Irritable
Bowel Syndrome (IBS) is a disorder of the gastro-intestinal tract, resulting in
problems in either the upper or lower intestine. Symptoms can vary from person
to person, but the common complaints include abdominal pain and cramps,
abdominal distension, a feeling of bloating and constipation or diarrhea.
For
some people their IBS is diarrhea predominant, whilst in others it is
constipation predominant. A “normal” routine for bowel movement is difficult to
define, as each person will have their own pattern regarding frequency and
stool size, shape etc. We can all recognise when our own routine is temporarily
disrupted by a short term illness, which usually lasts just a few days. Long
term problems with bowel movements – either frequency or discomfort - may be an
indication of IBS.
There
is no single cause of IBS which can be treated, which is why it is classified
as a functional disorder. In IBS cases there are no indications in the bowel,
but changes are experienced in bowel function and behaviour. IBS can cause much
distress and discomfort, but it is treatable. IBS does not result in any long
term damage to the gut, and it doesn’t increase the risk of colonic cancer.
For
many, their IBS symptoms are aggravated by stress or emotional conflict.
Research into this area has to yield any clear correlation, and stress is not
considered a cause of IBS. However, stress management can form an important
part of IBS treatment.
Certain
foods can trigger or aggravate IBS symptoms. These foods include fatty foods
such as fried food, dairy products, chocolate and alcohol. Caffeinated drinks
such as coffee or fizzy drinks can act as a laxative to some people, yet for
IBS sufferers caffeine can act to upset their intestinal tract. People with IBS
are advised to eat foods which are high in fiber, such as fruit, beans and
other vegetables, whole-grain cereals and whole-meal bread.
IBS is
neither ageist nor sexist. It affects both young and old and male and female.
It is estimated that 10-20% of people may suffer IBS at some point. Women with
a menstrual cycle are more prone to IBS and it is believed reproductive
hormones may be a factor.
Some
symptoms, such as constipation, may be caused by the gastro-intestinal tract
working slowly. This may be due to how the intestine interacts with serotonin.
Serotonin is a naturally occurring substance (it is a neurotransmitter) which
along with other roles plays an important part in helping the gut to function
normally.
Antibiotics
such as Metronidazole and Vancomycin – there are others – are effective at
treating IBS symptoms of constipation or diarrhea. This suggests that an
over-production of bacteria in the intestines may be the root cause of IBS.
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