Irritable Bowel Syndrome: Symptoms and Concerns - Gastroenterology and Hepatology

Q: Irritable Bowel Syndrome: Symptoms and Concerns

Hello： Discomfort in the lower abdominal pelvic area requires the exclusion of gynecological diseases. <br>Additionally, individuals with a history of abdominal surgery may experience discomfort due to intestinal adhesions. <br>If diagnosed with irritable bowel syndrome (IBS), ma

Gastroenterology issues

Long-term pain in the lower abdomen on both sides, reaching down to the pubic area, occurs almost daily with symptoms including bloating, cramping, sharp pain, stabbing pain, and aching pain.
Additionally, there is daily soreness and cramping in the lower back.
The doctor diagnosed it as irritable bowel syndrome (IBS) over a year ago, and all tests including stool analysis, gastroscopy, barium enema, and liver and gallbladder ultrasound have shown no issues within the past year.
Recently, I experience cramping in the abdomen every morning upon waking, followed by immediate watery diarrhea.
However, yesterday's watery stool had a color resembling iodine.
How could there be iodine-colored diarrhea? When will irritable bowel syndrome improve? It has already been over a year.

wW, 20~29 year old female. Ask Date: 2012/07/26

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: Discomfort in the lower abdominal pelvic area requires the exclusion of gynecological diseases.
Additionally, individuals with a history of abdominal surgery may experience discomfort due to intestinal adhesions.
If diagnosed with irritable bowel syndrome (IBS), management can include dietary adjustments and medication.
In terms of diet, it is recommended to consume low-fat, low-dairy, and non-irritating, non-gassy foods.
Medications should be adjusted based on individual responses, and emotional regulation and overcoming anxiety are also very important.
Wishing you health, Dr.
Chen Qifeng, Taoyuan Hospital, Department of Health.

Reply Date: 2012/07/26

More Info

Irritable Bowel Syndrome (IBS) is a common gastrointestinal disorder characterized by a combination of symptoms that can significantly affect a person's quality of life. Your description of persistent abdominal pain, bloating, and changes in bowel habits aligns with the typical manifestations of IBS. It is important to understand that IBS is a functional disorder, meaning that while it causes discomfort and distress, it does not lead to any observable structural abnormalities in the intestines, as confirmed by your previous tests.

The symptoms of IBS can vary widely among individuals, but they often include abdominal pain or discomfort that is relieved by bowel movements, changes in the frequency of bowel movements (either diarrhea or constipation), and alterations in the form or appearance of stools. In your case, the daily abdominal pain and the urgency to have bowel movements, especially upon waking, are consistent with IBS. The presence of water-like stools, particularly with unusual colors, can be concerning, and while IBS can cause diarrhea, it is essential to consider other potential causes for such changes.

The color of your stool, described as resembling iodine, is unusual and warrants further investigation. Stool color can be influenced by various factors, including diet, medications, and the presence of bile. If you have recently consumed foods or supplements that contain iodine or if you are taking medications that could affect stool color, this might explain the change. However, if this color persists or is accompanied by other alarming symptoms such as blood in the stool, significant weight loss, or persistent fever, it is crucial to seek medical attention promptly.

IBS is often triggered or exacerbated by stress, dietary choices, and lifestyle factors. Many patients find relief by making dietary adjustments, such as increasing fiber intake, avoiding trigger foods (like caffeine, alcohol, and high-fat foods), and practicing stress management techniques. Regular physical activity can also help alleviate symptoms. Medications may be prescribed to manage specific symptoms, such as antispasmodics for abdominal pain or laxatives for constipation.

It's important to note that IBS is a chronic condition, and while many patients experience periods of remission, symptoms can recur. The timeline for improvement varies from person to person. Some individuals may find that their symptoms improve significantly over time, while others may continue to experience challenges. Ongoing communication with your healthcare provider is essential to tailor a management plan that works for you.

In summary, while your symptoms are consistent with IBS, the unusual color of your stool should be evaluated further to rule out other gastrointestinal issues. Continue to monitor your symptoms, maintain a healthy lifestyle, and work closely with your healthcare provider to manage your condition effectively. If you have any new or worsening symptoms, do not hesitate to seek medical advice.

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