Irritable bowel syndrome

What is it?

In English literature, irritable bowel syndrome is called 'irritable bowel syndrome' (i.e. IBS). This is very common in a gastroenterologist's practice. These are a number of abdominal symptoms that have to do with the peristalsis (propulsion of the intestinal contents by the contractions of the intestinal muscles) of the gastrointestinal system system.

Symptoms and complaints

Symptoms can include: abdominal pain during a bowel movement, constipation and/or diarrhoea, gas formation, abdominal swelling, bloating and anal loss of mucus. Weight loss usually does not occur with this condition.

Cause

The cause of the disorder is unknown. We do know that the intestinal nervous system and the intestinal hormone system react more sensitively in IBS patients. This hypersensitivity is sometimes caused by a gastrointestinal infection that sometimes persists. Psychological and social factors very often play a triggering and maintaining role.

People who have irritable bowel syndrome do not run a higher risk of developing a malignant bowel disease.

Testing and diagnosis

Other important conditions can cause the same symptoms as IBS, such as: tumours, inflammatory bowel diseases, parasitic or infectious conditions, lactose intolerance (intolerance to milk products) and other less common conditions. These diseases must be ruled out. There are no studies that prove IBS with certainty. The 'typical story' of the patient and the negative technical tests point in the direction of IBS.

Treatment

The approach involves determining a correct diagnosis and finding the possible provocative factors together with the patient. Antispasmodics can help treat the symptoms. Finding the psychosocial causes with the help of psychological counselling can also often make the disorder more bearable.

Participation in a clinical study is a way for some patients to access the very latest treatment for irritable bowel syndrome.

Latest publication date: 02/08/2024
Supervising author: Dr Monsaert Els