Irritable Bowel Syndrome - IBS - What I need to know about Irritable Bowel Syndrome
What I need to know about Irritable Bowel Syndrome
On this page:
What is IBS?
Does stress cause IBS?
What are the symptoms of IBS?
How is IBS diagnosed?
What is the treatment?
Points to Remember
Glossary
For More Information
Acknowledgments
What is IBS?
Irritable bowel syndrome, or IBS, is a problem that affects mainly the bowel,* which is also called the large intestine. The bowel is the part of the digestive system that makes and stores stool. The word syndrome means a group of symptoms. IBS is a syndrome because it can cause several symptoms. For example, IBS causes cramping, bloating, gas, diarrhea, and constipation.
*Linked terms are defined in the glossary.
IBS is not a disease. It's a functional disorder, which means that the bowel doesn't work as it should.
With IBS, the nerves and muscles in the bowel are extra-sensitive. For example, the muscles may contract too much when you eat. These contractions can cause cramping and diarrhea during or shortly after a meal. Or the nerves can be overly sensitive to the stretching of the bowel (because of gas, for example). Cramping or pain can result.
IBS can be painful. But it does not damage the bowel or cause any other diseases.
[Top]
Does stress cause IBS?
Emotional stress will not cause a person to develop IBS. But if you already have IBS, stress can trigger symptoms. In fact, the bowel can overreact to all sorts of things, including food, exercise, and hormones.
Foods that tend to cause symptoms include milk products, chocolate, alcohol, caffeine, carbonated drinks, and fatty foods. In some cases, simply eating a large meal will trigger symptoms.
Women with IBS often have more symptoms during their menstrual periods.
[Top]
What are the symptoms of IBS?
The main symptoms of IBS are
crampy pain in the stomach area (abdomen)
painful diarrhea or constipation
Most people have either diarrhea or constipation, but some people have both.
Other symptoms are
mucus in the stool
swollen or bloated abdomen
the feeling that you have not finished a bowel movement
[Top]
How is IBS diagnosed?
The doctor will suspect that you have IBS because of your symptoms. But the doctor may do medical tests to make sure you don't have any other diseases that could cause the symptoms.
[Top]
Medical Tests for IBS
Physical exam
Blood tests
X ray of the bowel: This x-ray test is called a barium enema or lower GI (gastrointestinal) series. Barium is a thick liquid that makes the bowel show up better on the x ray. Before taking the x ray, the doctor will put barium into your bowel through the anus.
Endoscopy: The doctor inserts a thin tube into your bowel. The tube has a camera in it, so the doctor can look at the inside of the bowel to check for problems.
[Top]
What is the treatment?
IBS has no cure, but you can do things to relieve symptoms. Treatment may involve
diet changes
medicine
stress relief
You may have to try a combination of things to see which works best for you.
Diet Changes
Some foods make IBS worse.
Here are some foods that may cause symptoms:
fatty foods like french fries
milk products like cheese or ice cream
chocolate
alcohol
caffeine (found in coffee and some sodas)
carbonated drinks like soda
These foods may make IBS worse.
If certain foods cause symptoms, you should eat less of them or stop eating them.
To find out which foods are a problem, write d doctor might also tell you to get more fiber by taking a fiber pill or drinking water mixed with a special high-fiber powder.
How much you eat matters, too.
Large meals can cause cramping and diarrhea in people with IBS. If this happens to you, try eating four or five small meals a day. Or, have your usual three meals, but eat less at each meal.
Medicine
If necessary, the doctor might give you medicine to help with symptoms:
laxatives: to treat constipation
antispasmodics: to slow contractions in the bowel, which helps with diarrhea and pain
antidepressants: to help those who have severe pain
You must follow your doctor's instructions when you use these medicines. Otherwise, you could become dependent on them.
Stress Relief
Does stress trigger your symptoms? Learning to reduce stress can help. With less stress, you may find that you have less cramping and pain. Also, you may find it easier to manage your symptoms.
Meditation, exercise, and counseling are some things that might help. You may need to try different activities to see what works best for you.
[Top]
Points to Remember
IBS is a functional disorder in which the bowel doesn't work as it should.
IBS can cause cramping, bloating, gas, diarrhea, and constipation.
IBS doesn't damage the bowel.
The doctor will diagnose IBS based on your symptoms. You might have some medical tests to rule out other diseases.
Stress doesn't cause IBS, but it can trigger symptoms.
