What is Irritable Bowel Syndrome?
- 18 May 2023
- Maltepe Hospital
- General Surgery
What is Irritable Bowel Syndrome?
Table of Content
- What is Irritable Bowel Syndrome?
- What Causes Irritable Bowel Syndrome?
- What are the Symptoms of Irritable Bowel Syndrome?
- When to See a Doctor for Irritable Bowel Syndrome?
- What are the Triggers for Irritable Bowel Syndrome?
- What are the Risk Factors for Irritable Bowel Syndrome?
- How is Irritable Bowel Syndrome Treated?
What is Irritable Bowel Syndrome?
Irritable Bowel Syndrome (IBS), also known as irritable bowel syndrome, is a disorder of the digestive system. This syndrome is characterized by impaired bowel function. IBS is a condition in which bowel movements become irregular and the intestinal wall becomes hypersensitive.
Irritable bowel syndrome presents with a variety of symptoms, but there is no structural damage or disease in the intestine. Symptoms can vary from person to person, but the most common symptoms include abdominal pain or discomfort, bloating, constipation or diarrhea (sometimes alternating), changes in bowel movements, gas, mucousy stools, and anxiety or depression associated with digestive symptoms.
The exact cause of irritable bowel syndrome is unknown, but several factors are thought to play a role. Factors such as irregular bowel movements, overactive or hypersensitive bowel muscles, disturbances in communication between the nervous system and the gut, inflammation or infections in the gut are thought to contribute to irritable bowel syndrome. Stress, certain foods, hormonal changes and an imbalance in the intestinal flora can also contribute to triggering symptoms.
Irritable bowel syndrome is usually not a serious health problem, but it can affect quality of life. If symptoms become chronic or start to interfere with daily life, it is important to consult a doctor. Your doctor will assess the symptoms, make a diagnosis and recommend appropriate treatment methods.
What Causes Irritable Bowel Syndrome?
The exact cause of irritable bowel syndrome (IBS) is unknown. However, it is thought that various factors may contribute to IBS. The following factors may play an important role in the development of IBS:
- Disorders of bowel movements: People with IBS may have irregular bowel movements. They may have fast or slow bowel movements, abnormal contractions or coordination problems.
- Hypersensitivity or overactive bowel muscles: Muscles that normally control bowel movements may be hypersensitive or overactive in people with IBS. This can cause extreme reactions to even normally tolerable stimuli from the intestines.
- Communication disorders between the nervous system and the gut: Normal bowel function relies on complex communication between the nervous system and the gut. People with IBS may have disturbances in this communication, which can affect bowel movements.
- Inflammation and infections in the gut: In some cases of IBS, low-grade inflammation or infections may be present in the gut. This can affect bowel movements and bowel sensitivity.
- Psychological factors: Psychological factors such as stress, anxiety and depression can trigger or worsen IBS symptoms. The complex relationship between the brain and gut suggests that stress and emotional state can have an impact on the digestive system.
- Imbalance in gut flora: Intestinal flora is the balance of natural microorganisms found in the intestines. Changes in gut flora may be associated with IBS symptoms. For example, some cases of IBS may have abnormalities in the intestinal flora or an increase in certain species. A combination of these factors can contribute to the development of irritable bowel syndrome. However, different factors may be at play in each individual and the causes may not be fully understood in all cases. IBS is thought to be a complex disorder and is caused by a combination of multiple factors.
What are the Symptoms of Irritable Bowel Syndrome?
The symptoms of irritable bowel syndrome (IBS) can vary from person to person. In some people, symptoms may be mild, while in others they may be more severe. However, symptoms of IBS usually occur as follows:
- Abdominal pain or discomfort: The most common symptom of IBS is abdominal pain. These pains are usually concentrated in the lower parts of the abdomen or around the navel.
- Constipation, diarrhea or a mixture of constipation and diarrhea: People with IBS may have irregular bowel movements. Some people experience constipation, while others experience diarrhea. Some people may have constipation and diarrhea together. Gas or bloating: Gas and bloating are common symptoms in people with IBS.
- Stool changes: There may be changes in the consistency and color of stools. In some people, stools may be harder or softer than usual. Nausea or vomiting: IBS symptoms can also include nausea or vomiting, but these symptoms are less common.
- Fatigue or sleep disturbance: Fatigue and sleep disturbances are common in people with IBS. This may be related to the severity of IBS symptoms. IBS symptoms differ from person to person and may change from time to time. Symptoms can be influenced by various factors such as stress, eating habits and hormonal changes.
When to See a Doctor for Irritable Bowel Syndrome?
Someone experiencing symptoms of irritable bowel syndrome (IBS) may consider seeing a doctor, depending on the severity of their symptoms and how they affect their quality of life. Seeing a doctor is recommended in the following situations:
You are experiencing IBS symptoms for the first time: If you have not been diagnosed with IBS before and are experiencing new onset symptoms, it is important to consult a doctor. This is important to rule out other potential digestive disorders and to make the correct diagnosis.
If your symptoms change or worsen: If there is a marked change or worsening of your IBS symptoms, it is important to consult a doctor. This may be a sign that there may be another health problem or that the current IBS treatment plan needs to be re-evaluated.
If your symptoms are severe and affect your quality of life: If IBS symptoms are significantly affecting your daily life, work or social activities, it is important to consult a doctor. If you feel that your quality of life is severely reduced under the influence of symptoms, your doctor can provide you with a more effective treatment plan.
