What is I.B.S. (Irritable Bowel Syndrome)?

According to the National Institute of Diabetes andactivity, causing abnormal levels of serotonin to exist in
Digestive and Kidney Diseases, Irritable Bowelthe GI tract. As a result, people with IBS experience
Syndrome is a disorder characterized most commonlyproblems with bowel movement, motility, and sensation,
by cramping, abdominal pain, bloating, constipation, andhaving more sensitive pain receptors in their GI tract. In
diarrhea. IBS causes a great deal of discomfort andaddition, people with IBS frequently suffer from
distress, but it does not permanently harm thedepression and anxiety, which can worsen symptoms.
intestines and does not lead to a serious disease, suchSimilarly, the symptoms associated with IBS can cause
as cancer. Most people can control their symptomsa person to feel depressed and anxious.
with diet, stress management, and prescribedResearchers have reported that IBS may be caused
medications. For some people, however, IBS can beby a bacterial infection in the gastrointestinal tract.
disabling. They may be unable to work, attend socialStudies show that people who have had
events, or even travel short distances.gastroenteritis sometimes develop IBS, otherwise
Irritable Bowel Syndrome or IBS is the most commoncalled post-infectious IBS.
gastrointestinal disorder seen by GI Doctors. IBS mayThe following have been associated with a worsening
affect up to 20 percent of Americans, or 54 millionof IBS symptoms:
people. IBS appears fairly equally in people of all races,- large meals
but it tends to affect women more than men, in fact- bloating from gas in the colon
three times as many, however, men may be less likely- medicines
to report the problem.- wheat, rye, barley, chocolate, milk products, or alcohol
The onset of IBS usually begins to occur in late- drinks with caffeine, such as coffee, tea, or colas
adolescence or in early adult life. It rarely appears for- stress, conflict, or emotional upsets. Researchers
the first time after age 50. For many, the condition ishave found that women with IBS may have more
chronic, and symptoms can appear for months, thensymptoms during their menstrual periods, suggesting
disappear, then reappear again.that reproductive hormones can worsen IBS problems.
For some, the symptoms are mild and for others, theHow is IBS diagnosed?
symptoms can be quite severe and even debilitating.IBS is generally diagnosed on the basis of a complete
Irritable Bowel Syndrome (IBS) is a functional disordermedical history that includes a careful description of
of the gastrointestinal tract characterized by abdominalsymptoms and a physical examination. There is no
pain, excessive gassiness, bloating, and irregular bowelspecific test for IBS, although diagnostic tests may be
movements. Some people can control their symptomsperformed to rule out other diseases. These tests
with diet, stress management, and prescribedmay include stool sample testing, blood tests, and x
medications. For some people, however, IBS can berays.
disabling. They may be unable to work, go to socialTypically, a doctor will perform a sigmoidoscopy, or
events, or even travel short distances.colonoscopy, which allows the doctor to look inside the
Irritable Bowel Syndrome may also be referred to ascolon. This is done by inserting a small, flexible tube
spastic colon, mucous colitis, spastic colitis, nervouswith a camera on the end of it through the anus. The
stomach, or irritable colon. IBS is difficult to diagnosecamera then transfers the images of your colon onto
with traditional medicine, as it cannot be discovereda large screen for the doctor to see better. If the tests
through physical examination, x-rays, or blood tests. Itresults are negative, the doctor may diagnose IBS
occurs more often in women than in men, and it beginsbased on symptoms, including how often a patient
before the age of 35 in about 50 percent of people.may have had abdominal pain or discomfort during the
IBS patients seem to fall into two categories:past year, when the pain starts and stops in relation to
1. Those who report that they have had symptomsbowel function, and how bowel frequency and stool
since childhood.consistency have changed.
2. Those who report the onset of symptoms after anMany doctors refer to a list of specific symptoms that
illness, accident or specific situation.must be present to make a diagnosis of IBS.
What causes IBS?Symptoms include:
Researchers have yet to discover any specific cause- Abdominal pain or discomfort for at least 12 weeks
for IBS. One theory is that people who suffer from IBSout of the previous 12 months. These 12 weeks do not
have a colon (large bowel) that is particularly sensitivehave to be consecutive.
and reactive to certain foods and stress.- The abdominal pain or discomfort has two of the
The immune system, which fights infection, may alsofollowing three features:
be involved. research indicates that:- It is relieved by having a bowel movement.
1. Normal motility, or movement, may not be present in- When it starts, there is a change in how often you
a colon of a person who has IBS. It can be spasmodichave a bowel movement. When it starts, there is a
or can even stop working temporarily. Spasms arechange in the form of the stool or the way it looks.
sudden strong muscle contractions that come and go.Certain symptoms must also be present, such as:
2. The lining of the colon called the epithelium, which is- A change in frequency of bowel movements
affected by the immune and nervous systems,- A change in appearance of bowel movements
regulates the flow of fluids in and out of the colon. In- Feelings of uncontrollable urgency to have a bowel
IBS, the epithelium appears to work properly. However,movement
when the contents inside the colon move too quickly,- Difficulty or inability to pass stool
the colon looses its ability to absorb fluids. The result is- Mucus in the stool
too much fluid in the stool. In other people, the- Bloating
movement inside the colon is too slow, which causes- Bleeding, fever, weight loss, and persistent severe
extra fluid to be absorbed. As a result, a personpain are not symptoms of IBS and may indicate other
develops constipation.problems such as inflammation, or rarely, cancer.
3. A person's colon may respond strongly to stimuliWhat is the treatment for IBS?
such as certain foods or stress that would not botherUnfortunately, many people suffer from IBS for a long
most people. Serotonin and the GI Tract Recenttime before seeking medical treatment. Up to 70
research has reported that serotonin is linked withpercent of people suffering from IBS are not receiving
normal gastrointestinal (GI) functioning. Serotonin is amedical care for their symptoms. No cure has been
neurotransmitter, or chemical, that delivers messagesfound for IBS, but many options are available to treat
from one part of your body to another. Ninety-fivethe symptoms. A doctor will give share the best
percent of the serotonin in your body is located in thetreatments available for particular symptoms and
GI tract, and the other 5 percent is found in the brain.encourage ways to manage stress and make
Cells that line the inside of the bowel work aschanges to diet. Medications are an important part of
transporters and carry the serotonin out of the GIrelieving symptoms. Hypnotherapy is non intrusive, safe,
tract.comfortable and a cost effective and complementary
People with IBS, however, have diminished receptorto use along side mainstream medicine.