Chronic IBS please replyDear Doctors,
I m male 23years with 52kg weight, and i have the chronic IBS problem from 8 years. I always remain sick of Diarrhea specialy when i lift some weight or put some force and some time when i m free at home my mind remain working without any concentration or thinking.
I have already post my problem, doctor tell me the IBS diagnostic criteria please tell me any remedy according to this criteria.
Symptoms of IBS
Irritable bowel syndrome is characterized by symptoms of abdominal discomfort or pain, usually in the lower abdomen (although the location and intensity are variable, even at different times within the same person), and altered bowel habit (change in frequency or consistency) - chronic or recurrent diarrhea, constipation, or both - either mixed or in alternation.
Abdominal pain has been reported as primarily crampy or a generalized ache with superimposed periods of abdominal cramps, although sharp, dull, gas-like, or nondescript pains are also common. The abdominal discomfort or pain are usually relieved with a bowel movement.
The Rome III Diagnostic Criteria*
(a system for diagnosing functional gastrointestinal disorders based on symptoms) for IBS is as follows:
Recurrent abdominal pain or discomfort** at least 3 days per month in the last 3 months associated with 2 or more of the following:
Improvement with defecation
Onset associated with a change in frequency of stool
Onset associated with a change in form (appearance) of stool
* Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis.
** 'Discomfort' means an uncomfortable sensation not described as pain.
Other symptoms that are not essential but support the diagnosis of IBS:
Abnormal stool frequency (greater than 3 bowel movements/day or less than 3 bowel movements/week);
Abnormal stool form (lumpy/hard or loose/watery stool);
Abnormal stool passage (straining, urgency, or feeling of incomplete bowel movement);
Passage of mucus;
Bloating or feeling of abdominal distension.
Some or all of IBS symptoms can occur at the same time - some symptoms may be more pronounced than others.
There are no physical findings or diagnostic tests that confirm the diagnosis of IBS. Diagnosis involves identifying certain symptoms consistent with the disorder and excluding other medical conditions that may have a similar clinical presentation. The symptom- based Rome diagnostic criteria for IBS 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. In addition, a detailed history, a physical examination, and limited diagnostic tests help confirm this diagnosis with a high level of confidence. Extensive testing may be reserved for specific situations.
Upper gastrointestinal (GI) symptoms are commonly reported by IBS patients with 25 % to 50% of patients reporting...
Early feeling of fullness (satiety)
Other GI symptoms that many patients also report include...
Intermittent upper abdominal discomfort or pain (dyspepsia)
Feelings of urgency (the need to find a restroom fast)
Feeling of 'incomplete' bowel emptying
Many IBS patients also report non-gastrointestinal symptoms that may be due to the coexistence or overlap of IBS with another condition such as fibromyalgia, chronic fatigue syndrome, or interstitial cystitis such as...
Other symptoms may occur that tend to correlate with the severity of the IBS such as...
Low back pain
Symptoms can vary and sometimes seem contradictory, such as alternating diarrhea and constipation.
The symptoms of IBS are produced by abnormal functioning of the nerves and muscles of the bowel. In IBS there is no evidence of a structural disease, yet, something - a 'dysregulation' between the brain, the gut, and the central nervous system - causes the bowel to become 'irritated,' or overly sensitive to stimuli. Symptoms may occur even in response to normal events.
Anemia, bleeding, unexplained weight loss, or fever are 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.
Chang L, Drossman DA, Norton WF, et al. Irritable bowel syndrome. IFFGD Publication No. 101 , 2006
msuhail_k on 2008-08-28
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