Irritable bowel syndrome is a condition that affects the function and behavior of the intestines. Normally, the muscles lining the intestines intermittently contract and relax to move food along the digestive tract. In IBS, this pattern is disturbed, resulting in uncomfortable symptoms. More than 40 million people are affected by IBS. It is important to remember that patients with IBD can also have IBS.
Risk factor
• Age> 50 years
• Short history of symptoms
• Documented weight loss
• Nocturnal symptoms
• Male sex
• Family history of colon cancer
• Anaemia
• Rectal bleeding
• Recent antibiotic use
Symptoms
• Cramping
• Abdominal pain
• Bloating
• Gas
• Diarrhea
• Constipation
The hallmark of IBS is abdominal pain or discomfort associated with either a change in bowel habits or disordered defecation. The pain or discomfort associated with IBS is often poorly localized and may be migratory and variable. It may occur after a meal, during stress or at the time of menses. In addition to pain and discomfort, altered bowel habits are common, including diarrhea, constipation, and diarrhea alternating with constipation. Patients also complain of bloating or abdominal distension, mucous in the stool, urgency, and a feeling of incomplete evacuation. Some patients describe frequent episodes, whereas others describe long
symptom-free periods. Patients with irritable bowel frequently report symptoms of other functional gastrointestinal disorders as well, including chest pain, heartburn, nausea or dyspepsia, difficulty swallowing, or a sensation of a lump in the throat or closing of the throat. Patients with IBS are generally classified according to the type of bowel habits that accompany pain. Some patients have diarrhea-predominant symptomatology, others constipation-predominant, and still others have a combination of the two. Some patients alternate between different subgroups.
Symptoms may vary from barely noticeable to debilitating, at times within the same patient. In some patients, stress or life crises may be associated with the onset of symptoms, which may then disappear when the stress dissipates. Other patients seem to have random IBS episodes with spontaneous remissions. Still others
describe long periods of symptoms and long symptom-free periods.
In general, the symptoms of IBS wax and wane throughout life, but the majority of patients seen by physicians is 20-50 years old. In approximately 50 of patients, symptoms begin before age 35. The disorder is also recognized in children, generally appearing in early adolescence. Many patients can trace the onset of symptoms
back to childhood. The prevalence of IBS is slightly lower in the elderly, and in this patient population organic disorders must be excluded.
WHAT NOT TO EAT
According Stanford Primary Care Clinics:
FOODS'TO'AVOID
1. Raw fruit
2. Raw vegetables: (Esp. Broccoli, cabbage, Brussel sprouts, cauliflower, onions, radish, eggplant, celery).
3. Popcorn
4. Fried Foods
5. Nuts and seeds
6. Tomato Sauce, Spicy'foods
7. Mayonnaise, Miracle Whip
8. Most "fast foods" (e.g. Frenchfries, hamburgers, hotdogs, potatochips)
9. Rich foods (e.g. chocolatecake, cookies)
10. Beans (pintobeans, redbeans, chili, burritos)
11. Salads (orany foods that contain lettuce, cucumbers, etc.)
12. Whole wheat product
13. Sugarless products (candy, gum)
14. Fructos' containing products
DRINKS'TO'AVOID:
1. Soda (esp. From a bottle)
2. Milk, Ice Cream
3. Alcohol
4. Caffeinated beverages (i.e., coffee, tea, etc.)
MEDICINE'TO'AVOID:
1. Aspirin
2. Non - steroidal medication (i.e, Advil, ibuprofen, alleve, etc.).
WHAT TO EAT
Foods:
1. Cooked canned vegetables (except cabbage)
2. Meat, poultry and fish (not deep fried, beef Rarely).
3. Dairy-Chesse, Yougurts, etc. (Limited amount)
4. Toast, rice, muffins, bagels
5. Soup
6. Most sandwiches (turkey, chicken, bread)
7. Tofu
Drinks
1. Juice (without pulp).
2. Water
3. Iced tea
Medication
1. Acetaminophen (Tylenol)
References
- http://sim.stanford.edu/resources/smg_patient_info/IRRITABLEBOWEL09-09.pdf
- http://s3.gi.org/patients/gihealth/pdf/ibs.pdf
- http://www.hopkinsmedicine.org/gastroenterology_hepatology/_pdfs/small_large_intestine/irritable_bowel_byndrome_ibs.pdf
- http://www.ccfa.org/assets/pdfs/ibd-and-irritable-bowel.pdf
- http://www.healthline.com/health/irritable-bowel-syndrome/causes-risk-factors#1
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