Featured Article: How does Irritable Bowel Syndrome (IBS) affect the gut & digestive system?

If you're looking for answers about how Irritable Bowel Syndrome (IBS) affects the gut and digestive system, you've come to the right place. IBS is a complex condition that can be difficult to diagnose and manage.

In this article, we will look at some of the most common symptoms associated with IBS, its causes possible treatments, and ways to prevent it.

 

What is IBS?

IBS, or Irritable Bowel Syndrome, is a common condition that affects the digestive system. It can cause abdominal pain, constipation, diarrhea, and bloating. It can also lead to changes in bowel habits like frequent trips to the bathroom. People with IBS may have difficulty eating certain foods and develop food intolerances or allergies. Other symptoms of IBS may include fatigue, anxiety, depression, and difficulty concentrating [1].

IBS can be a difficult condition to live with due to the many uncomfortable symptoms it causes. If you have been experiencing any of these symptoms for an extended period of time, it is important to speak to your doctor about getting a diagnosis.

 

What are the Causes of IBS?

Genetic Factors

IBS may be influenced by genetic factors. Some studies suggest that IBS is more common in people who have a family history of the disorder, indicating a possible genetic predisposition.

 

Abnormalities in the Digestive System

Some people with IBS have an unusually large number of immune-system cells in their intestines. This immune system response is associated with pain and diarrhea. Abnormal movements of the colon and small intestines can also cause IBS [2].

 

Food Sensitivities

Certain food and beverages may trigger IBS symptoms. Common triggers include alcohol, chocolate, caffeinated beverages, dairy products, and foods high in fat. Some people may also be sensitive to certain carbohydrates including fructose, fructans, and lactose.

 

Stress

While stress doesn't cause IBS, it can trigger symptoms or make them worse. Stressful events, such as a major life change or ongoing stress, may aggravate or trigger symptoms in some people with IBS. Serotonin (5-HT) is strongly linked to your gut motility, sensation, and secretion. Studies have suggested that serotonin concentrations are decreased in constipation whereas it is raised in diarrhea [3] [4].

 

Infections

A bacterial infection in the gastrointestinal tract may cause some people to develop IBS. This may occur after an infection has caused inflammation in the digestive tract. The bacteria in the gut, called gut flora, may also play a role in this condition [5].

 

How does IBS Impact the Body?

IBS affects the entire digestive system. It can cause abdominal pain, cramping, bloating, gas, diarrhea, and constipation. IBS can be very uncomfortable and lead to changes in lifestyle such as avoiding certain activities or foods. There are also psychological effects of IBS such as stress, anxiety, and depression. Many people find that lifestyle changes, such as eating a balanced diet, exercising regularly, and practicing relaxation techniques can help manage IBS symptoms.

 

IBS and the Nervous System

There's also a link between IBS and the nervous system. Some people with IBS have an increased sensitivity to abdominal pain. This implies that the brain may process pain signals from the bowel differently in people with IBS, leading to discomfort and the urge for a bowel movement. Furthermore, this link also explains why depression and anxiety are fairly common in IBS [6] [7].

 

How does IBS Affect the Gut and Digestive System?

Irritable Bowel Syndrome, or IBS as it's commonly known, can really throw a wrench into the smooth workings of your digestive system. Now, this isn't a disease but rather a disorder that affects how your gastrointestinal (GI) tract works. In normal circumstances, the muscles lining your GI tract smoothly contract and relax as they move food from your stomach, through your intestinal tract, and out of your body.

But if you have IBS, this isn't the case. The contractions might be stronger and last longer, leading to gas, bloating, and diarrhea. On the flip side, weak intestinal contractions can slow food passage and lead to hard, dry stools.

As you might imagine, all this irregularity can lead to discomfort and pain, often in the lower part of your belly. For some folks, symptoms could be mild and manageable, but for others, they can be so severe that they interfere with daily life.

 

How to treat IBS?

