6/30/24, 2:08 PM Patient education: Irritable bowel syndrome (The Basics) - UpToDate

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Patient education: Irritable bowel syndrome (The Basics)

Written by the doctors and editors at UpToDate

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What is irritable bowel syndrome?

Irritable bowel syndrome, or "IBS," is a chronic condition that causes belly pain and problems with bowel movements.
"Chronic" means that it is long term and needs to be managed throughout a person's life.

Some people with IBS have frequent, watery bowel movements (diarrhea). Others do not have enough bowel
movements (constipation). Some people go back and forth between diarrhea and constipation.

What are the symptoms of IBS?

Symptoms include:

● Stomach pain and cramps, related to a bowel movement

● Diarrhea, constipation, or both
● Bloating
● Gas
● Mucus in bowel movements

Is there a test for IBS?

No. But your doctor or nurse can figure out if you have IBS by asking you a few questions, and by running tests to make
sure that you do not have something else instead.

Lots of medical conditions can cause the same symptoms as IBS. So it is important that your doctor or nurse checks the
other possibilities.

What can I do to feel better?

You can:

● Keep track of what you ate each day, what you did, and how you felt. That way, you can figure out if anything you
do or eat makes your symptoms better or worse.

● Avoid foods that might make your IBS worse. Start by avoiding foods that give you gas. Then, you can try avoiding
milk, ice cream, and other foods that have traces of milk for 2 weeks. Ask your doctor or nurse for advice on which
foods can make IBS worse. They might suggest changing your diet. Some people need to:

• Eat a "low-FODMAP" diet – FODMAP stands for "fermentable oligosaccharides, disaccharides, monosaccharides,
and polyols." These are types of carbohydrates that are harder for the body to digest than other types. A low-

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6/30/24, 2:08 PM Patient education: Irritable bowel syndrome (The Basics) - UpToDate

FODMAP diet means limiting foods that contain these carbohydrates.

• Avoid lactose – This is the main form of sugar found in milk.

● Eat more fiber, if you have constipation. You can do this by eating more fruits and vegetables. Or you can take fiber
pills or powders. (If eating more fiber makes your symptoms worse, cut back on the fiber.)

● Get regular physical activity. Try to do something active for 20 to 60 minutes, at least 3 to 5 days a week. Studies
show this helps improve IBS symptoms. Even gentle forms of movement, like walking, can help.

How is IBS treated?

IBS cannot be cured. But there are medicines that can help relieve symptoms, including:

● Medicines to ease diarrhea

● Medicines to ease constipation

● Antidepressants – These work by blocking pain. When used to treat IBS, they are given at a much lower dose than
would normally be given to treat depression.

● "Antispasmodics" – These might help with cramping.

● Antibiotics – These sometimes help with bloating and diarrhea.

Stress can make IBS symptoms worse. It might help to find ways to relax and manage stress. You can talk with a
counselor, or talk with others going through similar things. Support groups can happen in person or online.

What will my life be like?

Most people with IBS have the condition for the rest of their life. Even so, most people find ways to improve their
symptoms. Keep working with your doctor or nurse until you find an approach that works.

When should I call the doctor?

Call for advice if you have:

● Stool with blood in it or stool that looks black

● Diarrhea that wakes you up from sleep

● Changes in your bowel movements that do not go away – This can include a change in the color, amount, and
frequency of bowel movements.

● Belly pain that is severe or gets worse

● Lost weight without trying

● Signs of infection – These include a fever of 100.4°F (38°C) or higher, or chills.

More on this topic

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6/30/24, 2:08 PM Patient education: Irritable bowel syndrome (The Basics) - UpToDate

Patient education: Constipation in adults (The Basics)

Patient education: Constipation in children (The Basics)
Patient education: Diarrhea in teens and adults (The Basics)
Patient education: Diarrhea in children (The Basics)
Patient education: Gas and bloating (The Basics)
Patient education: Low-FODMAP diet (The Basics)

Patient education: Irritable bowel syndrome (Beyond the Basics)

Patient education: Constipation in adults (Beyond the Basics)
Patient education: Constipation in infants and children (Beyond the Basics)
Patient education: Chronic diarrhea in adults (Beyond the Basics)
Patient education: Gas and bloating (Beyond the Basics)
All topics are updated as new evidence becomes available and our peer review process is complete.

This topic retrieved from UpToDate on: Jun 30, 2024.

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