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Irritable Bowel Syndrome IBS

Comprehensive care for digestive disorders by Dr. Akeel Alisa

Understanding Irritable Bowel Syndrome

Irritable Bowel Syndrome (IBS) is one of the most common digestive disorders, affecting millions of people worldwide. It is a functional condition, which means that while the bowel looks normal on scans and tests, it does not always work as it should. The symptoms of IBS can vary from person to person but often include:

  • Abdominal pain or discomfort
  • Bloating or excessive wind
  • Diarrhoea, constipation, or alternating between the two
  • Urgency to go to the toilet
  • A feeling of incomplete bowel emptying

IBS is not life-threatening, but it can cause a significant impact on daily life, work, social activities, and overall wellbeing. Many patients feel frustrated because the symptoms may come and go unpredictably, making the condition difficult to manage without expert guidance.

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Causes and Triggers of IBS

The exact cause of IBS is still not fully understood. However, research shows that it may be linked to several factors, including:

  • Gut-brain interaction:
    The nerves controlling the digestive system may be more sensitive in people with IBS.
  • Altered gut motility:
    Muscles in the bowel may contract too quickly or too slowly, leading to diarrhoea or constipation.
  • Food intolerance:
    Certain foods, such as wheat, dairy, caffeine, or high FODMAP foods, often trigger symptoms.
  • Gut microbiome imbalance:
    An overgrowth or imbalance of bacteria in the gut can contribute to IBS symptoms.
  • Stress and emotional health:
    Anxiety, stress, and mental health play an important role in how the gut functions.
  • Post-infection IBS:
    Some people develop IBS after a severe gastroenteritis infection.

When Should You See a Gastroenterologist?

While mild IBS symptoms may be manageable with diet and lifestyle adjustments, you should seek professional help if you experience:

  • Persistent or worsening abdominal pain
  • Rectal bleeding
  • Unexplained weight loss
  • Night-time diarrhoea
  • Family history of bowel disease or bowel cancer

Diagnosis of IBS

IBS is usually diagnosed after excluding other causes of digestive symptoms. A consultant gastroenterologist may recommend:

  • Blood tests to check for coeliac disease, anaemia, or inflammation
  • Stool tests to rule out infection or inflammation
  • Endoscopy or colonoscopy if needed to rule out more serious conditions
  • Breath tests if small intestinal bacterial overgrowth (SIBO) is suspected

Once other conditions are excluded, a diagnosis of IBS can be made based on your symptoms and clinical history.

Treatment Options for IBS

There is no single cure for IBS, but effective treatments can help manage and reduce symptoms significantly. Treatment is tailored to each patient and may include:

Dietary Advice

  • A low FODMAP diet, which reduces fermentable carbohydrates, can be very effective.
  • Identifying and avoiding trigger foods such as caffeine, spicy food, or dairy.
  • Working with a specialist dietitian for long-term guidance.

Lifestyle Modifications

  • Regular exercise to promote healthy bowel function.
  • Stress management techniques such as mindfulness, yoga, or relaxation therapy.
  • Adequate hydration and sleep.

Medications

  • Antispasmodics to reduce abdominal cramping.
  • Laxatives or fibre supplements for constipation.
  • Anti-diarrhoeal medications if diarrhoea is the main issue.
  • Certain antidepressants in low doses can help regulate gut sensitivity.

Psychological Support

Since the gut and brain are closely connected, therapies such as cognitive behavioural therapy (CBT), hypnotherapy, or counselling can also benefit patients.

Why Choose Specialist IBS Care?

Many patients with IBS spend years struggling with symptoms before seeking professional help. Consulting a gastroenterologist offers several advantages:

  • Accurate diagnosis:
    Excluding other serious conditions brings peace of mind.
  • Personalised treatment:
    Plans tailored to your specific triggers and symptoms.
  • Access to advanced testing:
    Breath tests, endoscopy, and dietary assessments.
  • Ongoing support:
    Management plans that adapt as your symptoms change.
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My consultation with Dr Akeel Alisa was highly satisfactory and he was very thorough. The Gastroscopy procedure was performed satisfactorily with no pain or discomfort at all. I am very pleased with treatment received so far.

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I was fully vaccinated investigated by Dr Akeel Alisa and I was reassured. My endoscopy and colonoscopy were straight forward and painless. I am very happy with the care I received.

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Dr Akeel Alisa and Nursing team at Cromwell Hospital Endoscopy team offered me great care and all was perfect. Well pleased.

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