Excel Hospital
  • What is IBS (Irritable Bowel Syndrome)?

    Irritable or sensitive bowel is a condition in which the colon muscle contracts in an abnormal fashion, which may lead to several problems.

  • Risk Factors

    • Females are affected twice than man
    • Under 45 age group
    • Family history of IBS
    • Mental health problems

  • Causes

    • Unknown
    • Stress
    • Hormones
    • Other illness of GI tract

  • Rome Criteria of IBS

    • According to these criteria, one must have certain signs and symptoms before a doctor diagnoses irritable bowel syndrome
    • The most important are abdominal pain and discomfort lasting at least three days a month in the last three months, associated with two or more of following:

    1) Improvement with defecation
    2) Altered frequency of stool (straining, urgency, or feeling of incomplete evacuation)
    3) Altered consistency of stool (lumpy/hard or loose/watery stool)

  • Diagnosis

    Note : Generally by exclusion of other diseases - Ruling out parasitic infections, lactose intolerance, small intestinal bacterial overgrowth, and coeliac disease is recommended for all patients before a diagnosis of irritable bowel syndrome is made.
    - In patients over 50 years old, they are recommended to undergo a screening colonoscopy.

    • Biochemistry
    • Stool
    • Colonoscopy
    • Barium X – Ray
    • Lactose intolerance test
    • Psychological evaluation

  • Complications

    • Chronic diarrhoea
    • Malnourishment
    • Depression

  • Treatment

    • Mental health counselling & stress reduction
    • Increasing amount of liquids
    • Small frequent feeds
    • Stool softener
    • Medication – Probiotics
    • Exercise & enough sleep