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is-collapsed"> <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/ibs-glossary-4014379" data-ordinal="11" class="breadcrumbs-list-link"> Glossary <svg class="breadcrumbs-list-icon icon-empty-caret"><use xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="/web/20161111165534im_/https://www.verywell.com/ibs-4014702#icon-empty-caret"></use></svg> </a> </li> <li class="breadcrumbs-list-item is-collapsed"> <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/ibs-resources-4014260" data-ordinal="12" class="breadcrumbs-list-link"> Resources <svg class="breadcrumbs-list-icon icon-empty-caret"><use xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="/web/20161111165534im_/https://www.verywell.com/ibs-4014702#icon-empty-caret"></use></svg> </a> </li> </ul> <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/ibs-4014702" class="text-btn"> View More <svg class="text-btn-icon icon-circle-arrow-down"> <use xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="/web/20161111165534im_/https://www.verywell.com/ibs-4014702#icon-circle-arrow-down"></use> </svg> </a> </div> </div> <div class="loc content l-main"> <article id="taxonomy-article_1-0" class="comp taxonomy-article article" data-title="Irritable Bowel Syndrome (IBS)" data-tt="TAXONOMY" data-aid="" data-disable-popup="false" role="article" data-doc-id="4014702" data-au="29549" data-url="https://www.verywell.com/ibs-4014702" data-t="90" data-tracking-container="true"> <header class="loc article-header article-header"> <h2 id="article-heading_1-0" class="comp article-heading lock-primary"> An Overview of Irritable Bowel Syndrome (IBS) </h2> <div id="article-meta_1-0" class="comp article-meta mntl-block" data-tracking-container="true"> <div id="byline_1-0" class="comp byline"> <span class="byline-name">By <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/dr-barbara-bolen-irritable-bowel-syndrome-ibs-expert-1944630">Barbara Bolen, PhD</a></span> <span id="medical-review-badge_1-0" class="comp medical-review-badge mrb"> - Reviewed by a <a href="/web/20161111165534/https://www.verywell.com/about-us#ReviewBoard">board-certified</a> physician. </span> </div> <div id="updated-label_1-0" class="comp updated-label article-updated-label"> Updated July 13, 2016 </div> </div> </header> <div id="taxonomy_1-0" class="comp taxonomy article-content expert-content"> <p>Irritable bowel syndrome (IBS) is a health problem that many people have but few people talk about. People who are diagnosed with IBS experience chronic symptoms related to the workings of their intestines.</p><h3>What Is IBS?</h3><p>IBS is a digestive disorder in which people experience recurrent bouts of abdominal pain, alongside significant changes to their experience of bowel movements. People who have IBS may experience chronic constipation, episodes of urgent diarrhea, or flip-flop back and forth between the two extremes.</p> <div id="billboard1-sticky_1-0" class="comp billboard1-sticky billboard-sticky" data-height="1050"> <div class="spacer"> <div id="billboard1_1-0" class="comp billboard1 mntl-gpt-adunit gpt billboard "> <div id="billboard" class="wrapper"></div> </div> </div> </div> <p><iframe id="embedded-human" frameborder="0" width="100%" height="450" allowfullscreen="false" src="https://web.archive.org/web/20161111165534if_/https://human.biodigital.com/widget?be=53m&camera=2.423,-8.354,-25.317,-0.191,-11.175,0.497,0,1,-0.001&dk=4fe0224bd35a140d5939ab43b60fcaf6ca90e954&ui-share=false&ui-fs=false"></iframe><cite>IBS-A bowel movement patterns can change between weeks or months.</cite></p><p>IBS is classified as a <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/functional-gastrointestinal-disorders-1944874" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="1">functional gastrointestinal disorder</a>, in that it involves a malfunction in how the intestinal system works, but doesn鈥檛 present with any signs of visible disease process or tissue damage. It is estimated to affect up to 15 percent of the population at some point during their lifetime.