Affecting 15 percent of Americans – most of them women –Irritable Bowel Syndrome or IBS is one of the most common disorders of the bowel.
IBS is an ongoing problem that occurs in the large intestine when food travels too quickly through the intestines leading to pain and discomfort. Read more in our patient education guide.
The CDC estimates that 3.2 million Americans are infected with the hep C virus, making this one of the most common causes of chronic liver disease in the United States. Most people infected with hepatitis C develop chronic hepatitis. They do not notice any symptoms until they have had the disease for many years. If they do have symptoms, these may include:
Doctors Who Treat Irritable Bowel Syndrome - Patient Education
As your irritable bowel syndrome IBS is diagnosed, treated and managed, you may encounter the following team of doctors and specialists.
- General Practitioners - The first line of defense in IBS. These doctors deal with prevention, discovery and treatment of illnesses in all age categories
- Internist - Focuses on diagnosis, treatment and prevention of adult illness.
- Gastroenterologist - Doctor who specializes in diagnosis and treatment of digestive system diseases.
- Psychologist - Specializes in mood and emotional disorders. This therapist offers counseling and alternative therapy like hypnosis and biofeedback to diminish the frequency of IBS attacks.
- Nutritionist/Dietician - Devises meal plans that avoid food sensitivities responsible for an increase in IB attacks and which foods are helpful in decreasing the occurrence.
How to Prepare for Your Irritable Bowel Syndrome (IBS) Doctor Visit
Having made your appointment with a healthcare provider, there are certain actions that you need to take in order to maximize the benefit of your doctor visit for irritable bowel syndrome or IBS
- Bring a diary of frequency and severity of bowel symptoms as well as anything that seems to bring them on.
- Bring a list of all medications including vitamins and herbs as well as a complete past medical history, list of allergies and family history.
Questions to Ask Your Doctor About Irritable Bowel Syndrome or IBS
From your initial diagnosis throughout your treatment and care, you will have questions about your irritable bowel syndrome. Our patient education guide lists questions for you and your doctor to discuss so you can make informed decisions about your condition.
Question About My Diagnosis
- Does IBS lead to colon cancer?
- Is IBS associated with other medical conditions?
- Are there triggers that cause IBS flare-ups?
- How do I determine the triggers?
- Is Irritable Bowel Syndrome curable?
Questions About My Treatment
- Will I need surgery eventually?
- Are there medications that prevent a flare-up?
- Will I need to take medications chronically?
- What are the side effects of the treatment?
- Are there nonprescription or herbal treatments for IBS?
- Should I take or avoid laxatives?
Questions About My Lifestyle & Family
- Is IBS genetic?
- What diet and exercise do you advise? Are there foods I should avoid?
- Does stress cause IBS? Smoking? Do alcoholic beverages cause IBS flare-ups?
- Are there complementary therapies available for IBS?
Common Tests or Labs to Diagnose Irritable Bowel Syndrome (IBS)
There are no definitive tests for Irritable Bowel Syndrome or IBS.
The standard questionnaire in history taking involves the Rome III Criteria. These criteria involve at least 3 days/month of symptoms and breaks down the frequency and intensity of:
- Recurrent abdominal pain or discomfort
- Functional (ongoing) bloating
- Constipation
- Diarrhea
- Unknown disorder symptoms
In patients over the age of 50 who are developing symptoms for the first time, patient education is important. It is prudent to rule out any other medical causes by undergoing the following tests.
| Test |
Why Test? |
What Happens? |
Normal Result |
|
Complete Blood Count (CBC)
|
WBC elevation denotes inflammation
Anemia from lowered RBC, hemoglobin and hematocrit suggests a loss of blood
|
After a tourniquet is applied to the upper arm, the puncture site of skin is swabbed with alcohol and a needle punctures the skin, entering a vein. Blood is drawn into a syringe for analysis. The tourniquet is then removed and a pressure bandaid is applied.
