Irritable Bowel Syndrome
Overview, Causes, & Risk Factors
Irritable bowel syndrome, or IBS, is a condition characterized by
abdominal cramping, bloating, gas, and other changes in the bowels.
What is going on in the body?
Normally when a person eats, the
stimulation of the food causes the muscles of the colon to contract. This
contraction then pushes the stool toward the rectum to the outside of the
body. IBS seems to cause the colon to be more sensitive to stimulation.
What are the causes and risks of the condition?
It is not clear what causes IBS. Emotional stress
and diet, especially one high in calories and
fat,
seem to be some of the
factors that increase the symptoms associated with IBS. Other factors
include:
hormonal changes, especially in females during menstruation
conditions affecting the nerves that control digestion
changes in physical activity level
Symptoms & Signs
What are the signs and symptoms of the condition?
Symptoms of
irritable bowel syndrome may include:
abdominal distress that is
often relieved with a bowel movement
bloating, or feeling like the stomach is inflated
excess gas
changes in stool. Some people with IBS may have painful, loose stools, or
diarrhea, while others may have
painful hard stools, or constipation.
Some people may alternate between diarrhea and constipation.
the sensation that there is still more stool in the bowel immediately
following a bowel movement
mucus in the stool
anxiety, frustration, or
depression
nausea
headache
fatigue
chest pain
heartburn
Diagnosis & Tests
How is the condition diagnosed?
To diagnose IBS, a healthcare provider often starts by ruling out other
possible causes for the symptoms. After a complete history and physical, the
healthcare provider may order:
an ultrasound of the
abdomen
a barium enema
a colonoscopy, a procedure
in which a tube with a camera on the end is used to look at the intestines
a complete blood count, or
CBC, to check for infection
stool tests and cultures to look for blood in the stool, infection, or
parasites
a biopsy of any fluid or
growths to rule out infection, tumor, or
cancer
Prevention & Expectations
What can be done to prevent the condition?
Since the cause of irritable bowel syndrome is not clear, it may be difficult
to prevent. The following steps may help:
watching caloric intake
eating a diet low in fat
avoiding gas-producing foods,
caffeine, and alcohol
monitoring fiber intake
reducing stress and learning
stress management techniques
What are the long-term effects of the condition?
Irritable bowel syndrome does not appear to damage the stomach or intestines.
The long-term effects are often associated with stress and frustration over the symptoms.
What are the risks to others?
Irritable bowel syndrome is not contagious and
poses no risk to others.
Treatment & Monitoring
What are the treatments for the condition?
Treatment of irritable bowel syndrome often
focuses on treating the symptoms and preventing flare-ups. This may include:
a diet low in fat and
calories, and high in fiber.
Eating several smaller meals during the day rather than large meals, particularly in
the evening, may also decrease
the symptoms.
antidepressants to decrease the pain as well as the stress and
depression
stress management
fiber supplements or
laxatives for constipation
medications to stop diarrhea
medications to decrease nerve sensitivity in the bowels
antispasmodic medications to relieve bowel spasms
behavioral therapy
What are the side effects of the treatments?
Antidepressants may cause diarrhea,
sleep disorders, headaches, irritability, and
decreased libido.
What happens after treatment for the condition?
Symptoms of irritable bowel syndrome can and often do reoccur. A person with IBS
needs to continue dietary management for the rest of his or her
life. Antidepressants may not be needed after stress
management or behavioral therapy helps a person gain control over emotions.
How is the condition monitored?
Any new or worsening symptoms should be reported to the healthcare provider.
Attribution
Author:Eileen McLaughlin, RN, BSN
Date Written:
Editor:Ballenberg, Sally, BS
Edit Date:11/29/00
Reviewer:Melissa Sanders, PharmD
Date Reviewed:07/05/01
Sources
www.niddk.nih.gov/health/digest/pubs/irrbowel/irrbowel.htm