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Irritable bowel syndrome

From Simple English Wikipedia, the free encyclopedia
Irritable bowel syndrome
Other namesSpastic colon, nervous colon, mucous colitis, spastic bowel[1]
3D depiction of the pain of IBS
Medical specialtyGastroenterology
SymptomsDiarrhea, constipation, abdominal pain[1]
Usual onsetBefore 45 years old[1]
DurationLong term[2]
CausesUnknown[2]
Risk factorsGenetic predisposition,[3] psychological stress,[4]
childhood abuse,
food poisoning,[5]
psychiatric illness[6]
Diagnostic methodBased on symptoms, exclusion of other diseases
Differential diagnosisCeliac disease, giardiasis, non-celiac gluten sensitivity, microscopic colitis, inflammatory bowel disease, small intestine bacterial overgrowth, bile acid malabsorption, colon cancer
TreatmentSymptomatic (dietary changes, medication, human milk oligosaccharides, probiotics, counseling)
PrognosisNormal life expectancy
Frequency10–15% (developed world) and 15–45% (globally)

Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder by a group of symptoms that usually include abdominal pain, abdominal bloating and changes in bowel movements.[1] These symptoms may happen over a long time, sometimes for years.[2] IBS can affect quality of life and may impact daily life activities.[7] Disorders such as anxiety, major depression, and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) are common among people with IBS.[1][8][note 1][9]

The cause of IBS is not known, but it can be triggered by stress,[10] or an intestinal infection.[11]

  1. The cited review is based on sources ranging from 1988 to 2001 and is probably biased relative to a more recent research.

References

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  1. 1.0 1.1 1.2 1.3 1.4 "Definition and Facts for Irritable Bowel Syndrome". NIDDKD. February 23, 2015. Archived from the original on April 2, 2016. Retrieved March 29, 2016.
  2. 2.0 2.1 2.2 "Symptoms and Causes of Irritable Bowel Syndrome". NIDDK. February 23, 2015. Archived from the original on April 5, 2016. Retrieved March 29, 2016.
  3. Li J, Zhu W, Liu W, Wu Y, Wu B (January 2016). "Rifaximin for Irritable Bowel Syndrome: A Meta-Analysis of Randomized Placebo-Controlled Trials". Medicine. 95 (4): e2534. doi:10.1097/MD.0000000000002534. PMC 5291563. PMID 26825893.
  4. Fukudo S, Nomura T, Muranaka M, Taguchi F (September 1993). "Brain-gut response to stress and cholinergic stimulation in irritable bowel syndrome. A preliminary study". Journal of Clinical Gastroenterology. 17 (2): 133–41. doi:10.1097/00004836-199309000-00009. PMID 8031340.
  5. "Post Infectious IBS - About IBS". March 8, 2021.
  6. Barreau F, Ferrier L, Fioramonti J, Bueno L (September 2007). "New insights in the etiology and pathophysiology of irritable bowel syndrome: contribution of neonatal stress models". Pediatric Research. 62 (3): 240–5. doi:10.1203/PDR.0b013e3180db2949. PMID 17622962. S2CID 26538682.
  7. Hulisz D (2004). "The burden of illness of irritable bowel syndrome: current challenges and hope for the future". Journal of Managed Care Pharmacy. 10 (4): 299–309. doi:10.18553/jmcp.2004.10.4.299. PMC 10437478. PMID 15298528. S2CID 9413379.
  8. Whitehead WE, Palsson O, Jones KR (April 2002). "Systematic review of the comorbidity of irritable bowel syndrome with other disorders: what are the causes and implications?". Gastroenterology. 122 (4): 1140–56. doi:10.1053/gast.2002.32392. PMID 11910364.
  9. "Irritable bowel syndrome - Symptoms and causes". Mayo Clinic. Retrieved 2023-12-05.
  10. Chang L (March 2011). "The role of stress on physiologic responses and clinical symptoms in irritable bowel syndrome". Gastroenterology. 140 (3): 761–5. doi:10.1053/j.gastro.2011.01.032. PMC 3039211. PMID 21256129.
  11. Spiller R, Garsed K (May 2009). "Postinfectious irritable bowel syndrome". Gastroenterology. 136 (6): 1979–88. doi:10.1053/j.gastro.2009.02.074. PMID 19457422.