Irritable Bowel Syndrome(Functional Colitis; IBS; Intestinal Neurosis; Irritable Colon; Laxative Colitis; Mucous Colitis; Spastic Colon)
by
Debra Wood, RN DefinitionIrritable bowel syndrome (IBS) is a chronic disorder of the intestines. IBS does not cause inflammation and does not lead to a more serious condition. Causes TOPThe cause is unknown. With IBS, the muscles in the colon do not work normally and may spasm. If you have IBS, your colon may be more sensitive, reacting strongly to food and medication. Food allergies and certain bacteria may add to the symptoms. IBS may also occur after having the stomach flu ( gastroenteritis). Risk Factors TOPIBS is more common in women. It typically begins in young adulthood. Factors that may increase your chances of IBS:
Symptoms TOPSymptoms usually come and go, and range from mild to severe. They include:
These factors may worsen your symptoms:
Diagnosis TOPYou will be asked about your symptoms and medical history. A physical exam will be done. In many cases, a diagnosis can be made based on this. Since there is no diagnostic test for IBS, doctors have created criteria for making a diagnosis. Your bodily fluids may be tested. This can be done with:
Your bodily structures may need to be viewed. This can be done with:
Treatment TOPThere is no cure for IBS. Treatment focuses on controlling symptoms. DietThe following changes to your diet may help control symptoms:
ExerciseParticipating in a regular exercise program can help improve bowel function and other IBS symptoms. If you would like to start exercising, check with your doctor to make sure you are healthy enough. Stress Management TOPTalk to your doctor about ways to reduce stress such as:
Education TOPLearn as much as you can about IBS and ways that you can reduce your symptoms. You may also find it helpful to join a support group. Medication TOPDepending on your symptoms, your doctor may recommend:
In some cases, your doctor may recommend that you take a combination of medications. Prevention TOPThere are no current guidelines for preventing IBS because the cause is unknown. RESOURCES:American College of Gastroenterology http://gi.org National Institute of Diabetes and Digestive and Kidney Diseases https://www.niddk.nih.gov CANADIAN RESOURCESCanadian Digestive Health Foundation http://www.cdhf.ca Health Canada https://www.canada.ca References:Drossman DA.
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Last reviewed November 2018 by
EBSCO Medical Review Board
Daus Mahnke, MD Last Updated: 12/20/2014 |
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