Fatty foods, milk products, chocolate, caffeine, carbonated drinks, and alcohol can trigger symptoms.
Eating foods with fiber and eating smaller meals can reduce symptoms.
Treatment for IBS may include medicine, stress relief, or changes in eating habits.
[Top]
Glossary
Abdomen (AB-doh-men): The area of the stomach.
Barium enema (BAR-ee-um EN-uh-muh): An x ray of the bowel using a liquid called barium to make the bowel show up better. This test is also called a lower GI (for gastrointestinal) series.
Bowel: The part of the digestive system that makes and stores stool. It is also called the large intestine.
Endoscopy (en-DAH-skuh-pee): A test to look at the inside of the bowel.
Functional: Refers to how something works.
Mucus: A clear, sticky discharge. It might look white.
Syndrome (SIN-drome): A group of symptoms.
[Top]
For More Information
International Foundation for Functional Gastrointestinal Disorders (IFFGD) Inc.
P.O. Box 170864
Milwaukee, WI 53217
Phone: 1-888-964-2001 or (414) 964-1799
Fax: (414) 964-7176
Email: iffgd@iffgd.org
Internet: www.iffgd.org
Also, the National Digestive Diseases Information Clearinghouse (NDDIC), which prepared this booklet, has a fact sheet on IBS. You can get a printed copy by contacting
NDDIC
2 Information Way
Bethesda, MD 20892-3570
Phone: 1-800-891-5389 or (301) 654-3810
Fax: (301) 907-8906
Email: nddic@info.niddk.nih.gov
Internet: www.niddk.nih.gov
[Top]
Acknowledgments
The National Digestive Diseases Information Clearinghouse thanks those listed below for their participation in developing this publication.
Content Review
Nancy Norton
President
International Foundation for Functional Gastrointestinal Disorders
Milwaukee, WI
Douglas A. Drossman, M.D.
Co-Director
UNC Center for Functional GI and Motility Disorders
University of North Carolina
Chapel Hill, NC
Field Testing Facilitation
Salvation Army, SE Corps
Washington, DC
--------------------------------------------------------------------------------
National Digestive Diseases Infor />--------------------------------------------------------------------------------
NIH Publication No. 03-4686
April 2003
Crohn's Disease
On this page:
What is IBS?
Does stress cause IBS?
What are the symptoms of IBS?
How is IBS diagnosed?
What is the treatment?
Points to Remember
Glossary
For More Information
Acknowledgments
What is IBS?
Irritable bowel syndrome, or IBS, is a problem that affects mainly the bowel,* which is also called the large intestine. The bowel is the part of the digestive system that makes and stores stool. The word syndrome means a group of symptoms. IBS is a syndrome because it can cause several symptoms. For example, IBS causes cramping, bloating, gas, diarrhea, and constipation.
*Linked terms are defined in the glossary.
IBS is not a disease. It's a functional disorder, which means that the bowel doesn't work as it should.
With IBS, the nerves and muscles in the bowel are extra-sensitive. For example, the muscles may contract too much when you eat. These contractions can cause cramping and diarrhea during or shortly after a meal. Or the nerves can be overly sensitive to the stretching of the bowel (because of gas, for example). Cramping or pain can result.
IBS can be painful. But it does not damage the bowel or cause any other diseases.
[Top]
Does stress cause IBS?
Emotional stress will not cause a person to develop IBS. But if you already have IBS, stress can trigger symptoms. In fact, the bowel can overreact to all sorts of things, including food, exercise, and hormones.
Foods that tend to cause symptoms include milk products, chocolate, alcohol, caffeine, carbonated drinks, and fatty foods. In some cases, simply eating a large meal will trigger symptoms.
Women with IBS often have more symptoms during their menstrual periods.
[Top]
What are the symptoms of IBS?
The main symptoms of IBS are
crampy pain in the stomach area (abdomen)
painful diarrhea or constipation
Most people have either diarrhea or constipation, but some people have both.
Other symptoms are
mucus in the stool
swollen or bloated abdomen
the feeling that you have not finished a bowel movement
[Top]
How is IBS diagnosed?
The doctor will suspect that you have IBS because of your symptoms. But the doctor may do medical tests to make sure you don't have any other diseases that could cause the symptoms.
