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Science
IBS symptoms

IBS Symptoms

Irritable Bowel Syndrome is a gastrointestinal disorder that affects millions of people all over the world. It is a chronic functional disorder that might not permanently damage your digestive tract, but it significantly impacts your daily life. Depending on a wide array of factors, the condition can present differently. That is why it is crucial to understand the range of IBS disease symptoms, especially how they differ in males and females.

Let’s explore the IBS symptoms, causes, types, and more. Read on!

1.0Common Symptoms of IBS

People who have IBS have different digestive symptoms varying in frequency and intensity. These symptoms are triggered by hormonal changes, diet, or stress. Furthermore, depending on your situation, they might come and go or be constant. Let’s take a look at the most common IBS symptoms:

1. Abdominal Pain & Cramping

This is the most reported symptom of IBS. Pain usually occurs in the lower abdomen and is often relieved after a bowel movement.

2. Bloating & Excess Gas

A feeling of fullness, tightness, and visible swelling of the belly is common. Bloating often worsens after meals.

3. Diarrhoea (IBS-D)

Frequent, urgent, and loose or watery stools define this form of IBS. It may cause a fear of travelling or eating out due to unpredictability.

4. Constipation (IBS-C)

Hard, infrequent stools and straining during bowel movements are typical. Individuals may feel like they haven’t fully emptied their bowels.

5. Alternating Bowel Habits (IBS-M)

Many people experience both constipation and diarrhoea at different times. This form is known as mixed IBS or IBS-M.

6. Mucus in Stool

White or clear mucus may be present in the stool, which is unusual in normal bowel movements but common in IBS disease symptoms.

7. Urgency to Defecate

A sudden and strong urge to have a bowel movement, sometimes with fear of not reaching the restroom in time.

2.0Other IBS Symptoms You Should Know

Besides digestive distress, IBS can cause several non-GI symptoms that are often overlooked:

  • Incomplete bowel movements
  • Nausea, especially after meals
  • Fatigue or low energy levels
  • Food intolerances (e.g., dairy, gluten, FODMAPs)
  • Lower back pain
  • Frequent urination

These IBS symptoms in females and males can vary depending on hormone levels, stress response, and gut sensitivity.

3.0What Are the Causes of IBS?

The exact cause of IBS isn’t known, but researchers believe it results from a combination of physical, psychological, and environmental factors. Here are some of the most likely IBS symptoms and causes:

Cause

Description

Abnormal Gut Motility

Irregular muscle contractions in the intestines can lead to diarrhoea or constipation.

Nerve Dysfunction

Extra-sensitive nerves in the GI tract trigger pain and cramping from minor gas or stool.

Gut Microbiome Imbalance

Disruption in healthy gut bacteria may affect digestion and immune response.

Food Triggers

Common culprits include fatty foods, caffeine, alcohol, and gluten.

Stress & Anxiety

The brain-gut connection is strong; emotional stress can aggravate IBS symptoms.

Hormonal Fluctuations

Oestrogen levels can worsen IBS symptoms in females, especially during menstruation.

Post-Infection IBS

Some individuals develop IBS after recovering from a gastrointestinal infection or inflammation.

4.0Different Types of IBS

IBS is categorised based on the dominant bowel habit. Understanding your type can help tailor treatment strategies.

Type

Description

IBS-C (Constipation-predominant)

Hard, dry, or infrequent stools; straining during bowel movements.

IBS-D (Diarrhoea-predominant)

Frequent, urgent, and loose stools may occur after meals.

IBS-M (Mixed type)

Alternates between diarrhoea and constipation.

IBS-U (Unclassified)

Does not fit neatly into the other categories but still shows core symptoms.

Both IBS symptoms in men and women can fit any of these categories, though IBS-D is often more common in men and IBS-C in women.

5.0How Is IBS Diagnosed?

Diagnosing IBS can be complex since there's no definitive test. Instead, doctors use a combination of medical history, symptom evaluation, and diagnostic criteria to rule out other conditions.

1. Medical History & Symptom Review

Doctors start by assessing symptoms, diet, bowel patterns, and stress levels. This helps identify possible triggers and patterns.

2. Rome IV Diagnostic Criteria

To meet the criteria for IBS, patients must have abdominal pain at least one day per week over the last three months, along with two or more of the following:

Pain related to bowel movements

Changes in stool frequency

Changes in stool appearance or form

3. Physical Examination

A doctor may check for bloating, abdominal tenderness, and visible signs of discomfort during a physical check-up.

6.0Tests to Rule Out Other Conditions

Because IBS shares symptoms with other gastrointestinal disorders, doctors may conduct several tests to exclude more serious conditions like Inflammatory Bowel Disease (IBD), colon cancer, or celiac disease.

1. Stool Tests

Used to detect infections, inflammation, or blood.

Faecal Occult Blood Test (FOBT) – Detects hidden blood in stool.

Calprotectin Test – Identifies inflammation markers.

2. Blood Tests

Screens for anaemia, infection, or celiac disease, which can mimic IBS disease symptoms.

3. Colonoscopy or Sigmoidoscopy

These are used in severe or unexplained cases, especially in older adults or those with alarming symptoms like weight loss or rectal bleeding.

4. Hydrogen Breath Test

Used to detect lactose intolerance or Small Intestinal Bacterial Overgrowth (SIBO), which can cause IBS symptoms.

5. Imaging Tests (If Necessary)

Ultrasound, X-rays, or CT scans may be ordered to rule out structural abnormalities in the digestive system.

Table of Contents


  • 1.0Common Symptoms of IBS
  • 2.0Other IBS Symptoms You Should Know
  • 3.0What Are the Causes of IBS?
  • 4.0Different Types of IBS
  • 5.0How Is IBS Diagnosed?
  • 6.0Tests to Rule Out Other Conditions

Frequently Asked Questions

Early symptoms of IBS include bloating, gas, and irregular bowel movements. These symptoms may appear intermittently and worsen over time, particularly after meals or during periods of stress.

Yes. IBS symptoms in females often relate to hormonal cycles and lean toward constipation and bloating. IBS symptoms in men often include diarrhoea and urgency, but may be underreported.

Diagnosis is clinical, based on symptom history and the Rome IV criteria. Tests such as colonoscopies or stool studies may be performed to rule out other diseases.

Absolutely. The gut and brain are closely linked, and stress is a major trigger. Managing anxiety and depression is often essential in IBS treatment.

IBS is a chronic but manageable condition. Symptoms may fluctuate, but with the right lifestyle changes, dietary control, and stress management, quality of life can improve significantly.

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