IBS stands for Irritable Bowel Syndrome which is a common disorder includes large intestine. It is a mixture of stomach discomfort or issue in bowel habits. IBS is not a life-threatening condition. It differs from IBD (Crohn’s disease and ulcerative colitis) which are chronic disease lead to hospitalization for treatment. But IBS is a long term management condition that rarely requires hospitalization. In IBS there is no risk for Colon cancer like in IBD.
IBS includes symptoms likes IBS with constipation Or IBS with diarrhea or it’s a mixture of both symptoms. Some people can manage there IBS with good diet control, lifestyle modification, stress control.
The affected population can be between the age of late teenagers to early 40s. Normally women are more susceptible to this condition due to hormonal conditions, stress.
There are many trigger point which develops IBS. But as per experts it’s sometimes unknown.
- Muscle contraction in the intestine- Intestinal wall has a lining of various muscle layers that help the food to move in the digestive tract. If there is sever contraction in intestinal muscles which can lead to the formation of gas, bloating ad lead to diarrhea or constipation.
- Impaired nervous system- If there are poorly coordinated signals between the brain and intestinal muscles can lead to excessive contraction of the intestinal muscle can lead to flatulence, diarrhea.
- Changes in microbial gut flora- If there is a change in healthy microbial gut flora by other bacterial colonies due to gastroenteritis or any blood infections can lead to bloating
- Abdominal pain, bloating which gets better maybe after a bowl movement.
- Diarrhea followed by constipation
- Stool contains mucus
- Excessive gas production more frequently
- Weight loss happens
- Due to more frequency of diarrhea, rectal bleeding happens.
Dietary management and lifestyle changes
- In IBS disorder, a high fiber diet is important to get relief from constipation.
- Whole cereal, millets can be given.
- If a person is with lactose intolerance which increases diarrheal episode then the diet should not have milk, cheese, and cream.
- In constipation issues, there should be soluble fiber in the form of vegetables and fruits like Guava, banana, apple.
- Water intake should be more of 3 liters/day
- Avoid more of spicy food like green, red chilies, oily food like fried chivda, outside junk food.
- Refined flour products like bread, toast, rusk, biscuits, and bakery products should be avoided.
- Avoid intake of tea/ coffee.
- Take more fiber in diet in the form of psyllium husk or wheat germ to maintain the fiber.
- Try to incorporate small frequent meals in the diet rather than big meals.
- Exercise should happen in a day at least for 30min.
- Avoid smoking.
In some cases, it shows that taking a diet which is gluten or rich FODMAP Diet (Fructose-oligo-di –monosaccharides, And Polyols) has more complications in IBS. A study reveals that in the American Journal of Gastroenterology, in Sept 2018 which states that after following gluten-free diet and FODMAP diet in IBS patients, very minimal results seen in IBS patients. Basically gluten free diet or Low FODMAP diet is not curative diet to IBS patients.