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

According to the National Institute of Diabetes andaddition, people with IBS frequently suffer from
Digestive and Kidney Diseases, Irritable Boweldepression and anxiety, which can worsen symptoms.
Syndrome is a disorder characterized most commonlySimilarly, the symptoms associated with IBS can cause
by cramping, abdominal pain, bloating, constipation, anda person to feel depressed and anxious.
diarrhea. IBS causes a great deal of discomfort andResearchers have reported that IBS may be caused
distress, but it does not permanently harm theby a bacterial infection in the gastrointestinal tract.
intestines and does not lead to a serious disease, suchStudies show that people who have had
as cancer. Most people can control their symptomsgastroenteritis sometimes develop IBS, otherwise
with diet, stress management, and prescribedcalled post-infectious IBS.
medications. For some people, however, IBS can beThe following have been associated with a worsening
disabling. They may be unable to work, attend socialof IBS symptoms:
events, or even travel short distances.� large meals
Irritable Bowel Syndrome or IBS is the most common� bloating from gas in the colon
gastrointestinal disorder seen by GI Doctors. IBS may� medicines
affect up to 20 percent of Americans, or 54 million� wheat, rye, barley, chocolate, milk products,
people. IBS appears fairly equally in people of all races,or alcohol
but it tends to affect women more than men, in fact� drinks with caffeine, such as coffee, tea, or
three times as many, however, men may be less likelycolas
to report the problem.� stress, conflict, or emotional upsets.
The onset of IBS usually begins to occur in lateResearchers have found that women with IBS may
adolescence or in early adult life. It rarely appears forhave more symptoms during their menstrual periods,
the first time after age 50. For many, the condition issuggesting that reproductive hormones can worsen
chronic, and symptoms can appear for months, thenIBS problems.
disappear, then reappear again.How is IBS diagnosed?
For some, the symptoms are mild and for others, theIBS is generally diagnosed on the basis of a complete
symptoms can be quite severe and even debilitating.medical history that includes a careful description of
Irritable Bowel Syndrome (IBS) is a functional disordersymptoms and a physical examination. There is no
of the gastrointestinal tract characterized by abdominalspecific test for IBS, although diagnostic tests may be
pain, excessive gassiness, bloating, and irregular bowelperformed to rule out other diseases. These tests
movements. Some people can control their symptomsmay include stool sample testing, blood tests, and x
with diet, stress management, and prescribedrays.
medications. For some people, however, IBS can beTypically, a doctor will perform a sigmoidoscopy, or
disabling. They may be unable to work, go to socialcolonoscopy, which allows the doctor to look inside the
events, or even travel short distances.colon. This is done by inserting a small, flexible tube
Irritable Bowel Syndrome may also be referred to aswith a camera on the end of it through the anus. The
spastic colon, mucous colitis, spastic colitis, nervouscamera then transfers the images of your colon onto
stomach, or irritable colon. IBS is difficult to diagnosea large screen for the doctor to see better. If the tests
with traditional medicine, as it cannot be discoveredresults are negative, the doctor may diagnose IBS
through physical examination, x-rays, or blood tests. Itbased on symptoms, including how often a patient
occurs more often in women than in men, and it beginsmay have had abdominal pain or discomfort during the
before the age of 35 in about 50 percent of people.past year, when the pain starts and stops in relation to
IBS patients seem to fall into two categories:bowel function, and how bowel frequency and stool
1. Those who report that they have had symptomsconsistency have changed.
since childhood.Many doctors refer to a list of specific symptoms that
2. Those who report the onset of symptoms after anmust be present to make a diagnosis of IBS.
illness, accident or specific situation.Symptoms include:
What causes IBS?� Abdominal pain or discomfort for at least 12
Researchers have yet to discover any specific causeweeks out of the previous 12 months. These 12
for IBS. One theory is that people who suffer from IBSweeks do not have to be consecutive.
have a colon (large bowel) that is particularly sensitive� The abdominal pain or discomfort has two
and reactive to certain foods and stress.of the following three features:
The immune system, which fights infection, may also� It is relieved by having a bowel movement.
be involved. research indicates that:� When it starts, there is a change in how
1. Normal motility, or movement, may not be present inoften you have a bowel movement. When it starts,
a colon of a person who has IBS. It can be spasmodicthere is a change in the form of the stool or the way it
or can even stop working temporarily. Spasms arelooks.
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
affected by the immune and nervous systems,movements
regulates the flow of fluids in and out of the colon. In� A change in appearance of bowel
IBS, the epithelium appears to work properly. However,movements
when the contents inside the colon move too quickly,� Feelings of uncontrollable urgency to have a
the colon looses its ability to absorb fluids. The result isbowel movement
too much fluid in the stool. In other people, the� Difficulty or inability to pass stool
movement inside the colon is too slow, which causes� Mucus in the stool
extra fluid to be absorbed. As a result, a person� Bloating
develops constipation.� Bleeding, fever, weight loss, and persistent
3. A person's colon may respond strongly to stimulisevere pain are not symptoms of IBS and may
such as certain foods or stress that would not botherindicate other problems such as inflammation, or rarely,
most people. Serotonin and the GI Tract Recentcancer.
research has reported that serotonin is linked withWhat is the treatment for IBS?
normal gastrointestinal (GI) functioning. Serotonin is aUnfortunately, many people suffer from IBS for a long
neurotransmitter, or chemical, that delivers messagestime before seeking medical treatment. Up to 70
from one part of your body to another. Ninety-fivepercent of people suffering from IBS are not receiving
percent of the serotonin in your body is located in themedical care for their symptoms. No cure has been
GI tract, and the other 5 percent is found in the brain.found for IBS, but many options are available to treat
Cells that line the inside of the bowel work asthe symptoms. A doctor will give share the best
transporters and carry the serotonin out of the GItreatments available for particular symptoms and
tract.encourage ways to manage stress and make
People with IBS, however, have diminished receptorchanges to diet. Medications are an important part of
activity, causing abnormal levels of serotonin to exist inrelieving symptoms. Hypnotherapy is non intrusive, safe,
the GI tract. As a result, people with IBS experiencecomfortable and a cost effective and complementary
problems with bowel movement, motility, and sensation,to use along side mainstream medicine.
having more sensitive pain receptors in their GI tract. In