Health Scan: October 2019 - Healthy Large Intestines  Healthy Large Intestines and bowel Inflammed  Large Intestines and bowel IRRITABLE BOWEL SYNDROME Irritable bowel syndrome is a chronic, functional disorder of gastro intestine that affects the large intestine. It causes inflammation in the digestive tract resulting in cramps or pain in abdomen, bloating, gassiness, and altered bowel habits leading to Diarrhoea with thin mucous stools or constipation.  IBS is not contagious, nor inherited, or cancerous.  As it is a long-term condition of the digestive system, it will be a lifelong problem having a large impact on everyday life. In some people, IBS can be developed after periods of gastroenteritis. In some others it is caused by dietary allergies or food sensitivities, but this has not been proven. In some people, IBS is completely unrelated to diet and brought on by periods of stress. It affects twice as many women as men and typically occurs before age 45. IBS can be developed at any age but its first symptoms appear when the person is between 20 and 30.   IBS does not affect life expectancy or lead to other serious diseases such as cancer or conditions such as rectal bleeding. Post infectious IBS disorder is caused due to acute gastroenteritis infection and it is characterized by fever, vomiting, and diarrhoea. IRRITABLE BOWEL SYNDROME Symptoms
Millions around the world are suffering from irritable bowel syndrome. Handling IBS is a process that requires time and patience. IBS is a functional disorder, a disorder diagnosed by its symptoms rather than by its specific physical cause. With IBS, the digestive system definitely reacts with a number of specific, and unpleasant, symptoms, but exactly what causes those reactions is unknown.
The process of digestion is intense and complex. The gastrointestinal tract does an incredible amount of work digesting food, absorbing nutrients, and removing waste. In our world of fast food and hefty meals eaten on the run, the system frequently is getting overtaxed, racing to keep up with increasing appetites, chemical food additives, processed foods and overburdened and improper  schedules. What happens when we give our GI tract more irritation than it can handle? ….IBS
Symptoms are generally based on the type of IBS. IBS can be classified as: IBS-A (alternating stool pattern) IBS-C (constipation-predominant) IBS-D (diarrhoea-predominant) IBS-PI (post infectious) depending upon common occurrence of diarrhoea or constipation Irritable bowel syndrome (IBS) may have symptoms such as abdominal pain and discomfort, excess gas and bloating, nausea, backache problems, food Intolerance, incontinence, fatigue and difficulty in sleeping, changes in Bowel Movements causing diarrhoea, or constipation, Hard, lumpy, infrequent stools, straining during bowel movements in the case of IBS-C patients. Loose, thin, stringy and frequent stools, a feeling of being unable to empty bowels in the case of IBS- D patients. These symptoms may remain over a long time, often years also. The symptoms are more severe in only few people. Some people can control their symptoms by managing diet, lifestyle and stress. People with more-severe symptoms can be treated with medication and counselling. People with IBS may also suffer from anxiety, major depression and chronic fatigue syndrome.
A few points of Diagnostic Criteria for IBS Visible abdominal swelling or Bloating or a feeling of abdominal distension or fullness Recurrent symptoms of abdominal pain or discomfort, generally in the lower abdomen, which are relieved as a result of bowel clearance. At least three months of chronic or that is Relieved by a bowel movement Increased bowel movements with the onset of stomach pain Loose stools accompanying stomach pain Passage of mucus from the rectum Feeling that the bowel has not been completely evacuated after bowel movement Change in stool consistency or altered stool frequency or altered stool form (hard or watery) Stool passage straining or difficulty Stool passage urgency—the sudden need to rush to the bathroom for a bowel movement; or feeling that the bowel hasn’t completed emptied after a bowel movement
Inflammatory Bowel Disorder (IBD) and   IBS are not same, although, they often have overlapping symptoms and can confuse the diagnosis.  IBD is a far more serious and sometimes life-threatening disease that manifests in two forms—Crohn’s disease and ulcerative colitis.  Both of these conditions involve inflammation of the gastrointestinal tract and a thickening of the intestinal wall, in which deep ulcers may form. 11 Contd…next page Sandhya A