[Top]
Medical Tests for IBS
Physical exam
Blood tests
X ray of the bowel: This x-ray test is called a barium enema or lower GI (gastrointestinal) series. Barium is a thick liquid that makes the bowel show up better on the x ray. Before taking the x ray, the doctor will put barium into your bowel through the anus.
Endoscopy: The doctor inserts a thin tube into your bowel. The tube has a camera in it, so the doctor can look at the inside of the bowel to check for problems.
[Top]
What is the treatment?
IBS has no cure, but you can do things to relieve symptoms. Treatment may involve
diet changes
medicine
stress relief
You may have to try a combination of things to see which works best for you.
Diet Changes
Some foods make IBS worse.
Here are some foods that may cause symptoms:
fatty foods like french fries
milk products like cheese or ice cream
chocolate
alcohol
caffeine (found in coffee and some sodas)
carbonated drinks like soda
These foods may make IBS worse.
If certain foods cause symptoms, you should eat less of them or stop eating them.
To find out which foods are a problem, write d doctor might also tell you to get more fiber by taking a fiber pill or drinking water mixed with a special high-fiber powder.
How much you eat matters, too.
Large meals can cause cramping and diarrhea in people with IBS. If this happens to you, try eating four or five small meals a day. Or, have your usual three meals, but eat less at each meal.
Medicine
If necessary, the doctor might give you medicine to help with symptoms:
laxatives: to treat constipation
antispasmodics: to slow contractions in the bowel, which helps with diarrhea and pain
antidepressants: to help those who have severe pain
You must follow your doctor's instructions when you use these medicines. Otherwise, you could become dependent on them.
Stress Relief
Does stress trigger your symptoms? Learning to reduce stress can help. With less stress, you may find that you have less cramping and pain. Also, you may find it easier to manage your symptoms.
Meditation, exercise, and counseling are some things that might help. You may need to try different activities to see what works best for you.
[Top]
Points to Remember
IBS is a functional disorder in which the bowel doesn't work as it should.
IBS can cause cramping, bloating, gas, diarrhea, and constipation.
IBS doesn't damage the bowel.
The doctor will diagnose IBS based on your symptoms. You might have some medical tests to rule out other diseases.
Stress doesn't cause IBS, but it can trigger symptoms.
Fatty foods, milk products, chocolate, caffeine, carbonated drinks, and alcohol can trigger symptoms.
Eating foods with fiber and eating smaller meals can reduce symptoms.
Treatment for IBS may include medicine, stress relief, or changes in eating habits.
[Top]
Glossary
Abdomen (AB-doh-men): The area of the stomach.
Barium enema (BAR-ee-um EN-uh-muh): An x ray of the bowel using a liquid called barium to make the bowel show up better. This test is also called a lower GI (for gastrointestinal) series.
Bowel: The part of the digestive system that makes and stores stool. It is also called the large intestine.
Endoscopy (en-DAH-skuh-pee): A test to look at the inside of the bowel.
Functional: Refers to how something works.
Mucus: A clear, sticky discharge. It might look white.
Syndrome (SIN-drome): A group of symptoms.
[Top]
For More Information
International Foundation for Functional Gastrointestinal Disorders (IFFGD) Inc.
P.O. Box 170864
Milwaukee, WI 53217
Phone: 1-888-964-2001 or (414) 964-1799
Fax: (414) 964-7176
Email: iffgd@iffgd.org
Internet: www.iffgd.org
Also, the National Digestive Diseases Information Clearinghouse (NDDIC), which prepared this booklet, has a fact sheet on IBS. You can get a printed copy by contacting
NDDIC
2 Information Way
Bethesda, MD 20892-3570
Phone: 1-800-891-5389 or (301) 654-3810
Fax: (301) 907-8906
Email: nddic@info.niddk.nih.gov
Internet: www.niddk.nih.gov
[Top]
Acknowledgments
The National Digestive Diseases Information Clearinghouse thanks those listed below for their participation in developing this publication.
Content Review
Nancy Norton
President
International Foundation for Functional Gastrointestinal Disorders
Milwaukee, WI
Douglas A. Drossman, M.D.
Co-Director
UNC Center for Functional GI and Motility Disorders
University of North Carolina
Chapel Hill, NC
Field Testing Facilitation
Salvation Army, SE Corps
Washington, DC
--------------------------------------------------------------------------------
National Digestive Diseases Infor />--------------------------------------------------------------------------------
NIH Publication No. 03-4686
April 2003
Crohn's Disease