</p><p>IBS symptoms may vary from person to person, or may vary over time for each individual who has the disorder.</p> <div id="inline-blocks_1-0" class="comp inline-blocks mntl-block"> <ul id="block-list_1-0" class="comp block-list block-list-1-2-1" data-chunk="" data-tracking-container="true"> <li class="g-item block-list-item"> <a id="block_1-0" class="comp block block-horizontal" data-doc-id="1945314" href="https://web.archive.org/web/20161111165534/https://www.verywell.com/signs-you-might-have-ibs-1945314" data-ordinal="1"> <div class="block-media"> <img data-src="https://web.archive.org/web/20161111165534/https://fthmb.tqn.com/hRGN2C3uyRT9ktIl-N2WCXPhm9o=/150x100/filters:no_upscale()/about/IBS-symptoms-GettyImages-605763121-573b8f803df78c6bb00a1877.jpg" alt="woman with IBS symptoms hunched over on the couch" class="lazyload block-img" src="/web/20161111165534im_/https://www.verywell.com/static/2.31.0/image/placeholder.png" data-expand="300"/> </div> <div class="block-content"> <p class="block-kicker">List</p> <h2 class="block-title"><span>Digestive Woes: How to Know When It's IBS</span></h2> </div> </a> </li> <li class="g-item block-list-item"> <a id="block_1-0-2" class="comp block block-horizontal" data-doc-id="1945291" href="https://web.archive.org/web/20161111165534/https://www.verywell.com/does-inflammation-play-a-role-in-ibs-1945291" data-ordinal="2"> <div class="block-media"> <img data-src="https://web.archive.org/web/20161111165534/https://fthmb.tqn.com/DKF6CcW7oQjQBEB7DmNHdkXU8FM=/150x100/filters:no_upscale()/about/168359986-2--56a506cf3df78cf7728603db.jpg" alt="female doctor looking in microscope" class="lazyload block-img" src="/web/20161111165534im_/https://www.verywell.com/static/2.31.0/image/placeholder.png" data-expand="300"/> </div> <div class="block-content"> <p class="block-kicker">Article</p> <h2 class="block-title"><span>Is Gut Inflammation Behind Your IBS?</span></h2> </div> </a> </li> </ul> </div> <p class="cb-split"> People who have IBS may experience:</p><ul><li>Abdominal pain, cramping, spasms, or discomfort (often relieved by a bowel movement)</li><li>Diarrhea: loose, watery stools, possibly with feelings of urgency, and/or three or more bowel movements a day</li><li>Constipation: hard, dry stools, straining on the toilet, and/or three or fewer bowel movements a week</li><li>Feelings of <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/what-to-do-for-incomplete-evacuation-1945278" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="2">incomplete evacuation</a> after a bowel movement</li><li>Excessive intestinal gas</li><li>Bloating, which often worsens as the day goes on</li><li>Changes to the look of stools</li><li><a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/ibs-and-mucus-in-stool-1945271" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="3">Mucus on stools</a></li></ul><h3>Top 4 Things to Know About IBS</h3><ol><li>Researchers are not yet quite clear why people develop IBS. Often the disorder manifests itself following a severe bout of gastroenteritis, otherwise known as the stomach flu. Sometimes symptoms appear after the experience of an extremely stressful event. A high incidence of IBS is seen in adults who were the victim of sexual or physical abuse in childhood.</li></ol> <div id="billboard2-sticky_1-0" class="comp billboard2-sticky billboard-sticky" data-height="600" data-parent=""> <div class="spacer"> <div id="billboard2-dynamic_1-0" class="comp billboard2-dynamic mntl-gpt-dynamic-adunit mntl-gpt-adunit gpt billboard dynamic"> <div id="billboard2" class="wrapper" data-type="billboard" data-pos="btf1" data-priority="3" data-sizes="[[300, 250], [300, 600], [300, 601], [300, 251], [2, 1]]"></div> </div> </div> </div> <ol class="cb-split"><li>IBS is diagnosed based on symptoms, as opposed to test results. This is because signs of IBS do not show up on diagnostic tests. Your doctor may choose to run some tests, based on your clinical picture and medical history, but these tests are used to rule out other digestive diseases that may be causing your symptoms.