The Health Biz

Irritable Bowel Syndrome is very common and in America at least 58 million have or had Irritable Bowel Syndrome at some stage in their lives. They have cramp like abdominal pains, diarrhoea and/ constipation. These symptoms vary in individual IBS sufferers and also from day to day. Jeffrey Roberts, president of the IBS Self Help and Support Group, says, “IBS is an illness which seems to strike people down.”

Irritable Bowel Syndrome is a collection of symptoms that are present for 12 weeks in twelve month period. It is characterised by abdominal pain and must include at least two of the following three facts. The pain is relieved with bowel movement, and associated with a change in the frequency of bowel movement and appearance of the stools.

Certain foods and stress can trigger symptoms or cause a flare up of IBS. Experts are still uncertain as to what exactly Irritable Bowel syndrome is or what causes it. What we know, however, is that the Large Gut in IBS sufferers are more sensitive and, because 80% of IBS patients are women, hormonal changes may be a trigger. It can develop after a severe episode of gastroenteritis and there is a higher incident in individuals who were physically and sexually abused as children.

Although Irritable Bowel Syndrome is a distressing condition with abdominal pains, diarrhoea, constipation, bloating and rectal pain, there is no abnormality of the gut. If during investigation an abnormality is found, then the diagnosis in no longer IBS.

If you have symptoms of IBS, see your doctor for a diagnosis. Your family physician will do tests to exclude major ilness before a diagnosis of IBS is made. With the Rome Criteria, a diagnosis can be made with minimal diagnostic test. However, if you have bleeding from the rectum, loss of appetite, weight loss, anaemia or symptoms developing after fifty years of age, you should see your doctor very soon because you will need addition investigation.

Some IBS sufferers think their illness is “All in the head.” This is far from the truth but the brain has a role in symptom development and experts think that Brain-Gut connection is very important. Serotonin is linked to IBS. High blood levels are present in Diarrhoea predominant IBS and low levels are found in Constipation predominant IBS.

We know that in Irritable Bowel Syndrome, there is no abnormality in the large gut, it is not a cancer and will not lead to cancer or other gastrointestinal disease and it is very common. It is estimated that at some time in their lives as much as 20% of the global population has or had IBS.

It is very difficult for IBS patients to come to terms with this condition especially when experts tell them the true cause is unknown, no one treatment works for everyone and that there is no cure. Depending on the type of IBS you have, dietary changes, behavioural therapy, stress management and various alternative treatments options are available.

Some IBS patients have severe abdominal pains soon after eating certain foods. This is often due to eating a large meal and in a sensitive gut triggers strong Gastro-colic reflex. This a powerful peristaltic contraction in response to stretching of the stomach. In IBS patients, this can be very painful. You can reduce this by having smaller meals and eat frequently. You need nutrients from food to remain healthy, so it is important that you do not avoid foods.

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