Irritable Bowel Syndrome: Symptoms and Insights - Surgery

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Irritable Bowel Syndrome (IBS)


Hello, doctor.
Recently, I've been feeling a bloated discomfort in my right abdomen.
Today, my stool was dark green and thinner in shape, while yesterday's stool was of normal color but also thinner.
When I visited the hospital, I was diagnosed with irritable bowel syndrome.
I would like to know your opinion, doctor.

Xiao Yu, 20~29 year old female. Ask Date: 2016/06/11

Dr. Chen Jiaming reply Surgery


Abdominal bloating and pain are common general symptoms.
When patients seek medical attention, clinicians need to consider the patient's description of the actual symptoms, the sequence and duration of the illness, as well as the frequency of occurrences.
Additionally, physical examinations such as palpation of the abdomen, along with imaging studies like X-rays, and if necessary, blood tests, are essential for making the most accurate diagnosis.
There are many professional articles and educational resources available online regarding Irritable Bowel Syndrome (IBS).
I apologize for not being able to make any irresponsible diagnostic assumptions based solely on your brief description of two days of bowel movements.
I hope you can first gather information related to IBS and compare it with your own symptoms before consulting a gastroenterologist or a specialized gastroenterology clinic to effectively address your concerns.

Reply Date: 2016/06/11

More Info


Irritable Bowel Syndrome (IBS) is a common gastrointestinal disorder characterized by a combination of symptoms that can significantly impact a person's quality of life. The symptoms of IBS can vary widely among individuals, but they typically include abdominal pain, bloating, gas, and changes in bowel habits, such as diarrhea, constipation, or alternating between the two.
In your case, the discomfort in your right abdomen and the changes in your stool color and consistency are noteworthy. The fact that you are experiencing a feeling of bloating and have noticed that your stools are a darker green color and thinner than usual could be indicative of several factors related to IBS or other gastrointestinal issues.
The green color of your stool can be attributed to several reasons. It may be due to the rapid transit of food through the intestines, which does not allow enough time for bile to break down completely. This can happen during episodes of diarrhea, which is common in IBS. Additionally, certain foods, particularly those high in chlorophyll (like leafy greens) or foods with artificial coloring, can also lead to green stools.
The thin shape of your stools may suggest that there is some form of irritation or narrowing in the intestines, which can occur in IBS due to muscle contractions that are either too strong or too weak. However, it is essential to note that while IBS is a functional disorder and does not cause permanent damage to the intestines, it can lead to significant discomfort and distress.

Given that you have been diagnosed with IBS, it is crucial to manage your symptoms effectively. Treatment typically involves dietary changes, stress management, and sometimes medication. Here are some insights into managing IBS:
1. Dietary Modifications: Many individuals with IBS find relief by adjusting their diet. Keeping a food diary can help identify trigger foods. Common triggers include dairy products, high-fat foods, caffeine, and certain carbohydrates known as FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols). A low-FODMAP diet may be beneficial for some patients.

2. Hydration: Staying well-hydrated is essential, especially if you experience diarrhea. Drinking plenty of water can help maintain bowel function.

3. Regular Exercise: Physical activity can help reduce stress and improve bowel function. Aim for at least 30 minutes of moderate exercise most days of the week.

4. Stress Management: Stress can exacerbate IBS symptoms. Techniques such as mindfulness, yoga, or cognitive-behavioral therapy may be helpful in managing stress levels.

5. Medications: Depending on your specific symptoms, your healthcare provider may recommend medications to help manage IBS. These can include antispasmodics for abdominal pain, laxatives for constipation, or anti-diarrheal medications for diarrhea.

6. Probiotics: Some studies suggest that probiotics may help alleviate symptoms of IBS by promoting a healthy gut microbiome. However, the effectiveness can vary among individuals.

7. Regular Follow-ups: Since IBS can sometimes overlap with other gastrointestinal conditions, it is essential to have regular follow-ups with your healthcare provider. If your symptoms change significantly or worsen, further evaluation may be necessary to rule out other conditions.

In conclusion, while IBS can be a challenging condition to manage, understanding your symptoms and triggers can empower you to take control of your health. If you have ongoing concerns about your symptoms, including the changes in stool color and consistency, it is advisable to consult with your healthcare provider for further evaluation and tailored management strategies.

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