</li><li>The lack of positive test results does not mean that IBS is all in your head. Research indicates that IBS symptoms may be the effect of an interaction among many factors, including some or all of the following:<ul><li>Changes in gut motility - the speed of intestinal movement</li><li>Visceral hypersensitivity - higher feelings of pain in internal organs than normal</li><li>Inflammation in the lining of the intestines</li><li>Dysfunction in the communication systems between the gut and the brain</li><li>An imbalance among gut bacteria</li><li>Food intolerance or sensitivity</li><li>Increased intestinal permeability (leaky gut syndrome)</li></ul></li><li>IBS can be broken down into different sub-types: diarrhea-predominant (IBS-D), constipation-predominant (IBS-C), and alternating type (IBS-A), in which the predominant bowel symptom changes over time.</li></ol> <div id="inline-blocks_2-0" class="comp inline-blocks mntl-block"> <ul id="block-list_2-0" class="comp block-list block-list-1-2-1" data-chunk="" data-tracking-container="true"> <li class="g-item block-list-item"> <a id="block_2-0" class="comp block block-horizontal" data-doc-id="1944707" href="https://web.archive.org/web/20161111165534/https://www.verywell.com/facts-about-your-colon-1944707" data-ordinal="3"> <div class="block-media"> <img data-src="https://web.archive.org/web/20161111165534/https://fthmb.tqn.com/kU6Q_wQoCdwtSDRAxpYwaq9pjz0=/150x100/filters:no_upscale()/about/166260816-56a507963df78cf7728604d2.jpg" alt="woman studying in library" class="lazyload block-img" src="/web/20161111165534im_/https://www.verywell.com/static/2.31.0/image/placeholder.png" data-expand="300"/> </div> <div class="block-content"> <p class="block-kicker">List</p> <h2 class="block-title"><span>10 Things You Don't Know About Your Colon</span></h2> </div> </a> </li> <li class="g-item block-list-item"> <a id="block_2-0-2" class="comp block block-horizontal" data-doc-id="1944845" href="https://web.archive.org/web/20161111165534/https://www.verywell.com/most-common-food-sensitivities-1944845" data-ordinal="4"> <div class="block-media"> <img data-src="https://web.archive.org/web/20161111165534/https://fthmb.tqn.com/ZuLVOU7lVQDccF820iL-TN4gtrI=/150x100/filters:no_upscale()/about/91642838-56a5090a5f9b58b7d0da99ba.jpg" alt="Cocktail party food" class="lazyload block-img" src="/web/20161111165534im_/https://www.verywell.com/static/2.31.0/image/placeholder.png" data-expand="300"/> </div> <div class="block-content"> <p class="block-kicker">List</p> <h2 class="block-title"><span>The 10 Most Common Food Sensitivities</span></h2> </div> </a> </li> </ul> </div> <ol class="cb-split"></ol><h3>What Else Could It Be?</h3><p>IBS is diagnosed after other disorders have been ruled out through routine diagnostic testing. The following are some of the health conditions that your doctor will want to rule out:</p><p><em>Celiac Disease:</em> <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/what-is-celiac-disease-563183" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="4">Celiac disease</a> is a condition in which eating foods that contain gluten results in a problematic autoimmune response in which the villi lining the small intestine are damaged. People who have IBS are at higher risk for undiagnosed celiac disease.</p><p><em>Inflammatory Bowel Disease (IBD):</em> The inflammatory bowel diseases of <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/crohns-disease-1942485" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="5">Crohn鈥檚 disease</a> and <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/what-is-ulcerative-colitis-1943095" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="6">ulcerative colitis</a> present with many of the same symptoms as IBS. However, IBD symptoms include bloody diarrhea, weight loss, and fevers, all symptoms that are not present in IBS. In addition, with IBD, visible signs of inflammation will be seen in the digestive tract during a colonoscopy.</p><p><em>Food Intolerance:</em> A food intolerance differs from a food allergy in that the problem occurs at the level of the digestive system as opposed to an immune system response.