Lifestyle Modifications

One of the most effective ways to manage IBS is through lifestyle changes. This includes regular exercise, adequate sleep, and a balanced diet. Stress management techniques such as mindfulness, yoga, or meditation can also be beneficial in reducing IBS symptoms.

 

Dietary Changes

Many people find that their IBS symptoms are linked to certain foods. A process of elimination can help identify triggers. In some cases, a low FODMAP (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) diet may be recommended.

 

Medication

Over-the-counter medications can help manage IBS symptoms. Antispasmodics can reduce abdominal cramping and pain, while laxatives and fiber supplements can help with constipation. Always consult with a healthcare provider before starting any new medication.

 

Psychological Therapy

In cases where stress or anxiety exacerbates IBS symptoms, psychological therapies can be beneficial. Cognitive-behavioral therapy, hypnotherapy, and psychotherapy have all been shown to help reduce IBS symptoms.

 

Probiotics

Probiotics are beneficial bacteria that can help restore the balance of the gut microbiota. While more research is needed, some people find that taking a probiotic supplement can help manage their IBS symptoms.

 

How to prevent IBS?

Prevention is always better than cure. Here are a few methods how you can prevent IBS:

 

Maintain a Balanced Diet

A balanced diet is essential for preventing IBS. Include a variety of fruits, vegetables, lean proteins, and whole grains in your everyday meals.

 

Regular Exercise

Regular physical activity can help to manage the symptoms of IBS. It aids in stimulating the normal contractions of your intestines and can reduce stress, which is often linked to IBS flare-ups.

 

Stress Management

High-stress levels often exacerbate IBS symptoms. Techniques such as meditation, deep breathing exercises, and yoga can help to manage stress and improve your overall well-being.

 

Stay Hydrated

Drinking sufficient water throughout the day helps to maintain the normal functioning of your digestive system, which can aid in preventing IBS symptoms.

 

Regular Medical Check-ups

Ensure to have regular medical check-ups. A healthcare professional can provide personalized advice and early detection of any potential issues could prevent the progression to IBS.

 

Conclusion

To sum it all up, IBS affects the gut and digestive system primarily through causing abdominal pain, cramping, bloating, constipation, diarrhoea, and gas. The causes of IBS vary but can include both genetic factors as well as outside influences like food sensitivities, stress and infections. Luckily, there are a range of ways to manage the symptoms of IBS including lifestyle modifications, dietary changes, medication and psychological therapy. Nonetheless, if you think you are suffering from IBS, it is always best to see a healthcare professional.

 

References 

  1. Patel N, Shackelford K. Irritable Bowel Syndrome. StatPearls, Treasure Island (FL): StatPearls Publishing; 2023.  
  2. Matricon J, Meleine M, Gelot A, Piche T, Dapoigny M, Muller E, et al. Review article: Associations between immune activation, intestinal permeability and the irritable bowel syndrome. Aliment Pharmacol Ther 2012;36:1009–31. https://doi.org/10.1111/apt.12080.
  3. De Ponti F. Pharmacology of serotonin: what a clinician should know. Gut 2004;53:1520–35. https://doi.org/10.1136/gut.2003.035568.
  4. Derbyshire SWG. A systematic review of neuroimaging data during visceral stimulation. Am J Gastroenterol 2003;98:12–20. https://doi.org/10.1111/j.1572-0241.2003.07168.x.
  5. Chey WD, Kurlander J, Eswaran S. Irritable bowel syndrome: a clinical review. JAMA 2015;313:949–58. https://doi.org/10.1001/jama.2015.0954. 
  6. Drossman DA, Camilleri M, Mayer EA, Whitehead WE. AGA technical review on irritable bowel syndrome. Gastroenterology 2002;123:2108–31. https://doi.org/10.1053/gast.2002.37095. 
  7. Talley NJ, Spiller R. Irritable bowel syndrome: a little understood organic bowel disease? Lancet 2002;360:555–64. https://doi.org/10.1016/S0140-6736(02)09712-X.

 

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