptoms:

relaxation techniques, including exercises or meditation

some specific physical activities, such as Tai Chi or yoga

regular physical exercise

stress counseling or cognitive behavioral therapy (CBT)


The following medications are used for IBS symptoms:

Antispasmodic medications reduce abdominal cramping and pain by relaxing the muscles in the gut.

Bulk-forming laxatives can help relieve constipation. These can be purchased over-the-counter or online, although they should be used with caution.

Antimotility medications for diarrhea include loperamide, which slows down the contractions of the intestinal muscles.

Tricyclic antidepressant (TCAs) often help to reduce abdominal pain and cramping.

Medications specific to IBS treatment include:

alosetron (Lotronex) for severe diarrhea-predominant IBS in women

lubiprostone (Amitiza) for constipation-predominant IBS in women

These are usually the last line of treatment, when other lifestyle or therapeutic interventions have failed, and symptoms remain severe.

Psychological therapy

Some psychological techniques can be useful:

Psychodynamic interpersonal therapy (PIT), where the therapist helps the patient explore their past to find out whether anything may have affected them unconsciously.

Hypnotherapy can help alter the unconscious mind's attitude to symptoms.

Cognitive behavioral therapy (CBT) fosters strategies for reacting differently to the condition through relaxation techniques and a positive attitude.

Exercise can help reduce symptoms in some people.

For now, being mindful of diet and stress are the best tips for avoiding episodes.



Most Viewed
Digital Edition
More story
From the Editor

From the Editor

Men’s Health is as complex as women’s health. When we consider men’s health we often assume that they need to visit their doctors only…
Top health threats to men

Top health threats to men

More boys than girls are born every year in the U.S. But any lead in health men start with vanishes with the first dirty diaper. From infancy to old age,…
Male infertility

Male infertility

Approximately 15 percent of couples are infertile. This means they aren't able to conceive a child even though they've had frequent, unprotected…
Warning signs of male menopause

Warning signs of male menopause

Megan McCrea As you dig deeper, you’ll learn that the condition is quite controversial. Health experts argue about every aspect of “male menopause:”…
Everything you should know about urinary tract infections (UTIs) in men

Everything you should know about urinary tract infections (UTIs) in men

In a bladder infection, bacteria invade and overgrow in the bladder. Sometimes the bacteria can take hold in the kidneys or the tubes that drain urine…
Fighting against thalassemia:  an ancestral curse

Fighting against thalassemia: an ancestral curse

Globally, thalassemia is a major health problem. Every year on the 8th of May, World Thalassemia Day is celebrated with so as to increase awareness about…
Get started with exercise to lower blood pressure

Get started with exercise to lower blood pressure

Exercise and high blood pressure Exercise is one of the keys to lower your blood pressure. Working out also boosts the effectiveness of blood pressure…
The impact of trauma on children with autism

The impact of trauma on children with autism

DAVE ANGEL “Any child will tell you that even the kindest and gentlest of dogs will bite you if you yank it ears and pull its tail long enough.…
Drinking water may harbor cancer-causing nitrate

Drinking water may harbor cancer-causing nitrate

Millions of tons of nitrate from industrial farming find their way into America's drinking water each year, causing thousands of cases of cancer and…
Medicine is polluting our environment: Study

Medicine is polluting our environment: Study

Doctors prescribe medicines to treat a disease, correct a deficiency, or prevent a condition from happening. For example, beta blockers help lower blood…
Vitamin D, Estradiol deficiency have synergistic effect on MetS

Vitamin D, Estradiol deficiency have synergistic effect on MetS

For Chinese postmenopausal women, vitamin D (VitD) and estradiol (E2) deficiency have a synergistic effect on metabolic syndrome (MetS), according to…
FDA approves Nayzilam (midazolam) nasal spray to treat seizure clusters

FDA approves Nayzilam (midazolam) nasal spray to treat seizure clusters

Nayzilam is a benzodiazepine medicine. Taking benzodiazepines with opioid medicines, alcohol, or other central nervous system depressants (including street…

Copyright © All right reserved.

Editor : M. Shamsur Rahman

Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.

Editor : M. Shamsur Rahman
Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.

Disclaimer & Privacy Policy
About Us
Contact Us

Powered by : Frog Hosting