Up to 25 per cent of IBS may be due to this problem. Food intolerance — impaired absorption of the sugar lactose found in dairy and many processed foods is the most common dietary trigger for IBS. Other sugars believed to trigger IBS are fructose present in many syrups and sorbitol. General diet — low-fibre diets can exacerbate the constipation of constipation-predominant IBS.
Some people find spicy or sugary foods cause problems. However, many experts are sceptical about the role of general diet, once specific food intolerances have been eliminated. Emotional stress — strong emotions, such as anxiety or stress, can affect the nerves of the bowel in susceptible people. Medication — certain types such as antibiotics, antacids and painkillers can lead to constipation or diarrhoea. Diagnosis methods include: full medical check-up blood tests, including blood tests for coeliac disease stool tests investigation of the bowel lining by inserting a small tube sigmoidoscopy investigation of the bowel under sedation colonoscopy or barium enema, if necessary.
Treatment options may include: a modest increase in dietary fibre, together with plenty of clear fluids reducing or eliminating common gas-producing foods, such as beans and cabbage reducing or eliminating dairy foods, if lactose intolerance is a trigger antidiarrhoea medication, such as imodium or lomotil — these can be an essential part of management in those with diarrhoea-predominant IBS pain-relieving medication — opiates such as codeine can provide effective pain relief.
One of their most common side effects, constipation, may also relieve the diarrhoea of diarrhoea-predominant IBS treatments to treat constipation antispasmodic drugs, which may ease cramping — examples include mebeverine, belladonna, hyoscine and peppermint oil capsules tricyclic antidepressants — these can be effective in treating the pain of IBS, but are best prescribed for a trial period with monitoring of symptoms. Use of these does not mean that IBS is caused by depression stress management, if stress seems to be triggering the attacks establishing eating routines and avoiding sudden changes of routine.
Specific treatments for IBS are not approved for use A small number of medications have been developed to treat IBS and have been shown to be effective in selected groups in clinical trials. Find an experienced health professional People with IBS can become frustrated and feel their symptoms are not treated seriously.
More information here. Give feedback about this page. Was this page helpful? The precise cause of IBS isn't known. Factors that appear to play a role include:. Many people have occasional signs and symptoms of IBS. But you're more likely to have the syndrome if you:. Irritable bowel syndrome care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
This content does not have an English version. This content does not have an Arabic version. Overview Irritable bowel syndrome IBS is a common disorder that affects the large intestine. Email address. First Name let us know your preferred name. Last Name. Thank you for subscribing Your in-depth digestive health guide will be in your inbox shortly.
Sorry something went wrong with your subscription Please, try again in a couple of minutes Retry. IBS can produce a vicious cycle of digestive symptoms that increase anxiety and anxiety that increases digestive symptoms. Tackling anxiety can help reduce other symptoms. If you have symptoms of IBS that interfere with your quality of life, visit a primary care doctor near you, who can help diagnose IBS and rule out other diseases that mimic it.
IBS is diagnosed by recurrent abdominal pain for at least 6 months, combined with weekly pain for 3 months as well as some combination of pain relieved by bowel movements and changes in frequency or form of bowel movements. Your doctor may refer you to a gastroenterologist, a specialist in digestive diseases, who can help you identify triggers and discuss ways to control your symptoms. Lifestyle changes, such as a low-FODMAPs diet , stress relief, exercise, drinking plenty of water and over-the-counter laxatives can also help.
Identifying other trigger foods can be difficult, as these are different for each person. Keeping a diary of meals and ingredients can help identify triggers 38 , 39 , Probiotic supplements may also reduce symptoms Additionally, avoiding digestive stimulants, such as caffeine, alcohol and sugary beverages, can reduce symptoms in some people If you think you have IBS, consider keeping a journal of foods and symptoms.
Then, take this information to your doctor to help diagnose and control the condition. Read this article in Spanish. Lower back pain and constipation may be related if the pain feels dull. The backup of stool in your colon or rectum can cause a dull pain in the lower…. Bloating can sometimes be a side effect of constipation.
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These symptoms may be due to changes in the diet, eating spoiled food, or something else, but not IBS. It may mean something more serious if a person has symptoms that are like IBS, along with low iron in the blood anemia , blood in the stool, weight loss, a fever, a family history of colorectal cancer or inflammatory bowel disease IBD , or symptoms that started after age The person should contact their doctor for an appointment.
If you want more information about IBS, Goodpath has it. Check IBS Symptoms. Digestive Health. Ed
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