Cramps, bloating, puffiness in your belly area, constipation, and diarrhea – stomach problems are never fun. While a simple upset stomach won\u2019t last forever, a condition called irritable bowel syndrome (IBS) can be ongoing. Knowing which one is cramping your style and killing your vibe is important.<\/p>\n\n\n\n
\u201cIrritable Bowel Syndrome is a disease with a collection of symptoms like abdominal pain, abdominal cramps, bloating, diarrhea and constipation. It significantly reduces a patient\u2019s quality of life. It is very common and is not life-threatening. There is no anatomical or structural problem in the gut in people suffering from IBS. It is a lifelong syndrome, a patient typically will have symptoms that will come and go and are exacerbated by stress, emotional changes, or certain food items,\u201d says Dr.Ruchit B.Patel, consultant Gastroenterologist, Wockhardt Hospital, Mumbai Central.<\/p>\n\n\n\n
The main symptoms of IBS are belly pain along with a change in bowel habits. This can include constipation, diarrhea, or both. You may get cramps in your belly or feel like your bowel movement isn\u2019t finished. Many people who have it feel gassy and notice that their abdomen is bloated. Persistent pain and frequent trips to the bathroom can make everyday life harder.<\/p>\n\n\n\n
\u201cBleeding in the rectum, night diarrhea, unexplainable weight loss, anemia, unusual vomiting, difficulty swallowing, pain in the stomach area that is not linked to gas or bowel movement are symptoms that warrant a doctor\u2019s visit,\u201d says Dr. Veerendra Sandur, Lead Consultant \u2013 Medical Gastroenterology, Aster RV Hospital, JP Nagar, Bengaluru.<\/p>\n\n\n\n
While there is no single cause for IBS, \u201cThere is no definite cause. It may be due to altered movement of the small and large intestine, hypersensitivity of the intestine, psychological factors like stress, coping with stress, depression, anxiety. Particularly childhood stress may be a more important cause. Intolerance to some type of food can also trigger IBS,\u201d says Dr. Jayaraj SP, Consultant \u2013 Medical Gastroenterologist, Columbia Asia Hospital Sarjapur Road, Bengaluru (A unit of Manipal Hospitals).<\/p>\n\n\n\n
Dr. Purshottam Vashistha believes muscles contractions in the intestinal walls help to move food through the digestive tract and weaker contractions can lead to indigestion and dryer defecation causing IBS. Bacterial overgrowth or changes in the gut flora can also cause IBS.<\/p>\n\n\n\n
It\u2019s also more likely to affect people who have a family history of IBS. Symptoms usually start before you\u2019re 35 years old. It\u2019s uncommon for people over 50 to get IBS for the first time. \u201cIn India, IBS is more common among women. Estrogen therapy before or after menopause also is a risk factor for IBS. Also, a family history of IBS may increase the chances. Genes may play a role, as may share factors in a family\u2019s environment or a combination of genes and environment,\u201d shares Dr. Waseem Ahmed.<\/p>\n\n\n\n
The treatment plan will depend on specific symptoms and triggers, but many people start with diet changes. It may help to eat smaller meals and foods that are lower in fat.<\/p>\n\n\n\n
Dr. Ahmed adds, \u201cMany patients improve with proper counseling, motivation, and behavioral therapy which play a major role in treating functional bowel disorders because mental health is directly intertwined with the performance of the gastrointestinal system.\u201d<\/p>\n\n\n\n
1. Elimination of dietary fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) is considered to be helpful in IBS. The first stage is the substitution of foods with low FODMAP choices. \u201cLow FODMAP foods include lettuces, carrots, chives, cucumber among others. The second stage is a gradual reintroduction of foods into the diet while assessing symptoms, and the third stage is the personalization of the diet to avoid foods that trigger symptoms,\u201d says Dr. Lovekesh Anand.<\/p>\n\n\n\n
2. \u201cInclude adopting healthy eating patterns, such as regular small volume meals and adequate fiber intake,\u201d says Dr. Nripen Saikia.<\/p>\n\n\n\n
3. \u201cLimit alcohol and caffeine intake and reduce consumption of fatty and spicy foods. Avoiding milk in case of known lactose intolerance,\u201d adds Dr. Saikia.<\/p>\n\n\n\n
4. Physical activity can help with digestion, reduce stress, and improve your mood. Go for low-impact activities at first that won\u2019t jar the digestive tract<\/p>\n\n\n\n
5. \u201cFoods that have been cooked and left out to cool – for example, cold potato\/pasta salads, and ready to eat meals should be avoided,\u201d adds Dr. Anand<\/p>\n\n\n\n