Written by Dr.Md.Redwanul Huq (Masum)
Sunday, 26 June 2011 14:17

What is irritable bowel syndrome (IBS):

The irritable bowel syndrome (IBS) is a gastrointestinal disorder which is characterized by lower abdominal pain and disordered defecation with bloating, tenesmus and functional upper gastrointestinal symptoms.

Symptoms of IBS:

Intestinal symptoms of IBS:

  • Abdominal pain or discomfort beginning at least 6 months ago, occurring at least 3 days each month in the last 3 months and at least two of the followings are present:

» Pain is relieved by having a bowel movement.

» Pain is linked to a change in the appearance or consistency of your stool.

» Pain is linked to a change in how often you have a bowel movement.

  •  Alternate passage of hard and soft stool(Any type can be more than the other).
  • Sense of incomplete passage of stool.
  • Bloating or a feeling of gas in the intestine
  • Passage of mucus in stools.

Non-Intestinal symptoms of IBS:

  • Sleeping problems (insomnia) not caused by symptoms of IBS.
  • Anxiety or depression
  • Unpleasant taste in the mouth.
  • Backache.
  • Pain during sex or reduced sexual desire.
  • Palpitations
  • Urinary frequency or urgency, trouble in starting the urine stream)
  • Headache
  • Fatigue.

How to control IBS:

Behavioral changes:

  • Don’t suppress urges to defecate. When the urge comes, find a toilet.
  • Avoid stress
  • Increase your level of physical activity
  • Have Cognitive Behavioral Therapy(CBT) in which you will be taught strategies for modifying maladaptive thinking patterns and new behaviors for managing anxiety and handling stressful conditions.
  • Get Hypnotherapy in which there is induction of a relaxing and comfortable state of consciousness where specific suggestions are offered in order to achieve a permanent change in behavior.

Diet in IBS:

  • Try to find out the foods causing problem in you and eliminate those foods from your diet
  • Increase soluble fiber( Present in Apples, Barley, Citrus fruits, Strawberries, Carrots, Guar,Legumes) for diarrhea-predominant IBS and insoluble fiber( Present in Whole- wheat flour, Bran, Vegetables,Whole grains, Mature vegetables,Wheat, Fruits and edible seeds like flax seeds & strawberries) for the treatment of constipation-predominant IBS
  • Avoid eating large or fatty meals
  • Eat smaller, more frequent meals
  • Try to avoid gas-producing vegetables, artificial sweeteners, caffeine in diet in IBS
  • Don’t take alcohol
  • For constipation-predominant IBS:

¤ Try to eat a large breakfast

¤ Decrease dairy, egg, and meat products to a healthy balance

¤ Increase the amount of water and non-caffeinated beverages.

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