Irritable bowel syndrome (IBS)

About Irritable bowel syndrome (IBS)

Recurrent constipation and diarrhea associated with abdominal pain. The colon in irritable bowel syndrome is normal appearing, but the symptoms are thought to come from abnormal contractions of the colon. It is not contagious or inherited. Women are affected twice as often as men and the cause of the disorder is not known.

Symptoms

The symptoms can be mild to severe. Many patients have variable periods of diarrhea, constipation and normal bowel movements. Other symptoms include abdominal pain, tenderness, distension or fullness, gas, bloating, nausea and vomiting, loss of appetite, emotional distress, and depression.

Tests & Diagnostics

A history and physical exam will be performed. EGD (esophagogastroduodenoscopy) and/or colonoscopy may be performed. Tests typically reveal no physiologic abnormalities that can explain the symptoms.

Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Therapy depends on the severity of the symptoms. The following medications may be prescribed: anticholinergic medications before meals, anti-diarrheal medications, and/or low-dose antidepressants. Counseling and dietary changes are often recommended. For more information contact the National Digestive Diseases Information Clearinghouse at: http://digestive.niddk.nih.gov or call (800) 891-5389

Medical specialties

Gastroenterology · Internal Medicine · Pediatrics · Family Practice · Pediatric Gastroenterology

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Irritable bowel syndrome (IBS).