How long does IBS last?
The answer to this question is somewhat complicated due to the individual nature of IBS, which affects each person in a different way. In some the symptoms will improve over time, in others they will get worse, and a few may find that their symptoms subside for months or years at a time.
On the whole though, once you receive a diagnosis of IBS it is likely to persist on a long term basis. However, this doesn’t mean that the symptoms won’t disappear or that they are present all the time, IBS can come and go and the symptoms can vary in intensity. The solution to dealing with IBS is to try to understand how it affects you and to take steps to avoid the triggers and alleviate the symptoms.
What causes IBS?
There isn’t a known single cause of IBS although certain factors are known to trigger it. For example, stress is a known trigger of IBS and IBS sufferers appear to have increased sensitivity in the gut to stressful situations. Food intolerances can also trigger IBS as can an imbalance in the bacteria in the gut, for example, after taking antibiotics which effectively kills off good as well as harmful bacteria. Different people have related the onset of their IBS symptoms to:
- A stressful time in their lives
- An infection such as gastro-enteritis
- No identifiable cause whatsoever
In a normal digestive system, the contents of the gut are squeezed along the intestines towards the anus and this process is painless and unnoticeable. If something goes wrong with this process or the digestive system overreacts then it can be painful and indeed noticeable. It is believed that IBS sufferers are more sensitive to the processes involved in digestion.
Main points about IBS
- There is no single cause of IBS
- There is no single cure of IBS
- IBS is a disorder affecting the digestive system anywhere within the digestive tract
- IBS is non life threatening and does not lead to more serious conditions or to cancer
- IBS affects individuals in different ways
- Medication can improve the symptoms of IBS
- Stress is a trigger of IBS
- Food intolerances can trigger IBS
- An imbalance of bacteria in the gut can trigger IBS
- People with IBS appear to have increased sensitivity in the gut to stressful situations
- There are no tests that can identify IBS
Treating IBS
There isn’t a single drug or preparation available that can treat IBS so treatment usually involves dealing with the most troublesome symptoms in order to provide relief. For example:
- Antispasmodics for abdominal cramps
- Laxatives and stool softeners for constipation
- Anti-diarrhoea medication such as Loperamide can be helpful for diarrhoea
- Antacids for heartburn and indigestion
- Chinese herbal remedies have proved effective in some research trials
- Eliminating foods known to exacerbate IBS symptoms
- Probiotics and other preparations can help balance the bacteria in the gut
- Psychological treatments including some talking therapies can be helpful in dealing with underlying emotional or psychological problems
- Antidepressant medications can by helpful in low doses, particularly if diarrhoea and pain are the most dominant symptoms
Prognosis
For many people, some dietary and lifestyle adjustments combined with careful monitoring of the symptoms is enough to control IBS, for others the symptoms may be more serious and require more aggressive treatment. In the first instance speak to a doctor or nutritionist for expert help and advice.
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