31/01/2024
Health Insights: Irritable Bowel Syndrome (IBS)
IBS is a mix of belly discomfort or pain and trouble with bowel habits: either going more or less often than normal (diarrhea or constipation) or having a different kind of stool (thin, hard, or soft and liquid). Physicians used to call IBS other names including:
* IBS colitis
* Mucous colitis
* Spastic colon
* Nervous colon
* Spastic bowel
There are four types of the condition:
* IBS with constipation (IBS-C)
* IBS with diarrhea (IBS-D)
* Mixed IBS (IBS-M) alternates between constipation and diarrhea
* Unsubtyped IBS (IBS-U) for people who don't fit into the above types
IBS isn’t life-threatening, and it doesn't make you more likely to get other colon conditions, such as ulcerative colitis, Crohn's disease, or colon cancer. But it can be a long-lasting problem that changes how you live your life. People with IBS may miss work or school more often, and they may feel less able to take part in daily activities. Some people may need to change their work setting: shifting to working at home, changing hours, or even not working at all.
IBS Symptoms
People with IBS have symptoms that can include:
* Diarrhea (often described as violent episodes of diarrhea)
* Constipation
* Constipation alternating with diarrhea
* Belly pains or cramps, usually in the lower half of the belly, that get worse after meals and feel better after a bowel movement
* A lot of gas or bloating
* Harder or looser stools than normal (pellets or flat ribbon stools)
* A belly that sticks out
* Mucus in your p**p
* Feeling like you still need to p**p after you just did
* Food intolerance
* Tiredness
* Anxiety
* Depression
* Heartburn and indigestion
* Headaches
* Needing to p*e a lot
Other things may cause these symptoms sometimes. If it’s IBS, you’ll likely have these symptoms weekly for 3 months, or less often for at least 6 months. Women with IBS may have more symptoms during their period. Some people also have urinary symptoms or s*xual problems. Stress can make symptoms worse.
IBS Treatment and Home Care
Nearly all people with IBS can get help, but no single treatment works for everyone. You and your doctor will need to work together to find the right treatment plan to manage your symptoms.
Many things can trigger IBS symptoms, including certain foods, medicines, the presence of gas or stool, and emotional stress. You’ll need to learn what your triggers are. You may need to make some lifestyle changes and take medication.
Diet and lifestyle changes
Usually, with a few basic changes in diet and activities, IBS will improve over time. Here are some tips to help ease symptoms:
* Avoid caffeine (in coffee, tea, and soda).
* Add fiber to your diet with foods like fruits, vegetables, whole grains, and nuts.
* Drink at least three to four glasses of water per day.
* Don't smoke.
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* Learn to relax, either by getting more exercise or by reducing stress in your life.
* Limit how much milk or cheese you eat.
* Eat smaller meals more often instead of big meals.
* Keep a record of the foods you eat so you can figure out which foods bring on bouts of IBS.
Common food "triggers" are red peppers, green onions, red wine, wheat, and cow's milk. If you're concerned about getting enough calcium, you can try to get it from other foods, like broccoli, spinach, turnip greens, tofu, yogurt, sardines, salmon with bones, calcium-fortified orange juice and breads, or calcium supplements.
Medications
The following types of drugs are used to treat IBS:
* Bulking agents, such as psyllium, wheat bran, and corn fiber, help slow the movement of food through the digestive system and may also help relieve symptoms.
* Antibiotics, such as rifaximin (Xifaxan), can change the amount of bacteria in your intestines. You take pills for 2 weeks. It can control symptoms for as long as 6 months. If they come back, you can be treated again.