Irritable Bowel Syndrome (IBS):
IBS is a psychological disorder characterised by signs and symptoms suggestive of gastro-intestinal dysfunction without any organic lesion,but dependent on disturbed colonic motility.
Mechanism of IBS
- Stress and psychological conflicts result in changes in parasympathetically mediated vagal nerve activity.
- As result there is disordered and inco-ordinated bowel motility and increased mucus secretion.
- IBS is dependent upon the period of stress accordingly,IBS lasts.
- First symptom of IBS is noticed with abdominal pain,the nature of pain being colicky or dull and location of pain is vague and diffuse. Intensity of pain is mild to moderate degree of severity. Duration of pain is intermittent or for long duration.
- Aggravating factors may be related to food intake and relieved by passing of flatus or defaecation.
- Abdominal bloating,excessive flatulence,rumbling and gurgling in abdomen
- Frequent urge to pass stools immediately after eating,patient complaints of feeling hungry but not ablt to eat because of fear of passing stools again.
- Constipation is common after series of diarrhea attacks.
- Frequent urination and all complaints are exacerbated with stress.
- Prognosis is variable.
Reassurance and explanation about the disorder to the patient.
Encourage the patient to cope with the symptoms,as they tend to be recurrent.
Low fibre diet,high protein diet is advised.
Avoid tea,coffee,smoking,alcohol,heavy food intake.
Adequate rest and sleep.
Liberal intake of fluids.