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Irritable Bowel Syndrome

WHAT YOU SHOULD KNOW

Irritable bowel syndrome, also known as spastic colon or mucous colitis, is a problem that keeps stool from moving through the bowel (intestine) normally. The stool may move too slowly or too fast.

Causes

Not known for sure. The problem may occur because of stress, anxiety, or depression, or may be brought on by eating. However, it may not be possible to find out which food is the cause.

Signs/Symptoms

Often, the chief symptom is cramp-like pain that may go away when you move your bowels, or diarrhea that starts without warning. You also may not be able to move your bowels, or have pain when you do because the stool is hard and dry. Other symptoms include: headache, backache, or feeling sick to your stomach. You may not want to eat and may lose weight. You may feel tired, depressed, or anxious, or find it hard to think.

Care

May include tests to study your stool, an x-ray of your intestines, and an examination of your rectum. Medicines may be given to reduce any cramping you may feel or to relieve anxiety, gas, diarrhea, or constipation.

WHAT YOU SHOULD DO

  • Your doctor may recommend over-the-counter medications to control your symptoms:
    • A stool softener to make the stool easier to pass, or--
    • Antidiarrhea medicine if the problem takes this form.
  • Try to identify any foods that may cause flare-ups and avoid eating them. You may find it helpful to keep a diary of everything you eat and drink.
  • Increasing fiber in your diet may help relieve symptoms. Good choices are whole grain breads, oatmeal or bran cereals, and fresh vegetables and fruits.
  • Get plenty of rest.
  • Try to reduce the amount of stress in your daily life. Take a short time-out period from stressful situations that occur during the day. Close your eyes and breathe deeply. Tense the muscles of your face, hold for a few seconds, then relax. Repeat this procedure with the muscles in your neck, shoulders, hands, stomach, back, and legs.
  • Exercise at least 3 times a week.
  • Don't smoke or use drugs or alcohol to relieve stress.

Call Your Doctor If...

  • You have a high temperature.
  • Your stool is black or contains blood or mucus.
  • You lose 5 or more pounds without dieting.
  • Your symptoms don't improve despite treatment.

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