Irritable bowel syndrome is a functional gastrointestinal / digestive disorder caused by irritability and irregularity in the movement of both the small and large intestines.
The condition tends to come and go over time, and can last for days, weeks or months at a time. It’s usually a lifelong problem and is more common in the age of 20 -45 years.
SIGN AND SYMPTOMS
IBS is often considered as the collective term for a range of different symptoms.
IBS restricts the contraction and relaxation of the rings of muscle in wall of the gut. When the sequence of muscle action is weak, the following symptoms may be seen:
- Abdominal pains which spasmodic with explosive watery, diarrhoea.
- Frequent urge to defecate, worse morning and after breakfast.
- Incomplete defecation with mucus in stools BUT no blood.
- Feeling of bloatedness.
- Frequent urination and urgency in males.
- Excess intestinal trapped gas and burping
- Nausea, heartburn or acid reflux
- Easily feeling full or loss of appetite resulting severe weight loss
- Alternating diarrhoea and constipation
- Intestinal cramping
- Uncomfortable bowel movements
- Abdominal discomfort following meals.
- Excessive presence of stool in the colon
- Changes in the appearance of stools, including texture, colour, mucus can appear.
- Trouble sleeping
- An unpleasant taste in the mouth
- Marital problems, including reduced loss of libido
- Body image issues
- Heart palpitations
- Anemia
- Headache and backache
- Depression / Stress / Anxiety
- Fatigue
COMMON CAUSES & Risk Factors
The precise cause of IBS isn’t known. Factors that appear to play a role include:
- Psychological factors e.g. stress, anxiety play a major role.
- Specific food intolerance, like lactose or wheat.
- Abuse of laxatives.
- Severe infection such as after gastroenteritis.
- Muscle contractions in the intestines that are stronger and last longer than normal can cause gas, bloating and diarrhoea. Weak intestinal contractions can slow food passage and lead to hard, dry stools.
- Poorly coordinated signals between the brain and the intestines can cause your body to overreact to changes that normally occur in the digestive process, resulting in pain, diarrhoea or constipation.
- Surplus of bacteria in the intestines.
- Changes in gut microbes like bacteria, fungi and viruses etc.
- Wrong eating habits. Many IBS sufferers eat their food very quickly and don’t chew their food properly to a pulp before they swallow.
- Frustration & Anger
- Drinking too much coffee
- Eating raw fruits
- Specific food sensitivities and allergies especially to things like dairy (lactose), gluten and certain carbohydrates.
- Genetic – having family members who have IBS
- Traveling
- Changes in someone’s sleep routine
- Hormonal imbalances or changes
Common Triggers – Symptoms of IBS can be triggered by:
- Many people have worse IBS symptoms when they eat or drink certain foods or beverages, including wheat, dairy products, citrus fruits, beans, cabbage, milk and carbonated drinks.
- Most people with IBS experience worse or more-frequent signs and symptoms during periods of increased stress.
DO’S AND DONT’S
- Elimination diet-Since the problem is often associated with unbalanced diet or food intolerance, a whole food diet, which is balanced is recommended.
- Eat regularly at fixed times.
- Avoid laxatives and rely on dietary fibre for restoring regularity.
- Avoid coffee, tea, alcohol and strong spices-all potential irritants.
- Gentle abdominal massage may be helpful.
- Do not self-medicate, especially with antidiarrheals and antispasmodics.
- Practice relaxation techniques like Yoga, breathing exercises.
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