When functioning properly, the muscles of the digestive tract contract to move food through. Irritable Bowel Syndrome (IBS) occurs when normal digestive tract motility is disrupted, causing uncomfortable symptoms that affect about 1 in 6 Americans.
There are many possible causes of Irritable Bowel Syndrome. For example, there may be a problem with muscles in the intestine, or the intestine may be more sensitive to stretching or movement.
Risk Factors
IBS can occur at any age, but it often begins in adolescence or early adulthood. It is more common in women and is the most common intestinal complaint for which patients are referred to a gastroenterologist. Stress can cause symptoms to worsen.
Your doctor can often diagnose Irritable Bowel Syndrome based on your symptoms. Eating a lactose-free diet for 2 weeks may help the doctor evaluate for a possible lactase deficiency.
There is no specific test to diagnose IBS, but tests may be done to rule out other problems:
Blood tests to see if you have a low blood count (anemia)
The following lifestyle changes can be helpful in some cases of IBS:
Regular exercise
Improved sleep habits
Low-FODMAP Diet: Avoidance of foods and beverages that stimulate the intestines, such as caffeinated drinks
Avoidance of large meals and certain foods (wheat, chocolate, dairy products, alcohol, for instance)
Increased dietary fiber
No one medication will work for everyone, but your doctor may try:
Anticholinergic medications (dicyclomine, propantheline, belladonna and hyoscyamine) taken about a half-hour before eating to control colon muscle spasms
Counseling may help in cases of severe anxiety or depression.
When to See a Doctor
Most IBS symptoms can be managed at home, but you should reach out to a doctor if you notice:
Persistent or intense abdominal pain
Unexplained weight loss
Blood in your stool or black, tarry stools
Fever or signs of infection
Sudden, lasting changes in bowel habits
Symptoms that disrupt your daily routine
Early evaluation by a gastroenterologist can clarify the cause, guide effective treatment, and help you feel your best. At Charleston GI, our board-certified specialists can diagnose and manage IBS—no referral required, schedule appointment now.
FAQS
IBS Basics
What is IBS?
IBS, or Irritable Bowel Syndrome, is a gut disorder where the intestines do not work properly. It causes stomach pain, changes in bowel movements, bloating, and other digestive symptoms. It does not cause lasting damage.
Is IBS the same as IBD?
No. IBS is a functional disorder with no permanent damage. IBD includes Crohn’s disease and ulcerative colitis, which cause inflammation and lasting intestinal damage.
Why did my IBS start out of nowhere?
IBS can appear after a severe stomach infection, high stress, or antibiotics that change gut bacteria. Often the gut becomes more sensitive even after the initial cause is gone.
Symptoms and Pain
How do I know if I have IBS?
Doctors look for a pattern of symptoms over 3 to 6 months. Common signs include stomach pain or discomfort with bowel movements, changes in frequency or stool appearance, bloating, and feeling like you haven’t fully emptied your bowels.
What does IBS pain feel like?
People describe it as:
Balloon feeling: Sharp stretching pain from trapped gas
Charley horse: Intense cramping in the lower abdomen
Dull ache: Constant heavy feeling even after using the bathroom
Is it normal to have good weeks and bad weeks?
Yes. IBS is unpredictable. Flare-ups can happen due to sleep, stress, hormones, or other factors even if your diet is the same.
What are the most common non-stomach symptoms?
IBS can cause fatigue, muscle aches, brain fog, and bladder issues.
Triggers and Diet
What can I eat today?
Triggers vary by person. Many find relief with a low FODMAP diet. Avoid hard-to-digest carbs like:
Apples, pears, stone fruits
Onions, garlic, mushrooms
Milk and soft cheeses with lactose
High fructose corn syrup and sugar alcohols
Eat smaller, frequent meals. Keep a food diary to track what affects you.
Why does IBS flare up even with safe foods?
Flares are not always food-related. Lack of sleep, stress, hormones, or even eating in general can trigger symptoms. Management focuses on the whole body, not just diet.
Lifestyle and Stress
Does stress cause IBS?
Stress does not cause IBS but can worsen symptoms. The gut and brain are connected, so stress can speed up or slow digestion, causing pain and urgency.
Can I sleep with IBS?
Nighttime symptoms are common. Tips:
Keep a regular sleep schedule
Avoid large meals or trigger foods before bed
Sleep on your left side to aid digestion
Use relaxation techniques like deep breathing or meditation
Can I still have a social life or travel?
Yes. Planning helps:
Carry an emergency kit with clothes, wipes, and medications
Use apps to find restrooms
Check menus ahead for safe options
Diagnosis and Testing
Why are my tests normal if I feel sick?
In IBS, the gut looks normal. The problem is in how the nerves and muscles communicate. This is called visceral hypersensitivity.
Is IBS dangerous or a sign of cancer?
No. IBS does not cause cancer or permanent intestinal damage. See a doctor if you have red flag symptoms like unexplained weight loss, fever, or blood in stool.
Treatment and Management
Can IBS be cured or just managed?
There is no permanent cure, but IBS can be managed with:
Diet changes to avoid triggers
Exercise and good sleep habits
Medications for diarrhea, constipation, or cramps
Mental health support to manage gut-brain connections
Charleston GI offers board certified doctors to diagnose and treat your IBS issues. Plus, patients can easily schedule an appointment – no referral needed.
By minimizing the hassle and cost, our goal at Charleston GI is to make colon cancer prevention a priority! Get in touch with our colonoscopy doctors today to learn more or to schedule your appointment! No referral needed!
Medical Disclaimer: The information provided on this page is for educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.
Charleston GI offers board certified doctors to diagnose and treat your IBS issues. Plus, patients can easily schedule an appointment – no referral needed.
