Irritable bowel syndrome (IBS) is a diagnosis of exclusion; there is no single confirmation test. IBS affect around 10% of the adult population across the world, with a varying of symptoms. It’s a gut-brain interaction disorder which means there is a disconnect in how your gut and brain communicate with each other. It affects the gastrointestinal (GI) tract and causes stomach cramps, abdominal pain, bloating, diarrhea or constipation or both depending on what type you have. Since there is no real cure for it, most people have to learn to manage it through stress control, lifestyle and dietary changes such as giving up certain foods, alcohol and getting more sleep and exercise.
However, many people are embarrassed to talk to a doctor about it. Even those who muster up the courage find it challenging to get a diagnosis. “IBS diagnosis is purely clinical. It requires doctors to ask numerous questions and examine a patient’s extensive personal data, including lifestyle, diet, and stress levels. In a country where doctors are overwhelmed with high patient loads, the likelihood of missing IBS cases is considerable.”
“Various community studies have found the prevalence of IBS in India to be around 4-6%. This is lower than western countries. However, given India’s population of 1.4 billion, the number of IBS cases here is still significant.”
“Gluten is often blamed for IBS, but it made no difference in my case.” Finally, a mix of stress management techniques, intermittent fasting, regular exercise and meditation transformed his life. “Intermittent fasting was a game-changer. If stomach is empty, there is no IBS. But triggers like travelling or high-stress situations can still cause flare-ups. His advice — “Don’t let fear take over IBS can be managed with the right approach.”
NOT JUST A GUT PROBLEM:
Many IBS symptoms are linked to the hypersensitivity of nerves found in the GI tract wall. For others, it’s because of how gut nerves interact with the brain, and how the brain process that. People with IBS are more likely to experience anxiety, depression, and stress-related issues. Nearly 90% of IBS patients show signs of psychological distress. So, mental health significantly affects physical symptoms. It’s important to look at IBS as a manageable condition rather than a disease.
IBS is tied to guy flora or microbiome alterations. “Healthy gut flora is diverse and non-reactive, but when disrupted by antibiotics, genetics or environmental factors, it can trigger subtle changes in gut function. This might make the intestines hypersensitive to normal sensations, like air passing through (the gut), which wouldn’t bother someone with a healthy gut.” Despite ongoing research, the ‘ideal’ microbiome remains elusive. “Probiotics are often prescribed, but it is like shooting a lion in a jungle without where it is.” “Regular meals, yoga, and meditation can positively change the course of IBS.” And it’s traditional remedies betting on. “Homemade curd and daily turmeric are far more beneficial than commercial probiotics.”
IDENTIFY TRIGGER FOODS:
Following a low-FODMAP diet can reduce symptoms. FODMAPs are certain types of carbohydrates — fermentable oligosaccharides, disaccharides, monosaccharides, and polyols, as the acronym suggests — that often can’t be fully digested or absorbed into the small intestine and are instead fermented by microbes in the colon. This can cause gastrointestinal distress. However, the diet is quite restrictive as it involves avoiding wheat, legumes, some nuts, certain sweeteners, most dairy products and many fruits and vegetables. Managing IBS doesn’t mean giving up on enjoying food. “It’s about identifying triggers and finding a balance.” For abdominal pain, avoiding spicy and oily foods. “Stay clear of high-FODMAP items to manage bloating. Constipation requires increased fiber and hydration, while diarrhea might call for reducing fiber and avoiding lactose.”
Even though there is no one-size-fits-all cure for IBS, it’s ultimately all about balance and consistency. “Plan ahead, avoid known triggers, and don’t let stress derail your efforts. With mindfulness, you can keep symptoms under control and enjoy life.”