Health Services
Self Care

Bowel Syndrome (IBS)

Description
The irritable bowel syndrome (IBS) is a set of symptoms caused by increased irritability of the intestinal tract. Other names used to describe irritable bowel syndrome are irritable colon, spastic colon, and spastic colitis. An estimated 22 million people suffer from IBS and two-thirds of them are women. IBS often begins in adolescence and in most cases onset occurs before the age of 40. IBS tends to be a chronic condition that flares up from time to time. Many people suffer from IBS for years before they seek medical help. Stress can aggravate the symptoms of IBS. Many patients can relate the onset of their IBS symptoms to specific important and perhaps upsetting events in their lives, while other suffer from IBS that is brought on by routine everyday stress.

Symptoms
The symptoms of IBS include abdominal pain, altered bowel habits, constipation, diarrhea, or constipation alternating with diarrhea. Abdominal pain, often the most distressing symptom, is caused by spasms in the bowel. There can also be increased intestinal gas, nausea and loss of appetite. IBS is usually associated with emotional stress or poor dietary habits.

Treatment
Many things can be done to help control the symptoms of IBS. The emphasis of treatment is based on long-term management of stress and diet. Stress management techniques such as progressive muscle relaxation and guided imagery can help alter responses to stressful situations.

A proper diet is another important factor that can contribute to control of symptoms. Increasing the amount of fiber or roughage in the diet can help relieve symptoms by producing soft stools, and by helping normalize the time waste material takes to pass through the colon. High fiber foods include whole grains, fruits, vegetables, and legumes (check labels for fiber content). In some cases, high fiber supplements (Metamucil) may be added to the diet. Avoiding milk and milk products may also help. Be cautious of using laxatives. While occasional use can aid elimination, misuse can lead to dependence which can cause the bowel to lose its ability to function normally.

Occasionally, medications that decrease spasms may be prescribed for severe episodes of IBS. Unusual symptoms such as severe pain, cramping or bloody stools should be brought to the attention of a physician.

The following is a list of basic guidelines to facilitate a healthy bowel routine:

• Eat at regular hours; chew food slowly and thoroughly.
• Drink 6-8 cups of liquid daily, including fruit and vegetable juices and water.
• Maintain a regular program of physical exercise and activity.
• Avoid delaying the urge to have a bowel movement. Avoid straining; try to relax and take your time.

More Information/Questions
Messiah students who have additional questions or notice unusual symptoms (such as severe pain, cramping or bloody stools) suggesting other physical problems may contact the Health Center at 691-6035.