</p> <div id="billboard3-sticky_1-0" class="comp billboard3-sticky billboard-sticky" data-height="600" data-parent=""> <div class="spacer"> <div id="billboard3-dynamic_1-0" class="comp billboard3-dynamic mntl-gpt-dynamic-adunit mntl-gpt-adunit gpt billboard dynamic"> <div id="billboard3" class="wrapper" data-type="billboard" data-pos="btf2" data-priority="5" data-sizes="[[300, 250], [300, 252], [3, 1]]"></div> </div> </div> </div> <p class="cb-split"> Food malabsorption or intolerance can cause IBS-like symptoms. Two of the more common kinds are <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/lactose-intolerance-p3-1944990" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="7">lactose intolerance</a>聽and聽<a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/fructose-malabsorption-and-ibs-1945287" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="8">fructose malabsorption</a>.</p><p><em>Colon Cancer:</em> People who have IBS frequently worry that they might have colon cancer that has been missed by their doctor. Symptoms of colon cancer that are not seen in IBS are <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/blood-in-stools-1945265" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="9">signs of rectal bleeding or bloody stools</a>, anemia, extreme fatigue, and significant unexplained weight loss.聽</p><h3>If You Have Recently Been Diagnosed With IBS</h3><p>Although your doctor may tell you that there is no cure for IBS, you may find reassurance in the fact that there are plenty of things that can be done to help to quiet your symptoms. Here are some things for you to learn more about:</p><p><strong>Medication options</strong>: Your doctor may choose to prescribe you a medication designed to ease your symptoms. Available options include:</p><ul><li><a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/antispasmodics-for-ibs-1945153" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="10">Antispasmodics</a>: May be prescribed for relief of abdominal pain and cramping</li><li><a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/antidepressants-for-ibs-1945151" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="11">Antidepressants</a>: May be prescribed for pain reduction and to address any co-existing depression or anxiety symptoms</li></ul> <div id="inline-blocks_3-0" class="comp inline-blocks mntl-block"> <ul id="block-list_3-0" class="comp block-list block-list-1-2-1" data-chunk="" data-tracking-container="true"> <li class="g-item block-list-item"> <a id="block_3-0" class="comp block block-horizontal" data-doc-id="1945276" href="https://web.archive.org/web/20161111165534/https://www.verywell.com/ibs-research-1945276" data-ordinal="5"> <div class="block-media"> <img data-src="https://web.archive.org/web/20161111165534/https://fthmb.tqn.com/UnQOZeMd0NuKEHNAk4bweHbztgg=/150x100/filters:no_upscale()/about/GettyImages-487041731-56b911d55f9b5829f840588d.jpg" alt="female research scientist" class="lazyload block-img" src="/web/20161111165534im_/https://www.verywell.com/static/2.31.0/image/placeholder.png" data-expand="300"/> </div> <div class="block-content"> <p class="block-kicker">Article</p> <h2 class="block-title"><span>What Science Can Tell Us About IBS</span></h2> </div> </a> </li> <li class="g-item block-list-item"> <a id="block_3-0-2" class="comp block block-horizontal" data-doc-id="1944755" href="https://web.archive.org/web/20161111165534/https://www.verywell.com/stool-appearance-changes-1944755" data-ordinal="6"> <div class="block-media"> <img data-src="https://web.archive.org/web/20161111165534/https://fthmb.tqn.com/jNviXOUtKwE_RPnrilxSRQ8zbEE=/150x100/filters:no_upscale()/about/186871818-56a5080b3df78cf7728605a3.jpg" alt="man looking worried" class="lazyload block-img" src="/web/20161111165534im_/https://www.verywell.com/static/2.31.0/image/placeholder.png" data-expand="300"/> </div> <div class="block-content"> <p class="block-kicker">List</p> <h2 class="block-title"><span>When to Be Worried That Your Stool Looks Weird</span></h2> </div> </a> </li> </ul> </div> <ul class="cb-split"><li><a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/do-antibiotics-help-ibs-1945150" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="12">Antibiotics</a>: