IRRITABLE BOWEL SYNDROME

INTRODUCTION

  • Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.

  • Only a small number of people with IBS have severe signs and symptoms. Some people can control their symptoms by managing diet, lifestyle and stress. More-severe symptoms can be treated with medication and counseling.

CAUSES

  • Muscle contractions in the intestine The walls of the intestines are lined with layers of muscle that contract as they move food through your digestive tract. Contractions that are stronger and last longer than normal can cause gas, bloating and diarrhea. Weak intestinal contractions can slow food passage and lead to hard, dry stools.

  • Nervous system Abnormalities in the nerves in your digestive system may cause you to experience greater than normal discomfort when your abdomen stretches from gas or stool. Poorly coordinated signals between the brain and the intestines can cause your body to overreact to changes that normally occur in the digestive process, resulting in pain, diarrhea or constipation.

  • Inflammation in the intestines Some people with IBS have an increased number of immune-system cells in their intestines. This immune-system response is associated with pain and diarrhea.

  • Severe infection IBS can develop after a severe bout of diarrhea (gastroenteritis) caused by bacteria or a virus. IBS might also be associated with a surplus of bacteria in the intestines (bacterial overgrowth).

  • Changes in bacteria in the gut (microflora) Microflora are the "good" bacteria that reside in the intestines and play a key role in health. Research indicates that microflora in people with IBS might differ from microflora in healthy people.

SYMPTOMS

  • Abdominal pain, cramping or bloating that is typically relieved or partially relieved by passing a bowel movement

  • Excess gas

  • Diarrhea or constipation — sometimes alternating bouts of diarrhea and constipation

  • Mucus in the stool

TRIGGERS

  • Food. The role of food allergy or intolerance in IBS isn't fully understood. A true food allergy rarely causes IBS. But many people have worse IBS symptoms when they eat or drink certain foods or beverages, including wheat, dairy products, citrus fruits, beans, cabbage, milk and carbonated drinks.

  • Stress. Most people with IBS experience worse or more frequent signs and symptoms during periods of increased stress. But while stress may aggravate symptoms, it doesn't cause them.

  • Hormones. Women are twice as likely to have IBS, which might indicate that hormonal changes play a role. Many women find that signs and symptoms are worse during or around their menstrual periods.

RISK FACTOR

  • AGE : IBS occurs more frequently in people under age 50.

  • SEX : In the United States, IBS is more common among women. Estrogen therapy before or after menopause also is a risk factor for IBS.

  • GENETIC : Genes may play a role, as may shared factors in a family's environment or a combination of genes and environment.

  • MENTAL HEALTH PROBLEMS :Anxiety, depression and other mental health issues are associated with IBS. A history of sexual, physical or emotional abuse also might be a risk factor.

INVESTIGATIONS

  • CBC

  • USG

  • Colonoscopy or sigmoidoscopy

  • Stool Culture

  • Faecal Calprotectin : Elevated levels indicates the migration of neutrophils to the intestinal mucosa, which occurs during intestinal inflammation.

  • Serum IgG ,IgA

HOMOEOPATHIC THERAPEUTICS

  • Nux Vomica:

Nux Vomica is the top natural medicine for IBS. The prominent symptom calling for its use is the passage of a small quantity of stool or poop very frequently with abdomen pain. The patient feels the constant urge to pass stool. The abdomen pain is relieved for a very short time after stool. But the pain in abdomen and desire for stool begins soon after stool expulsion. This is most of the times accompanied by a distended abdomen after eating. The peculiar food that worsens the condition is spicy food, coffee, and alcoholic drinks. The worsening of condition after anger spells is also an important marker for natural Homeopathic remedy Nux Vomica.

  • Aloe: For Urge to Pass Stool After Eating or Drinking

Natural medicine Aloe is the best remedy for the urge to pass stool soon after eating or drinking anything. Aloe helps in regularizing the intestinal movements and put them under normal limit since they are at an increased pace in patients with IBS. Aloe, which is a natural medicine without any side effects,is also of great help for persons who rush to the toilet for stool soon after eating or drinking anything and the stool is loose and may be accompanied by passage of a large quantity of gas. In a few persons, mucus may be expelled along with stool. The patient also experiences pain in the abdomen before and during stool. The abdominal pain vanishes after passing stool.

