Description
Recurrent constipation and diarrhea associated with abdominal pain. The colon in irritable bowel syndrome is normal appearing, but the symptoms are thought to come from abnormal contractions of the colon. It is not contagious or inherited. Women are affected twice as often as men and the cause of the disorder is not known.
Symptoms
The symptoms can vary from mild to severe. Many patients have variable periods of diarrhea, constipation and normal bowel movements. Other symptoms include abdominal pain, tenderness, distension or fullness, gas, bloating, nausea and vomiting, loss of appetite, emotional distress, and depression.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. EGD (esophagogastroduodenoscopy) and/or colonoscopy may be performed. Tests typically reveal no physiologic abnormalities that can explain the symptoms.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan
Other Specific Tests: EGD (esophagogastroduodenoscopy), colonoscopy
Specialists:
Gastroenterology, Internal Medicine, Pediatrics, Family Practice, Pediatric Gastroenterology
Workup:
A history and physical exam will be performed. EGD (esophagogastroduodenoscopy) and/or colonoscopy may be performed. Tests typically reveal no physiologic abnormalities that can explain the symptoms.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan
Other Specific Tests: EGD (esophagogastroduodenoscopy), colonoscopy
Specialists:
Gastroenterology, Internal Medicine, Pediatrics, Family Practice, Pediatric Gastroenterology
Treatment
Therapy depends on the severity of the symptoms. The following medications may be prescribed: anticholinergic medications before meals, anti-diarrheal medications, and/or low-dose antidepressants. Counseling and dietary changes are often recommended.