Specific types may be prescribed that target a possible overgrowth of bacteria in the small intestine (<a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/the-sibo-theory-for-ibs-1945302" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="13">SIBO</a>)</li><li>IBS-specific medications: These include <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/amitiza-for-ibs-constipation-1944790" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="14">Amitiza</a> and <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/linzess-constella-for-ibs-c-and-chronic-constipation-1944796" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="15">Linzess</a> for IBS-C and <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/viberzi-for-ibs-1945157" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="16">Viberzi</a> for IBS-D.</li></ul><p><strong>Over-the-Counter Remedies (OTCS)</strong>: Talk to your doctor about what OTCs are safe for you to use. OTCS that are more commonly used by people who have IBS include laxatives, probiotics, peppermint oil, antidiarrheal agents, and certain herbal supplements.</p><p><strong>What to Eat!</strong> Figuring out what foods to eat when you have IBS can be challenging. It can be helpful to keep a <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/how-to-keep-a-food-diary-1945006" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="17">food diary</a> to look for any possible connection between the foods that you eat and the symptoms you are experiencing. The聽<a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/what-is-the-low-fodmap-diet-1945332" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="18">low-FODMAP diet</a>聽has strong research support for its effectiveness in reducing IBS symptoms, but can be challenging to follow.聽Increasing dietary fiber, particularly soluble fiber, can be helpful if done slowly. In addition to learning what foods are best for you to eat, you should also pay attention to how you eat. You may find it to be helpful to eat smaller meals as large, heavy meals can strengthen intestinal contractions.</p><h3>A Word From Verywell</h3><p>Although we have all learned to keep "bathroom talk" private, there is no need to let embarrassment about your digestive symptoms keep you from getting the help and support that you need to get your IBS under better control. Talk openly with your doctor about your symptoms, so you can come up with an optimal treatment plan. Seek out IBS support groups online so that you will not feel like you are all alone in dealing with this frustrating health problem. Taking a matter-of-fact approach to your IBS will help to lower your stress level and serve to protect your <a href="https://web.archive.org/web/20161111165534/https://www.verywell.com/ibs-and-self-esteem-1945117" data-type="internalLink" data-component="link" data-source="inlineLink" data-ordinal="19">self-esteem</a>.</p><p><sub>Sources:</sub></p><p><sub>Minocha A. & Adamec, C. (2011) <em>The Encyclopedia of the Digestive System and Digestive Disorders</em> (2nd Ed.) New York:Facts on File.</sub></p><p><sub>Tack J, Vanuytsel T, Corsetti M. <a href="https://web.archive.org/web/20161111165534/https://www.karger.com/Article/Abstract/445265" data-type="externalLink" rel="nofollow" data-component="link" data-source="inlineLink" data-ordinal="20">Modern Management of Irritable Bowel Syndrome: More Than Motility</a>.聽<em>Digestive Diseases</em> 2016;34:566-573.</sub></p><p><sub>Torpy JM, Lynm C, Glass RM. <a href="https://web.archive.org/web/20161111165534/http://jama.jamanetwork.com/article.aspx?articleid=202423" data-type="externalLink" rel="nofollow" data-component="link" data-source="inlineLink" data-ordinal="21">Irritable Bowel Syndrome</a>.聽<em>JAMA</em>. 2006;295(8):960.</sub></p> <div id="billboard4-sticky_1-0" class="comp billboard4-sticky billboard-sticky" data-height="600" data-parent=""> <div class="spacer"> <div id="billboard4-dynamic_1-0" class="comp billboard4-dynamic mntl-gpt-dynamic-adunit mntl-gpt-adunit gpt billboard dynamic"> <div 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