If there are suspected complications: IBS symptoms usually do not indicate a serious health problem, but in some cases complications due to other health problems can develop. It is important to consult a doctor, especially if you have symptoms such as severe or persistent abdominal pain, bloody stools, weight loss, iron deficiency anemia.
Your doctor will assess your symptoms, make the correct diagnosis and take the necessary steps to recommend the appropriate treatment plan.
What are the Triggers for Irritable Bowel Syndrome?
The triggers of irritable bowel syndrome (IBS) may differ from person to person. However, the following factors can trigger or worsen IBS symptoms:
Stress and emotional factors: Stress, anxiety, depression and emotional tension can be triggers of IBS symptoms. Stressful events, life changes or emotional tension can cause symptoms to worsen.
Eating habits: Certain foods or drinks can trigger IBS symptoms. For example, certain foods such as spicy foods, fatty foods, caffeine, alcohol, carbonated drinks, milk and dairy products can exacerbate symptoms.
Irritant foods: There are some foods known as “irritants” that can lead to IBS symptoms. These include onions, garlic, cabbage, broccoli, cauliflower, legumes, caffeine, alcohol, chocolate and artificial sweeteners.
Imbalance in the intestinal flora: An imbalance or abnormality in the gut flora (the natural microorganisms in the intestines) can trigger IBS symptoms. For example, some cases of IBS may involve an increase or decrease in certain species of gut flora.
Hormonal factors: Hormonal changes can contribute to exacerbating IBS symptoms, especially in women. Symptoms may increase during menstruation or hormonal changes.
Disturbances in bowel movements: Disturbances in normal muscle movements in the intestines can trigger IBS symptoms. This can take the form of fast or slow bowel movements, coordination problems or irregular contractions.
Infections or inflammation of the intestine: Some cases of IBS can occur as a result of intestinal infections or low-grade intestinal inflammation. These infections or inflammation can cause symptoms to start or worsen.
What is important to remember is that IBS is a complex disease and the triggers may differ in each individual. It is important to monitor symptoms and communicate with your doctor to identify personal triggers.
What are the Risk Factors for Irritable Bowel Syndrome?
There are some risk factors and predisposing factors for the development of irritable bowel syndrome (IBS). These may include the following:
- Gender: Women have a higher risk of developing IBS than men. Hormonal changes, especially menstruation and menopause, can contribute to exacerbation of IBS symptoms.
- Age: IBS usually starts in young and middle-aged adults. Symptoms usually appear between the ages of 20-40. However, it can occur in any age group.
- Family history: People with a family history of IBS may have an increased risk of IBS. The role of genetic factors is not yet fully understood, but familial predisposition is associated with the development of IBS.
- Psychological factors: Stress, anxiety, depression and other psychological conditions may increase the risk of IBS. Psychosocial factors are thought to have an impact on the severity and frequency of IBS symptoms.
- Sensitive bowel for irritable bowel syndrome: In some people, the intestines may be more sensitive. There is a tendency to be hypersensitive or overreact to normally tolerable stimuli to the intestines.
- Previous intestinal infections: Symptoms of IBS can occur after intestinal infections. In some people, previous intestinal infections (for example, a bacterial infection or a parasitic infection) may increase susceptibility to IBS.
- Imbalance in the intestinal flora: Abnormalities or imbalances in the intestinal flora can increase the risk of IBS. Disruption of the intestinal flora can contribute to the development of IBS symptoms.
The risk factors mentioned above can be effective in the development of IBS, but may differ in each individual. Exactly why IBS occurs and how these risk factors influence it are not fully understood.
How is Irritable Bowel Syndrome Treated?
Treatment of irritable bowel syndrome (IBS) aims to reduce the severity of symptoms and improve quality of life. Treatment usually requires an individualized approach to address the symptoms and the needs of the individual. Below are the commonly used treatment methods:
- Dietary changes: It is important to identify and avoid foods that trigger IBS symptoms. For some people, spicy, fatty, caffeinated, alcoholic or artificially sweetened foods can worsen symptoms. Working with a nutritionist or dietitian, you can create an appropriate eating plan to reduce symptoms.
- Fiber supplements: Getting enough fiber can reduce some IBS symptoms. Fiber can relieve constipation and regulate bowel movements. However, it should be noted that fiber may worsen symptoms in some people. It is important to consult a specialist about the appropriate amount of fiber intake.
- Stress management: Stress can increase IBS symptoms. Stress management techniques, relaxation exercises, meditation, deep breathing, yoga or therapy can be used. Finding ways to reduce your personal stress levels can help keep symptoms under control.
- Medication: Your doctor may recommend certain medications to relieve or control your symptoms. For example, antispasmodics may be used to relieve abdominal pain, laxatives or antidiarrheals to regulate constipation or diarrhea. Prescription medicines should be used according to your doctor’s advice.
- Probiotics: Abnormalities in the intestinal flora have been found in some cases of IBS. Probiotic supplements can help balance the gut flora and reduce symptoms. However, probiotic use may not be effective for everyone and it is important to discuss it with your doctor.
- Alternative treatments: For some people, alternative treatments such as acupuncture, hypnotherapy, massage therapy or herbal supplements can help reduce IBS symptoms. However, more research is needed on the effectiveness of these treatments.
The treatment plan may vary depending on the severity of symptoms, the type of symptoms and the needs of the individual. It is important to consult a doctor to determine the most appropriate treatment options to relieve your IBS symptoms.