What is IBS?
What is IBS?
“What is IBS?” The question I receive frequently now that I speak so openly and publicly about my IBS symptoms. IBS, or irritable bowel syndrome, is a common gastrointestinal disorder that affects approximately 1 in 7 people. Symptoms include abdominal pain and abnormal bowel habits, such as constipation, diarrhea, or a combination of both. Other symptoms associated with IBS include bloating, distension (visible increase in abdominal size), excessive gas, and urgency.
Causes of IBS
The exact cause of IBS is not fully understood, but several factors are believed to contribute to its development. Some of these include gut sensitivity, altered gut motility (abnormal movement of contents through the gut), imbalances in gut bacteria (dysbiosis), and a slightly inflamed or "leaky" gut. In some cases, IBS may be triggered by severe gut infections, like gastroenteritis.
Symptoms of IBS
Symptoms of IBS can vary and fluctuate over time. Abdominal pain or discomfort is a common feature, typically felt in the mid or lower abdomen. Bowel habits can change, leading to constipation, diarrhea, or alternating between the two. Bloating and distension of the abdomen may also occur, along with excessive flatulence. Fatigue can be experienced due to the abdominal symptoms.
Can IBS Go Away on its Own?
IBS is considered a chronic condition, meaning it tends to persist over the long term. However, symptoms can come and go, and their intensity may vary. Some individuals may experience periods of improvement or remission, while others may develop new symptoms. Changes in bowel habits, such as a shift from constipation to diarrhea or vice versa, can also occur. Recent studies have shed light on the potential for better management of IBS by addressing the underlying causes. In my own experience, I found that my IBS symptoms became more manageable once I identified issues with my enlarged liver and gallbladder. What I initially thought were IBS flares turned out to be irritation and even full-blown gallbladder attacks. Similarly, some individuals have found significant improvement in their symptoms by treating small intestinal overgrowth (SIBO). For others, identifying and addressing food sensitivities has been a game-changer.
IBS Diagnosis
To obtain a proper diagnosis of IBS, it is important to consult with a medical doctor rather than self-diagnose. A diagnosis is crucial to rule out other more serious conditions like celiac disease, inflammatory bowel disease, or endometriosis. Your doctor may conduct tests to exclude these conditions before confirming an IBS diagnosis. It is essential to communicate any "red flag" symptoms, including blood in the stool, anemia, unintentional weight loss, fever, severe or worsening symptoms, daily diarrhea, nighttime bowel movements, or a family history of other bowel diseases.
IBS Testing
The specific tests required for diagnosing IBS can vary depending on individual circumstances. If no concerning symptoms are present, minimal tests may be needed to confirm the diagnosis. However, additional tests may be necessary to rule out other conditions and confirm IBS in certain cases. Common tests include blood tests, stool tests, and colonoscopy.
Treatment for IBS
Treatment for IBS focuses on managing symptoms rather than curing the condition. Various treatment options are available, and the choice depends on the individual's main symptoms and underlying causes. Non-drug therapies are often recommended initially, as they can improve a range of symptoms and can be used long-term with minimal risks and costs. These therapies may include a low FODMAP diet, gluten-free diet, modifications in fiber intake through dietary changes or supplements, fat-restricted diet, restrictions on coffee, caffeine, alcohol, and spicy foods, as well as non-drug therapies like gut-directed hypnotherapy, cognitive-behavioral therapy, exercise, and stress management.
Low FODMAP Diet
Among the dietary strategies, research conducted at Monash University and other centers worldwide has shown that a low FODMAP diet is effective in reducing IBS symptoms in approximately 75% of individuals with IBS. As a result, it is recommended as the primary treatment option for IBS.
Summary
IBS is a common gastrointestinal disorder characterized by abdominal pain, altered bowel habits, bloating, and other related symptoms. While the exact cause is unknown, factors like gut sensitivity, altered gut motility, imbalances in gut bacteria, and gut inflammation may contribute to its development. Diagnosis should be obtained from a medical professional to exclude other conditions. Treatment options include various therapies tailored to individual symptoms, with a low FODMAP diet being a widely recommended approach. Subscribe to my newsletter for exclusive content, including Low FODMAP shopping lists, helpful food swaps, insights into my experience with gut-directed hypnotherapy, and much more! Don't miss out on valuable tips and information for managing your gut health. Sign up today! Thank you for your support. If this resonated with you, I would greatly appreciate it if you could share your thoughts or comments below. Your feedback is valuable to me. Check out some of my viral IBS TikTok videos here, here, and here.
Please remember that I am not a doctor or nutritionist. Always consult with your healthcare provider before incorporating any supplements or adopting new dietary plans.
Xo,
Julia