“Irritable Bowel Syndrome”

is a gastrointestinal disease characterized by abdominal pain along with abnormal bowel movements.

caused by altered intestinal function

without cause

or obvious lesions

when going for additional diagnostic tests such as endoscopy, computed tomography

will not find any abnormality

Because it is a disorder of the intestines, for example, if the intestines are squeezed faster

It will cause symptoms of diarrhea.

or intestinal contractions less

I will have a problem with constipation.

Changed from the original shooting of the patient itself.

The incidence of irritable bowel syndrome is a common disease in all ages.

From teenagers, working age and old age

Causes of irritable bowel syndrome

no clear cause

But the risk factors are slang food, spicy food, causing irritable bowel syndrome, infection, and anxiety.

It encourages the body to work abnormally.

resulting in irritable bowel

Symptoms of irritable bowel syndrome

The most common symptoms are abdominal pain along with abnormal bowel movements.

or changed from the original

The course of the disease usually has symptoms that come and go, depending on the severity of each patient.

or factors that aggravate the disease, for example, some patients may experience abdominal pain along with constipation, often with predominant constipation-like irritable bowel syndrome, for example. Predominant constipation is more common in female patients.

Irritable bowel syndrome with predominant diarrhea

There will be frequent diarrhea.

and is more often found in males

However, there is a chance to be both sexes and some groups of patients with both constipation and diarrhea.

which is a mixed type of irritable bowel as well

What to watch out for is

irritable bowel syndrome

There must be no other cause.

dangerous, such as having an infectious disease

the presence of tumors in the gastrointestinal tract

Patients with clear lesions will have symptoms such as fever along with abnormal bowel movements all the time.

without any period of improvement

Or have night vision symptoms such as falling asleep and getting up to take photos in the middle of the night, etc.

diagnosis

The diagnosis of irritable bowel syndrome is based on a history of patients with abdominal pain and changes in bowel movements.

in conjunction with additional laboratory tests such as gastrointestinal endoscopy

computed tomography

to see that there are no obvious lesions

that cause patients to have such symptoms

Therefore, it can be diagnosed as irritable bowel syndrome.

If in some young patients

There are no dangerous signs such as abnormal weight loss, black or bloody stools.

severe vomiting

or feel a lump in the stomach

may be able to treat irritable bowel syndrome first

In some elderly patients (more than 50 years old), if there is abdominal pain along with abnormal bowel movements from the original

May need to check more first.

Because such symptoms may be a sign of colon cancer, such as colonoscopy examination.

to ensure that there are no hidden dangerous diseases

dangers and complications

irritable bowel syndrome

irritable bowel syndrome

It is a non-life-threatening disease, but it comes and goes and does not increase the risk of cancer.

but will interfere with daily life.

Makes life difficult for patients

Loss of personality, for example, frequent photophobia

especially in people with severe abdominal pain

will disturb daily life more than others

Treatment of irritable bowel syndrome

Irritable Bowel Syndrome Treatment

It will be treated according to the cause, for example, food is a stimulant causing irritable bowel syndrome.

I avoid eating those foods.

If irritable bowel syndrome is caused by stress and anxiety, clear your mind, exercise, and find stress-relieving activities.

In case of severe symptoms

Your doctor may prescribe anti-depressants.

anti-anxiety medication

to improve symptoms

In case of constipation

Give laxatives to reduce constipation. On the other hand, patients with frequent diarrhea.

Give medicine to slow down the intestines.

to reduce intestinal peristalsis

and patients with frequent abdominal pain

give medicine to relieve stomach pain

In addition, it may be recommended that the patient eat a Low FODMAP Diet, a group of foods that lack carbohydrates.

Or present in small amounts by gradually reducing high FODMAPs foods such as honey, corn syrup

or corn syrup, wheat, onions, garlic, artichokes, asparagus, lentils, soybeans, apples, cherries, peaches, plums, avocados, figs, and milk. such as bread, cereal, yogurt, ice cream, or other products

It may be classified as a high FODMAP food group as well.

It is not recommended to abstain from these foods all at once.

Maybe try to abstain from something and look at the response of each patient as well.

Prevention of irritable bowel syndrome

Avoid triggers that cause irritable bowel syndrome.

exercise regularly

Eat nutritious food, don't smoke, and try to reduce stress.

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source of information

Lecturer Dr. Akarawit Poonsombat,

Department of Gastroenterology and Liver Disease

Department of Internal Medicine

Faculty of Medicine Ramathibodi Hospital

Mahidol University