  • Alumina: For IBS with constipation

Alumina is a natural medicine for treating patients of IBS in whom constipation predominates. Alumina can provide a great helping hand when the patient suffers from constipation of the most obstinate kind. The intestines work at a very slow pace in such patients. The stool remains in the rectum for many days without any urge to pass stool. The stool is expelled out by putting much strain. The stool in a few patients is hard and in others it is soft. But passage of stool is difficult with much effortin both cases. Potatoes seem to be the most intolerable food for patients requiring natural Homeopathic remedy Alumina.

  • Carbo Veg: Natural Treatment for IBS with Abdominal Bloating

The patients of IBS who suffer from a bloated abdomen can benefit greatly from natural remedy Carbo Veg. The patients requiring this natural medicine complain of a heavy and tense abdomen soon after eating. Even the simplest kind of food seems to worsen the condition. The passage of gas or belching provides slight relief. The patients may also complain of acidity with burning in stomach. This is accompanied by frequent loose stool of offensive odor. Cramping pain in the abdomen may also be present.

  • Lycopodium: For Heaviness in Abdomen after Eating

Lycopodium is a very useful natural medicine for dealing with IBS with heaviness in the abdomen after eating a small quantity of food. The abdomen feels full and distended. Gas fills the abdomen. Alteration between diarrhea and constipation is often noticed. The patient’s condition gets worse by taking food that usually leads to gas formation like cabbage. The desire for very hot food and drinks is a very important indicator of Lycopodium.

  • Croton Tiglium and Podophyllum Peltatum – For Irritable Bowel Syndrome with Diarrhoea and Gushing Stool

In irritable bowel syndrome cases of diarrhea with gushing stool, Croton Tiglium and Podophyllum Peltatum are the best Homeopathic prescriptions. Other signs to look out for use of Croton Tiglium are – urging for stool soon after eating or drinking, watery stool, copious stool, weakness after passing stool. Podophyllum Peltatum is given where the attending features include profuse and highly putrid/offensive stool, fetid flatus, diarrhea that worsens after eating fruits.

  • Bryonia Alba – For Irritable Bowel Syndrome with Constipation and Hard, Dry Stool

Bryonia Alba is another significant medicine for IBS with constipation and dry, large, hard stool. The stool is excessively dry as if burnt. Burning in anus on passing stool may be observed. A headache from constipation is another indication for using Bryonia Alba.

  • Colocynthis – Remedy for Loose Stools and Abdominal Cramps in IBS

Colocynthis is a medicine for irritable bowel syndrome with loose stools attended with abdominal cramps. Eating or drinking in the smallest quantity leads to cramping. Bending double or pressure over abdomen may provide relief. Stools are watery, yellow and frothy and attended with the passage of flatulence.

  • China Officinalis – For IBS with Weakness and Weight Loss from Chronic Diarrhea

China Officinalis is the most recommended medicine for IBS with weakness and weight loss from chronic diarrhea. The diarrhea is painless. Persons in need of China Officinalis have a chronically loose stool, marked flatus and bloated abdomen. Abdominal colic from flatus in abdomen is also present.

  • Pulsatilla Nigricans – For IBS that worsens with Milk and Milk Products

Pulsatilla Nigricans is one of the top grade medicines for irritable bowel syndrome where taking milk or milk products worsens the complaint. Symptoms include rumbling in abdomen, flatulence, bitter taste in the mouth, belching that tastes like ingesta and changeable stool. These symptoms worsen upon consuming milk.

  • Argentum Nitricum –For Diarrhoea and Anxiety in IBS

Argentum Nitricum will best treat irritable bowel syndrome with marked diarrhea in people with chronic anxiety. Such persons have marked anticipatory anxiety levels. Anticipatory anxiety means anxiety arising from overthinking about events that are to take place in the future. Anxiety also appears every time they have to appear in public, crowds or in public meetings. The anxiety results in diarrhea with frequent stools. Such persons are impatient by nature and do everything in haste.