What is IBS? – Understanding Symptoms, Causes, and Treatment

What Is IBS? – Understanding symptoms, causes, and treatment

The Tummy Clinic | August 8th, 2022

Did you know irritable bowel syndrome (IBS) affects approximately 5% to 10% of people worldwide? That’s approximately 8 million people across the world! Yet, there are many misconceptions surrounding IBS, which is often seen as an ordinary stomach ache by those who don’t have it. However, for those with IBS, their entire life can start to revolve around it, often leaving them physically and mentally exhausted by their symptoms and their attempts to get answers and treatments that could help.

So, just what is IBS?

Irritable bowel syndrome or IBS is a benign syndrome characterized by symptoms including cramping, abdominal pain, bloating, gas, diarrhea or constipation, or both. In some people, IBS is a chronic condition, and as a result, it often needs long-term management.
Many people are able to control their symptoms by managing diet, lifestyle, and stress. Medication and counseling can provide help for certain people depending on their specific symptoms.

Symptoms

The symptoms of IBS vary in severity and duration from person to person. Common signs and symptoms include:

  1. Abdominal pain, cramping, or bloating related to passing a bowel movement
  2. Changes in the appearance of bowel movement
  3. Changes in number/ frequency of bowel movements
  4. Bloating, increased gas or mucus in the stool

It is important to recognize that IBS is a syndrome, meaning that these same symptoms may be present in a variety of other conditions as well. So having these symptoms alone doesn’t mean you definitely have IBS – your doctor will need to do a more thorough history to ensure that you don’t have any of the other conditions in which these symptoms are also present.

Causes

While the cause of IBS is unknown, there are several theories that have been proposed.

Risk factors

IBS is seen to be more common in people who are…
Below the age of 50

  • Female
  • Have a family history of IBS
  • Suffer from anxiety, depression, or other mental health issues
  • Have a history of sexual, physical, or emotional abuse

When to see a doctor

It’s important that your doctor diagnose your IBS. If you have worrisome symptoms like changes in your bowel habits, weight loss, or rectal bleeding, please speak to your doctor. Here at The Tummy Clinic, we take care of people that have an established diagnosis of IBS already. We do not provide the preliminary workup for these symptoms or make a new diagnosis of IBS.

Treating IBS

The treatment for IBS is aimed at symptom relief. The standard approach is over-the-counter remedies and lifestyle changes, including specific dietary trigger identification and elimination, cognitive behavioural therapy, specific exercises, and mindfulness-based stress reduction

IBS diet

For many people, dietary changes can go a long way in helping ease symptoms of IBS. Doctors and registered dieticians generally recommend the low FODMAP diet for IBS. FODMAP s are specific kinds of carbohydrate found in certain foods, which are seen to cause common digestive issues. As the symptoms of IBS vary from person to person, the approaches to dietary changes also differ.

IBS medication

Your doctor might suggest the use of a prescription depending on your specific symptoms. These medications can help reduce pain or target specific bowel patterns.

Frequently Asked Questions

Managing IBS with diarrhea can be challenging, but making the right food choices can help. Here’s what works for many people with IBS:

  • Low FODMAP diet: This dietary approach helps reduce symptoms like diarrhea, bloating, and stomach pain. It involves removing certain foods and gradually reintroducing them to see which ones trigger your symptoms.
  • Easy-to-digest foods: Stick with foods like plain rice, cooked carrots, zucchini, and lean proteins (e.g., chicken, fish) to ease digestion.
  • Avoiding triggers: Steer clear of fatty, spicy, or fried foods, as well as dairy and caffeine. These can worsen symptoms for many people with IBS.

If you’re unsure which foods work for you, consulting with a healthcare provider can help you create a personalized meal plan.

Bloating, gas, and stomach pain are common in IBS. These symptoms often result from:

  • Gas buildup: Undigested food or fermentation in the intestines can cause gas and bloating.
  • Gut motility issues: In IBS, food may move too quickly or slowly through the digestive tract, leading to discomfort.
  • Food sensitivities: Certain foods like high FODMAP foods can cause bloating or pain.

Managing these symptoms typically involves diet modifications, stress management, and finding the foods that work best for your body.

IBS constipation can be tough, but there are ways to improve bowel movements:

  • Increase soluble fiber: Foods like oats, bananas, and carrots can help soften stool.
  • Stay hydrated: Drinking plenty of water helps keep things moving.
  • Exercise regularly: Physical activity helps stimulate digestion.

If these strategies don’t work, gentle laxatives or stool softeners might be considered, but always under the guidance of a healthcare professional.

Certain foods can make IBS symptoms worse, including:

  • High FODMAP foods: These include foods like onions, garlic, certain fruits (e.g., apples, watermelon), and dairy.
  • Fatty foods: Rich, greasy foods often cause discomfort for those with IBS.
  • Caffeine and alcohol: These can irritate the digestive system and increase symptoms like diarrhea or bloating.

By tracking your food intake and symptoms, you can start to identify which foods are causing flare-ups and work toward a personalized plan.

Constant constipation in IBS can be caused by:

  • Low fiber intake
  • Dehydration: Not drinking enough water can make stool hard and difficult to pass.
  • Stress: Emotional stress often affects digestion and can contribute to constipation.

If constipation persists despite lifestyle changes, consider speaking with a healthcare provider for further assessment and potential treatment options.

Severe bloating can occur when:

  • Gas is trapped in the intestines due to difficulty digesting certain foods or fermentation.
  • Slow motility: In IBS, the digestive system may move food too slowly, leading to bloating.

To manage bloating, consider reducing high FODMAP foods and incorporating more digestive-friendly meals. Stress management techniques like yoga or mindfulness can also help reduce bloating by calming the nervous system.