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Irritable Bowel Syndrome: causes, symptoms and treatments

by Guilherme Sauniti
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Irritable Bowel Syndrome is a chronic disorder of the intestine that causes abdominal pain, bloating, constipation, and diarrhea. In this article, we will explore its causes, symptoms, and treatment options, providing essential information to deal with the condition.

Intestinal sensitivity, changes in the gut microbiota, and psychological factors play an important role in understanding the problem. This condition is common worldwide, and understanding its aspects is fundamental to improving quality of life and finding effective treatments.

What is Irritable Bowel Syndrome (IBS)?

Irritable Bowel Syndrome, often abbreviated as IBS, is a chronic condition that affects the gastrointestinal tract. 

This syndrome is characterized by a variety of uncomfortable symptoms.

IBS is a common condition that can impact the quality of life of people who have it.

What makes IBS especially challenging is its unpredictable nature, with symptoms often arising intermittently. 

Although it is a chronic condition, it is not considered a serious or potentially fatal disease. However, it can be a debilitating condition for some individuals, leading to significant discomfort and interfering with their daily activities.

The diagnosis is usually made by a professional specialist in the area, generally, a gastroenterologist.

Managing IBS often involves adjustments in diet and lifestyle, as well as the treatment of specific symptoms that a patient may experience. It is important to seek medical guidance if you suspect the problem, to receive an appropriate diagnosis and an appropriate management plan.

How long does irritable bowel syndrome last?

The duration of Irritable Bowel Syndrome (IBS) is a variable and individual aspect of the condition. 

This chronic gastrointestinal syndrome can affect people in different ways, resulting in a wide range of experiences regarding its duration. 

Some people may experience symptoms of IBS for a limited period, while for others, the condition may persist over many years or even throughout life.

The notable feature of IBS is its unpredictability. 

Symptoms can arise, disappear, and return intermittently. In addition, the severity of symptoms can also vary significantly.

Some individuals may go through long periods of remission, in which symptoms decrease or disappear completely. 

However, triggering factors, such as stress, inadequate diet, or other triggers, can provoke the reactivation of symptoms.

Although IBS is a chronic condition, it is important to note that it does not cause permanent damage to the intestine and is not associated with an increased risk of serious diseases. 

Many people manage to successfully manage their symptoms.

Therefore, the duration of IBS in a specific person may depend on several factors, including the effectiveness of treatment and the adoption of appropriate management strategies for a more individualized and effective approach.

Causes and common symptoms of IBS

IBS is a complex and multifaceted condition, whose causes have not yet been fully clarified, but which presents distinct symptoms that affect the gastrointestinal tract. 

Let’s explore the causes and most common symptoms of IBS to provide a more comprehensive view of this condition.

The causes of IBS are multifactorial and involve a complex interaction of physical, psychological, and environmental factors. 

Intestinal sensitivity is a key component, in which the intestine overreacts to stimuli that would normally not be uncomfortable for most people. 

Changes in the gut microbiota, which is the community of microorganisms in the gut, also play a role, influencing gastrointestinal functioning. 

In addition, psychological factors, such as stress, anxiety, and depression, can aggravate the symptoms of IBS, as we have seen before.

The symptoms of Irritable Bowel Syndrome can vary from one person to another, but some are more common. 

Abdominal pain is a predominant symptom, usually relieved after bowel movement. 

Bloating is another common symptom, and many people with IBS say they feel an uncomfortable sensation of abdominal distension. 

Changes in bowel habits are also striking, with some patients suffering from frequent diarrhea, while others face persistent constipation.

In addition, many individuals with IBS report excessive gas and a sense of urgency to evacuate.

Although these symptoms are often associated with the condition, it is essential to remember that it is highly individualized, and patients may feel different combinations and severities. 

The duration and frequency of IBS episodes also vary widely among people.

Treatments for IBS

The treatment of IBS is a fundamental aspect to improve the quality of life of people affected by this chronic gastrointestinal condition. 

Although there is no definitive cure for IBS, there are several treatment approaches aimed at relieving symptoms and allowing patients to better manage their condition.

One of the main treatment strategies is diet modification. 

Identifying and eliminating foods or food groups that trigger symptoms can be effective for many patients.

The low FODMAPs diet, for example, is an approach that focuses on reducing the intake of certain fermentable carbohydrates that can cause intestinal discomfort.

In addition, stress and anxiety management is crucial in the treatment of IBS, as we have seen before. 

Many people with IBS notice that emotional stress can trigger or worsen symptoms. 

Medications can also play an important role in the treatment of this condition.

Antispasmodic medications are examples that can help relieve abdominal pain and cramps. 

Laxatives or medications for diarrhea control are also commonly prescribed in some situations to regulate intestinal functioning.

In more severe and resistant cases to conventional treatment, there may be a recommendation for prescription of specific medications that affect the nervous system receptors in the intestine. 

However, these medications are generally reserved for exceptional situations, being accompanied by rigorous medical monitoring.

It is always valuable to remember that the treatment of IBS is highly individualized, as what works for one person may not work for another. 

Therefore, it is essential to work closely with a health professional, usually a gastroenterologist, to develop a personalized treatment plan that meets the needs and specific symptoms of each patient. 

With the correct view of the condition, many people with IBS manage to effectively manage their symptoms and improve their quality of life.

In summary, Irritable Bowel Syndrome (IBS) is a chronic gastrointestinal condition that requires individualized approaches to treatment. 

Understanding the causes, symptoms, and management strategies plays an essential role, and collaboration with health professionals helps determine the most effective treatment plan.

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Doutor em Gastroenterologia pela FM-USP.
Especialista em Cirurgia do Aparelho Digestivo (HCFMUSP), Endoscopia Digestiva (SOBED) e Gastroenterologia (FBG).
Professor do curso de Medicina da Fundação Educacional do Município de Assis - FEMA.
Médico da clínica Gastrosaúde de Marília.


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