A Community for IBS Patients

The IBS Patient community aims to bring patients together for discussion and support combined with evidenced-based medical information.

When Irritable Bowel Syndrome was first described by the medical community, it was often described in negative terms with few treatment options. Thanks to research in the  discovery of new treatment options, women and men have begun to have lives improved despite the many quality of life issues related to IBS.

Irritable bowel syndrome (IBS) is a problem that affects the large intestine. It can cause abdominal cramping, bloating, and a change in bowel habits. Some people with the disorder have constipation. Some have diarrhea. Others go back and forth between the two. Although IBS can cause a great deal of discomfort, it does not harm the intestines. Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD) are two very different disorders.

IBS is common. It affects about twice as many women as men (in western culture) and is most often found first diagnosed in people younger than 45 years. No one knows the exact cause of IBS. There is no specific single test for all types of IBS. Your doctor may run tests to be sure you don't have other diseases. These tests may include stool sampling tests, blood tests, and x-rays. Your doctor may also do a test called a sigmoidoscopy or colonoscopy. Most people diagnosed with IBS can control their symptoms with diet, stress management, probiotics, and medication.

According to the Rome IV diagnostic criteria definition of IBS, IBS is identified as a Functional Gastrointestinal Disorder (FGID) Bowel Disorder with these different varieties based on symptoms:

  • IBS with predominant constipation (IBS-C)
  • IBS with predominant diarrhea (IBS-D)
  • IBS with mixed bowel habits (IBS-M)
  • IBS unclassified (IBS-U)

Furthermore, each IBS variety can be further classified into mild (40%)moderate (35%) or severe (25%) based on patient-rated severity of symptoms.

IBS may be a lifelong condition. For some people, symptoms are disabling and interfere with work, travel, and social activities. Symptoms often get better with treatment. IBS does not cause permanent harm to the intestines and it does not lead to a serious disease, such as cancer.

Source:

National Institutes of Health (NIH)
Gastroenterology 2016;150:1262–1279
Chronicallyme.com
Picturemyibs.org

The Low FODMAP Diet:

Elimination is the Beginning NOT the End

The team at Monash University in Australia, led by Professor Peter Gibson MD, developed the low FODMAP diet. In its strictest sense it is not so much a diet as it is a diagnostic tool for helping to determine whether foods in your diet are involved in contributing to your gastrointestinal symptoms. Some IBS sufferers have unfortunately been using the low FODMAP diet as a forever elimination diet whereas it was designed to be a three phase process. Taking on the three phase diet process by yourself is not recommended. An experienced FODMAP Dietitian is your best ally for using this diet as a diagnostic tool for symptoms.

The FODMAP acronym was coined to classify groups of carbohydrates (sugars and fibers) found in foods and beverages, that are similar. These carbohydrates have been shown to be poorly absorbed in individuals living with digestive sensitivities, including Irritable Bowel Syndrome (IBS), resulting in gastrointestinal symptoms including abdominal pain, bloating and gas, constipation and/or diarrhea. Further research acknowledged that diet could be responsible for IBS symptoms. In turn, limiting dietary FODMAPs has become an effective treatment test in susceptible people, for treating their symptoms of IBS.