Irritable bowel syndrome (IBS) (also known as the spastic colon), it is a functional gastrointestinal disorder, and it is a long term progressive issue that is usually associated with other disorders such as:
- Chronic fatigue syndrome: more identified as myalgic encephalomyelitis is long term fatigue that limits a person from carrying out daily basis activities
- Bacterial overgrowth or gastrointestinal infection such as gastroenteritis
What are the risk agents for irritable bowel syndrome?
What age do people usually get irritable bowel syndrome (IBS)? Irritable bowel syndrome usually starts before age 45 years, and the cause is unknown. Certain factors trigger IBS. such as:
- Genetics (history of IBS in the family).
- Stressful life events such as a death in the family, loss of a pet, loss of job, being expelled from school, struggling with school works, relationship problems e.t.c.
- Bullying: being bullied in school or at work.
- Hormonal changes
- Certain kinds of foods such as carbonated drinks, wheat, and beans can trigger increase bowel sound, bloating, gassiness, and alternation between running tummy and difficulty passing stool.
What are the main symptoms of Irritable Bowel Syndrome (IBS)?
- Diarrhea alternating with constipation
- Recurrent abdominal pain that gets better after passing gas
- Passing gas (flatulence)
- Defecating bring relief(Defecating ease discomfort and improve complaints)
- Tenesmus (Feeling of incomplete bowel evaluation)
- Urgent bowel evacuation
IBS is more typical in women than men and can be popularly misdiagnosed with other bowel disorders due to the similarity of symptoms.
Common Diseases With Similar Symptoms to Irritable bowel syndrome are:
- Inflammatory bowel disease (Crohn’s disease and ulcerative colitis)
- Celiac disease
- Colon cancer
- Microscopic colitis
- Bile acid malabsorption
- Lactose intolerance
- Non-celiac gluten sensitivity
Classification Of IBS Is Based On The Dominant Symptom:
- Diarrhea predominant (IBS – D)
- Constipation predominant (IBS – C)
- Alternating stool pattern (IBS – A)
- Pain dominated IBS.
How is irritable bowel syndrome diagnosed?
Your doctors usually start by:
- Taking a detailed history of symptoms: onset, trigger factors, relieving factors (factors that make you feel better), etc.
- A stool culture to rule out infectious triggers/causes.
- Full blood count
- Abdominal ultrasound
Rome criteria for the diagnosis of irritable bowel syndrome
The Rome IV criteria for the diagnosis of irritable bowel syndrome requires recurrent abdominal pain on average at least one day per week in the last three months that is associated with two or more of the following :
- Related to defecation (pain may be increased or unchanged by defecation).
- It is associated with the change in stool frequency.
- It is associated with the change in the appearance of stool.
What is the most suitable treatment for irritable bowel syndrome?
- Diet modification, lifestyle changes and dietary changes (avoid trigger foods, eat at regular times, eat at regular time)
- Stress management.
- Antidiarrheal medications for IBS – D.
- Laxatives for IBS – C.
- Fiber supplements.
- Over the counter pain medications can be used to relieve pain.
An irritable bowel syndrome is a group of symptoms that is characterized by abdominal pain that may be relieved by passing gas and changes in the pattern of bowel movements without the evidence of any structural damage to the intestines.