Think you may have IBS? The CDHF has put together a guide on signs, symptoms, and when to see a doctor.
What is IBS?
IBS is a common digestive condition that affects how your gut works. It is now classified as a Disorder of Gut-Brain Interaction (DGBI), meaning it involves both the digestive system and the way the brain and gut communicate.
- Bloating
- Recurrent abdominal pain
- Changes in bowel habits (constipation, diarrhea, or both)
IBS is linked to stress, gut bacteria imbalances, and how your brain and gut interact. It does not cause permanent damage to your intestines, but it can impact daily life.
Do You Have IBS?
Doctors diagnose IBS based on symptoms. If you experience abdominal pain at least one day a week for the last three months along with changes in your stool consistency or frequency, you might have IBS.
When to See a Doctor
Some symptoms require further medical evaluation to rule out other conditions:
- Unexplained weight loss
- Blood in stool
- Fever
- Severe or worsening pain
- Family history of digestive diseases (IBD, celiac disease, colorectal cancer)
If you notice any of these, consult a doctor right away.
IBS Types
IBS can present in different ways:
- IBS-C (Constipation-predominant): More hard stools than loose ones
- IBS-D (Diarrhea-predominant): More loose stools than hard ones
- IBS-M (Mixed type): Alternates between constipation and diarrhea
Your doctor may ask about your stool using the Bristol Stool Chart, which helps categorize stool consistency.
Tests and Diagnosis
Most IBS cases can be diagnosed without extensive tests. Your doctor may order:
- Blood tests (to check for anemia or inflammation)
- Stool tests (to rule out infections or inflammation)
- Celiac disease test (if symptoms match gluten intolerance)
- Colonoscopy (only if there are risk factors or unusual symptoms)
Managing IBS
There is no cure for IBS, but symptoms can be managed through lifestyle changes and treatment.
- Diet Adjustments
- Consider trialing the low FODMAP diet (reduces fermentable foods that cause gas and bloating), under the supervision of a registered dietitian.
- Avoid triggers like caffeine, alcohol, spicy foods, and dairy (if sensitive).
- Stay hydrated and eat fibre-rich foods (depending on your IBS type).
- Lifestyle Changes
- Regular exercise and good sleep help regulate digestion.
- Medication & Supplements
- Probiotics, and prebiotics may help
- Over-the-counter or prescription medications for pain, diarrhea, or constipation as recommended by your doctor.
- Enteric-Coated Peppermint Oil Capsules
- FODMAP-digesting enzymes
- Gut-Brain Signal Management
- Because IBS is a Disorder of Gut-Brain Interaction (DGBI), treatments that help regulate gut-brain signals can be effective.
- Gut-directed hypnotherapy and cognitive behavioral therapy (CBT) may help manage symptoms.
When to Follow Up
If you have IBS, regular check-ins (every 6–8 weeks) with your healthcare provider can help track progress and adjust treatments if needed.
Final Thoughts
IBS is a long-term condition but can be managed with the right approach. If you suspect IBS, talk to your doctor for a diagnosis and personalized treatment plan.
For more information, visit CDHF.ca