|
WBC=4.5-11
RBC
Male 4.5-5.3
Female=4.1-5.1
Hemoglobin
Male= 13-16
Female= 12-16
Hematocrit
Male=37-49%
Female=36-46%
|
|
Stool Analysis
|
Looks for:
- Blood
- Parasites (Giardia lamblia, pinworms)
- Bacteria
- Fungus
- Virus
|
Stool specimen is inserted into a sterile cup that is provided to you and sent to the laboratory for analysis
|
No blood or abnormal organisms are found.
|
|
Colonoscopy
|
Looks for:
- Growths
- Tumors
- Ulcer
- Strictures of the large intestine
|
After lying on an exam table, sedation is given by IV in your arm. The doctor then passes a long, flexible scope with light attached to a video monitor up from your rectum to view the entire large intestine. When done the instrument is removed and you are awakened.
|
No growths, or ulcers, tumors or strictures seen.
|
|
Thyroid Function Tests
|
Checks for antibodies
Scans size of gland
Tests thyroid hormone levels
|
For antibodies and hormone levels, a tourniquet is applied to the upper arm. The puncture site of skin is swabbed with alcohol and a needle punctures the skin, entering a vein. Blood is drawn into a syringe which is then sent for analysis
For the thyroid scan, a small amount of radioactive iodine is taken orally which gathers within the thyroid gland. X-ray images are then taken.
A sonogram of the thyroid is performed while you are lying on the examination table. A gel is applied to the throat area and a wand emanating pulses is placed back and forth over the area. Echoes produce an image on a monitor.
|
Anti-TPO antibodies are not present.
TSH (thyroid stimulating hormone)
.5-6uU/ml
T3 (serum triiodothyronine)
80-180 ng/dL
T4 (thyroxin)
4.6-12ug/dL
FT4I (free thyroxine Index)
.7-1.9 ng/dL
TBG (thyroid binding globulin)
12-20 ugdL
No nodules or growths are seen
|
|
Blood Tests for Celiac Disease
|
Tests for 3 types of antibodies:
- Anti-gliadin
- Anti-tissue transglutaminase
- Endomysial
|
After a tourniquet is applied to the upper arm, the puncture site of skin is swabbed with alcohol and a needle punctures the skin, entering a vein. Blood is drawn into a syringe for analysis. The tourniquet is then removed and a pressure Band-Aid is applied.
|
Antibodies are normally absent
|
|
Small Intestinal Biopsy
|
The pathologist searches microscopically for loss of villi and increased white blood cells which are characteristic of celiac sprue
|
You lie on an examination table and sedation is given.
The doctor inserts a long, flexible viewing endoscope through the mouth and into the duodenum. A long biopsy tool is passed through a channel in the endoscope to take snips of the duodenal lining. .
After the biopsies are done, visualization ensures no acute bleeding. The instruments are withdrawn and the test is finished.
|
Normal pink lining of the intestines with no growth, pouching or strictures.
Normal amount of villi and white blood cells are seen on microscopic exam.
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Common Medications and Treatments for Irritable Bowel Syndrome (IBS)
There are several steps you can take in diet and lifestyle changes to alter and improve the frequency and intensity of symptomatic attacks of irritable bowel syndrome or IBS.
Alternative therapies to reduce the stress include biofeedback, yoga, deep-breathing exercises, imagery therapy, counseling and Tai Chi.
If these methods are not effective for you, more traditional medications are available to make you more comfortable. While there is no one "magic pill" to relieve IBS chronically, there are treatments to control the symptoms that interfere with every day life like diarrhea, constipation and intense pain. Read more in this patient education guide.
| Drug Category |
How it works |
|
Antidiarrheals
|
Lessens intestinal movement
|
|
Bile Acid Binders
|
Inhibit bile acids from stimulating the colon- slows stool passage and decreases diarrhea incidence
|
|
Stool softeners
|
Encourages water absorption by stool for easier passage
|
|
Laxatives
|
Promotes bowel movements, lessens constipation
|
|
Antispasmodics
|
Relieves cramps and intestinal spasms
|
|
Antidepressants
|
Decreases depression
Decreases the intense IBS pain
|
|
Anti-anxiety Medications
|
Lessens anxiety to decrease IBS symptoms
|