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Understanding Irritable Bowel Syndrome and Diagnosis

Learn about irritable bowel syndrome (IBS), its symptoms, potential triggers, and diagnosis methods. Understand how timely identification can help manage this common digestive disorder effectively.

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Written by Dr. Mohammed Kamran

Reviewed by Dr. Dhankecha Mayank Dineshbhai MBBS

Last updated on 28th Aug, 2025

Understanding Irritable Bowel Syndrome and Diagnosis

Irritable Bowel Syndrome (IBS) is a common digestive disorder that affects millions of people worldwide. If you frequently experience stomach pain, bloating, or changes in bowel habits, you might be dealing with IBS. While it can be uncomfortable and frustrating, the good news is that IBS is manageable with the right approach.

In this article, we’ll break down what IBS is, its symptoms, possible causes, and how doctors diagnose it. We’ll also share some practical tips to help you manage the condition and improve your quality of life.

What Is Irritable Bowel Syndrome (IBS)?

IBS is a chronic condition that affects the large intestine (colon). Unlike more serious digestive diseases like Crohn’s or ulcerative colitis, IBS does not cause permanent damage to the intestines. However, it can significantly impact daily life due to recurring discomfort.

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Dr. Lekkala Rajesh, Gastroenterology/gi Medicine Specialist

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Apollo Hospitals Secunderabad, Secunderabad

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Dr. Sumanth Simha Vankineni, Gastroenterology/gi Medicine Specialist

Dr. Sumanth Simha Vankineni

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Apollo Hospitals Health City Unit, Chinagadila

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Dr. Ankit Vijay Agarwal, Gastroenterology/gi Medicine Specialist

Dr. Ankit Vijay Agarwal

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Apollo Hospitals Jubilee Hills, Hyderabad

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Dr. Prashant Kumar Rai, Gastroenterology/gi Medicine Specialist

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Apollo Excelcare Hospital, Guwahati

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Common Symptoms of IBS

People with IBS may experience a mix of the following symptoms:

•    Abdominal pain or cramping – Often relieved after a bowel movement.
•    Bloating and gas – Feeling uncomfortably full or swollen in the belly.
•    Diarrhea (IBS-D) – Frequent loose or watery stools.
•    Constipation (IBS-C) – Difficulty passing stools, sometimes with straining.
•    Alternating diarrhea and constipation (IBS-Mixed) – Switching between the two.
•    Mucus in stool – A common but harmless symptom.

Symptoms can vary from mild to severe and may flare up due to stress, diet, or hormonal changes.

What Causes IBS?

The exact cause of IBS is still unclear, but several factors may contribute:

1. Gut-Brain Connection – Miscommunication between the brain and digestive system can lead to abnormal muscle contractions in the intestines.
2. Gut Microbiome Imbalance – Changes in gut bacteria may trigger IBS symptoms.
3. Food Sensitivities – Certain foods (like dairy, gluten, or spicy foods) can worsen symptoms.
4. Stress and Anxiety – Emotional stress can aggravate IBS, as the gut is sensitive to mental health.
5. Hormonal Changes – Women are more likely to have IBS, and symptoms may worsen during menstruation.

How Is IBS Diagnosed?

Since IBS symptoms overlap with other digestive disorders, doctors use specific criteria to diagnose it. There’s no single test for IBS, but your doctor may:

1. Review Your Symptoms – Using the Rome IV criteria, doctors check for recurring abdominal pain (at least once a week for three months) linked to bowel changes.
2. Perform Physical Exams – Checking for bloating, tenderness, or unusual sounds in the abdomen.
3. Order Tests (If Needed) – To rule out other conditions, your doctor may suggest:
•    Stool tests (for infections or inflammation).
•    Blood tests (to check for celiac disease or anemia).
•    Colonoscopy or endoscopy (if red-flag symptoms like weight loss or bleeding are present).

If no other condition is found and your symptoms fit IBS, your doctor will confirm the diagnosis.

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Managing IBS: Lifestyle and Dietary Tips

While there’s no cure for IBS, these strategies can help control symptoms:

1. Dietary Changes

•    Follow a Low-FODMAP Diet – FODMAPs (Fermentable Oligo-, Di-, Mono-saccharides, and Polyols) are carbs that can trigger bloating. A dietitian can guide you on eliminating and reintroducing these foods.
•    Eat Smaller, Frequent Meals – Large meals can worsen cramping.
•    Stay Hydrated – Drink plenty of water, especially if constipation is an issue.
•    Limit Trigger Foods – Common culprits include dairy, caffeine, alcohol, and artificial sweeteners.

2. Stress Management

•    Practice Relaxation Techniques – Yoga, meditation, and deep breathing can reduce stress-related flare-ups.
•    Exercise Regularly – Physical activity helps regulate digestion and reduce stress.

3. Medications (If Needed)

•    Fiber supplements (for constipation).
•    Antispasmodics (to reduce cramping).
•    Probiotics (may help balance gut bacteria).

When to See a Doctor

If you experience any of the following, consult a doctor immediately:
•    Unexplained weight loss
•    Blood in stool
•    Severe diarrhea at night
•    Family history of colon cancer or inflammatory bowel disease

Need Help? Book a Consultation Today!

If IBS symptoms are affecting your daily life, don’t hesitate to seek professional advice. You can schedule a consultation with a gastroenterologist through Apollo 24|7 for personalized care and guidance.

Final Thoughts

Living with IBS can be challenging, but with the right diet, stress management, and medical support, you can lead a comfortable life. Pay attention to your body, track your symptoms, and work closely with your healthcare provider to find what works best for you. Remember, you’re not alone, many people successfully manage IBS and enjoy a healthy, active lifestyle. Take the first step today by understanding your symptoms and seeking the right support!

