Irritable bowel syndrome, or IBS, is one of the most common functional disorders of the digestive system that can cause abdominal pain, bloating, a feeling of fullness, diarrhea, constipation, or intermittent changes in bowel habits. The condition can affect daily life, work, sleep, nutrition, and mental well-being, but the important thing is that with proper diagnosis and treatment, it can be controlled in many patients.

In this medical interview at Erfan Hospital, Dr. Morteza Naibi, a gastroenterologist and hepatologist, explains irritable bowel syndrome, its symptoms, possible causes, how it differs from more serious digestive diseases, the role of nutrition, stress, lifestyle, and treatment methods.

IBS is usually accompanied by abdominal pain or discomfort that is associated with changes in bowel habits. Some patients experience more diarrhea, some have more constipation, and some people fluctuate between diarrhea and constipation. Bloating, excessive gas, a feeling of incomplete emptying, cramping, abdominal sounds, and sensitivity to certain foods can also be seen in these patients.

A common concern for patients is whether irritable bowel syndrome is dangerous or could develop into colon cancer. IBS does not usually cause permanent damage to the intestines and does not increase the risk of colon cancer on its own, but this should not be a reason to ignore warning signs. Blood in the stool, unexplained weight loss, anemia, fever, diarrhea at night, the onset of symptoms at an older age, a family history of colon cancer or inflammatory bowel disease require a more detailed investigation.

The diagnosis of irritable bowel syndrome is not made with just one simple test. The doctor will review the patient's history, abdominal pain pattern, changes in bowel habits, duration of symptoms, medications taken, diet, medical history, and warning signs to decide whether the patient needs blood tests, stool examination, ultrasound, endoscopy, or colonoscopy.

The exact cause of IBS is not the same for everyone. In many cases, the complex brain-gut connection, gut hypersensitivity, changes in bowel movements, stress, anxiety, certain foods, sleep disturbances, changes in gut microbiota, or a history of gastrointestinal infection can contribute to the development or exacerbation of symptoms. For this reason, treatment for IBS must be individualized and there is no one-size-fits-all prescription.

Treatment for irritable bowel syndrome can include dietary modification, identifying trigger foods, adjusting fiber intake, adequate fluid intake, regular physical activity, adequate sleep, stress reduction, and, if necessary, medication. In some patients, a low-FODMAP diet or targeted elimination of certain foods under the supervision of a physician or dietitian may be helpful. Self-medication with medications, antibiotics, laxatives, antidiarrheals, or supplements may worsen symptoms or delay the diagnosis of other conditions.

This program is designed for patients with bloating, abdominal pain, diarrhea, constipation, cramping, a feeling of incomplete emptying, frequent changes in bowel habits, and concerns about irritable bowel syndrome. The goal of this video is to raise awareness among patients and families about when symptoms could be consistent with IBS and when more serious evaluation is warranted.

This video is not a substitute for a medical examination or diagnosis. If you have long-term digestive symptoms, blood in the stool, weight loss, anemia, nocturnal diarrhea, severe abdominal pain, or a new or unusual change in bowel habits, be sure to consult a specialist or gastroenterologist for a more detailed evaluation.

Guest:
Dr. Morteza Naibi
Senior Gastroenterologist and Hepatologist

Recording Location:
Erfan Hospital

Host:
Dr. Akbar Nikpajouh

Related Topics:
Irritable Bowel Syndrome, IBS, Irritable Bowel, IBS Symptoms, IBS Treatment, Abdominal Pain, Bloating, Constipation, Diarrhea, Constipation, Change in Bowel Movement, Gastroenterology, Senior Gastroenterologist, Dr. Morteza Naibi, Hospital Erfan

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[1]: https://www.niddk.nih.gov/health-info... "Symptoms & Causes of Irritable Bowel Syndrome - NIDDK"