Monday, September 9, 2013
Irritable Bowel Syndrome: Symptoms, Causes, Complication, Treatment And Preventions.
Irritable bowel syndrome (IBS) is a common disorder that
affects your large intestine (colon). Irritable bowel
syndrome commonly causes cramping, abdominal pain,
bloating gas, diarrhea and constipation. Despite these
uncomfortable signs and symptoms, IBS doesn’t cause
permanent damage to your colon.
Symptoms
Among the most
common are:
Abdominal pain or cramping
A bloated feeling
Gas (flatulence)
Diarrhea or constipation — sometimes even alternating
bouts of constipation and diarrhea
Mucus in the stool
Like many people, you may have only mild signs and
symptoms of irritable bowel syndrome. However,
sometimes these problems can be disabling. In some cases,
you may have severe signs and symptoms that don’t
respond well to medical treatment. Because symptoms of
irritable bowel syndrome can occur with other more serious
diseases, it’s best to discuss these symptoms with your
doctor.
Causes
It’s not known exactly what causes irritable bowel
syndrome. The walls of the intestines are lined with layers
of muscle that contract and relax in a coordinated rhythm as
they move food from your stomach through your intestinal
tract to your rectum. If you have irritable bowel syndrome,
the contractions may be stronger and last longer than
normal. Food is forced through your intestines more
quickly, causing gas, bloating and diarrhea.
In some cases, the opposite occurs. Food passage slows,
and stools become hard and dry. Abnormalities in your
nervous system or colon also may play a role, causing you
to experience greater than normal discomfort when your
intestinal wall stretches from gas.
Complication
The impact of IBS on your overall quality of life may be its
most significant complication. IBS might limit your ability
to:
Make or keep plans with friends and family. If you have
IBS, the difficulty of coping with symptoms away from
home may cause you to avoid social engagements.
Enjoy a healthy s*x life. The physical discomfort of IBS
may make s*xual activity unappealing or even painful.
These effects of IBS may cause you to feel you’re not
living life to the fullest, leading to discouragement or even
depression.
Treatments and drugs
Your doctor may suggest:
Fiber supplements. Taking fiber supplements, such as
psyllium (Metamucil) or methylcellulose (Citrucel), with
fluids may help control constipation.
Anti-diarrheal medications. Over-the-counter medications,
such as loperamide (Imodium), can help control diarrhea.
Eliminating high-gas foods. If you have bothersome
bloating or are passing considerable amounts of gas, your
doctor may suggest that you avoid such items as carbonated
beverages, salads, raw fruits and vegetables — especially
cabbage, broccoli and cauliflower.
Anticholinergic medications. Some people need
medications that affect certain activities of the autonomic
nervous system (anticholinergics) to relieve painful bowel
spasms. These may be helpful for people who have bouts of
diarrhea, but can worsen constipation.
Antidepressant medications
Antibiotics. It’s unclear what role, if any, antibiotics might
play in treating IBS. Some people whose symptoms are due
to an overgrowth of bacteria in their intestines may benefit
from antibiotic treatment. But more research is needed.
Counseling. If antidepressant medications don’t work, you
may have better results from counseling if stress tends to
worsen your symptoms
Prevention
Finding ways to deal with stress may be helpful in
preventing or alleviating symptoms:
Counseling. In some cases, a psychologist or psychiatrist
may help you learn to reduce stress by looking at how you
respond to events and then working with you to modify or
change your response.
Biofeedback. This stress-reduction technique helps you
reduce muscle tension and slow your heart rate with the
feedback help of a machine. You’re then taught how to
produce these changes yourself. The goal is to help you
enter a relaxed state so that you can cope more easily with
stress.
Progressive relaxation exercises. These help you relax
muscles in your body, one by one. Start by tightening the
muscles in your feet, then concentrate on slowly letting all
of the tension go. Next, tighten and relax your calves.
Continue until the muscles in your body, including those in
your face and scalp, are relaxed.
Deep breathing. Most adults breathe from their chests. But
you become calmer when you breathe from your
diaphragm, the muscle that separates your chest from your
abdomen. When you inhale, allow your belly to expand.
When you exhale, your belly naturally contracts. Deep
breathing can also help relax your abdominal muscles,
which may lead to more-normal bowel activity
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