Consult a Top Gastroenterologist

Dr G Varun Teja, Gastroenterology/gi Medicine Specialist

Dr G Varun Teja

Gastroenterology/gi Medicine Specialist

6 Years • MBBS (Osmania Medical College) MD Internal Medicine (PGIMER, Chandigarh) DM Gastroenterology (AIIMS, New Delhi) Fellowship in Advanced Endoscopy (AIIMS, New Delhi)

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

700

600

Dr. Lekkala Rajesh, Gastroenterology/gi Medicine Specialist

Dr. Lekkala Rajesh

Gastroenterology/gi Medicine Specialist

12 Years • MBBS, DNB Internal Medicine DrNB Medical Gastroenterology and Hepatology | Medical Gastroenterology

Secunderabad

Apollo Hospitals Secunderabad, Secunderabad

1000

Dr. Sumanth Simha Vankineni, Gastroenterology/gi Medicine Specialist

Dr. Sumanth Simha Vankineni

Gastroenterology/gi Medicine Specialist

4 Years • MD, DM (Medical Gastroenterology )

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

recommendation

84%

(25+ Patients)

1200

1000

Dr. Ankit Vijay Agarwal, Gastroenterology/gi Medicine Specialist

Dr. Ankit Vijay Agarwal

Gastroenterology/gi Medicine Specialist

14 Years • MBBS(Osmania), DNB(Internal Medicine ), DM ( Osmania) Consultant Gastroenterologist, Hepatologist and Advanced Therapeutic Endoscopist

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

1200

1200

Dr. Prashant Kumar Rai, Gastroenterology/gi Medicine Specialist

Dr. Prashant Kumar Rai

Gastroenterology/gi Medicine Specialist

9 Years • MBBS. MD, DM (Gastroenterology)

Guwahati

Apollo Excelcare Hospital, Guwahati

recommendation

96%

(100+ Patients)

900

Consult a Top Gastroenterologist

Dr G Varun Teja, Gastroenterology/gi Medicine Specialist

Dr G Varun Teja

Gastroenterology/gi Medicine Specialist

6 Years • MBBS (Osmania Medical College) MD Internal Medicine (PGIMER, Chandigarh) DM Gastroenterology (AIIMS, New Delhi) Fellowship in Advanced Endoscopy (AIIMS, New Delhi)

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

700

600

Dr. Lekkala Rajesh, Gastroenterology/gi Medicine Specialist

Dr. Lekkala Rajesh

Gastroenterology/gi Medicine Specialist

12 Years • MBBS, DNB Internal Medicine DrNB Medical Gastroenterology and Hepatology | Medical Gastroenterology

Secunderabad

Apollo Hospitals Secunderabad, Secunderabad

1000

Dr. Sumanth Simha Vankineni, Gastroenterology/gi Medicine Specialist

Dr. Sumanth Simha Vankineni

Gastroenterology/gi Medicine Specialist

4 Years • MD, DM (Medical Gastroenterology )

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

recommendation

84%

(25+ Patients)

1200

1000

Dr. Ankit Vijay Agarwal, Gastroenterology/gi Medicine Specialist

Dr. Ankit Vijay Agarwal

Gastroenterology/gi Medicine Specialist

14 Years • MBBS(Osmania), DNB(Internal Medicine ), DM ( Osmania) Consultant Gastroenterologist, Hepatologist and Advanced Therapeutic Endoscopist

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

1200

1200

Dr. Prashant Kumar Rai, Gastroenterology/gi Medicine Specialist

Dr. Prashant Kumar Rai

Gastroenterology/gi Medicine Specialist

9 Years • MBBS. MD, DM (Gastroenterology)

Guwahati

Apollo Excelcare Hospital, Guwahati

recommendation

96%

(100+ Patients)

900

Consult a Top Gastroenterologist

Dr G Varun Teja, Gastroenterology/gi Medicine Specialist

Dr G Varun Teja

Gastroenterology/gi Medicine Specialist

6 Years • MBBS (Osmania Medical College) MD Internal Medicine (PGIMER, Chandigarh) DM Gastroenterology (AIIMS, New Delhi) Fellowship in Advanced Endoscopy (AIIMS, New Delhi)

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

700

600

Dr. Lekkala Rajesh, Gastroenterology/gi Medicine Specialist

Dr. Lekkala Rajesh

Gastroenterology/gi Medicine Specialist

12 Years • MBBS, DNB Internal Medicine DrNB Medical Gastroenterology and Hepatology | Medical Gastroenterology

Secunderabad

Apollo Hospitals Secunderabad, Secunderabad

1000

Dr. Sumanth Simha Vankineni, Gastroenterology/gi Medicine Specialist

Dr. Sumanth Simha Vankineni

Gastroenterology/gi Medicine Specialist

4 Years • MD, DM (Medical Gastroenterology )

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

recommendation

84%

(25+ Patients)

1200

1000

Dr. Ankit Vijay Agarwal, Gastroenterology/gi Medicine Specialist

Dr. Ankit Vijay Agarwal

Gastroenterology/gi Medicine Specialist

14 Years • MBBS(Osmania), DNB(Internal Medicine ), DM ( Osmania) Consultant Gastroenterologist, Hepatologist and Advanced Therapeutic Endoscopist

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

1200

1200

Dr. Prashant Kumar Rai, Gastroenterology/gi Medicine Specialist

Dr. Prashant Kumar Rai

Gastroenterology/gi Medicine Specialist

9 Years • MBBS. MD, DM (Gastroenterology)

Guwahati

Apollo Excelcare Hospital, Guwahati

recommendation

96%

(100+ Patients)

900

Get Your Health Assessed

398(₹995)60% off

550(₹1375)60% off

550(₹1375)60% off

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