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Gastroenterologists (doctors who specialize in medical treatment of disorders of the
stomach and intestines) who diagnose IBS say that t is one of the most common disorders seen by
physicians.
It is often referred to
as:
• spastic colon
• mucous colitis
• spastic colitis
• nervous stomach
• irritable colon
For the record it should be said that:
• IBS is not caused by stress.
• It is not psychological
• It is not a psychiatric disorder.
• It is not, "All in the mind."
In fact IBS goes under the classification of a "functional" disorder.
A ‘functional disorder’ is a disorder (or a disease) where the fundamental abnormality is
what is known as a ‘changed physiological function’ rather than an identifiable biochemical
cause.
It characterises a disorder that can not be generally diagnosed in the usual way such as
inflammation, infection or other abnormality, seen by normal examination like x-ray or blood
test.
In people with IBS, symptoms result from what appears to be a disturbance in the
interaction between the gut/intestines, the brain and the nervous system that alters the normal
regulation of bowel movement.
The group of symptoms in which abdominal pain or discomfort is associated is also
characterised with a change in the normal pattern of the bowel such as loose or more frequent bowel
movements, diarrhoea and/or constipation.
There are treatments available to manage IBS regardless if the symptoms are mild, moderate, or
severe.
Abdominal pain has been reported as initially like cramps or an ache with overlapping
moments of abdominal cramps, although sharp, dull, gas-like, or nondescript pains are also common. The
stomach discomfort or pain is usually relieved with a bowel movement.
"Irritable Bowel"
refers to a disturbance in the regulation of bowel function that results in unusual sensitivity and muscle
activity. "Syndrome" refers to a number of symptoms and not one symptom
exclusively.
Most people suffer from a bowel disturbance at some stage in their life but for those with
IBS the symptoms occur more often, either continuously or on and off and regardless of sex or
age.
Some or all of IBS symptoms can occur at the same time and some symptoms may be more
pronounced than others.
Doctors’ don’t use specific diagnostic tests to confirm IBS. Rather it involves identifying
certain symptoms consistent with the disorder and excluding other medical conditions that may have a
similar clinical presentation. They emphasize a positive diagnosis rather than exhaustive tests to rule
out other diseases.
These criteria are based on the presentation of a specific set of symptoms, a detailed history
and a physical examination with limited diagnostic tests to help confirm this diagnosis with a high level
of confidence. Extensive testing may be reserved for specific situations.
Symptoms can vary and sometimes seem contradictory, such as alternating diarrhoea and
constipation.
Anaemia, bleeding, unexplained weight loss or fever is not characteristic of IBS. You
should alert your physician immediately if you are experiencing these symptoms.
Other factors that may suggest the presence of an organic disease include awakening from sleep at night, family
history of colon cancer or inflammatory bowel disease, and onset of symptoms (or change in symptoms) over the
age of 50.
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