irritable bowel syndrome (IBS)

Irritable bowel syndrome (IBS), also known as spastic bowel, involves a dysfunction of the digestive system. Although the intestinal tissue is intact, it is overstimulated, which disrupts intestinal function. Therefore, the intestinal wall is not inflamed as in Crohn’s disease or Colitis Ulcerosa, but you do experience symptoms. For example, in IBS the intestine makes too many or too few intestinal movements which disrupts digestion.

What exactly causes IBS is still relatively unknown. Recent studies indicate that IBS involves a disturbed brain-gut axis. In this case your intestines give the wrong signals to your brain and vice versa. Stress, smoking, certain foods and alcohol also play a role in IBS. The symptoms as they occur with IBS, can also have another, underlying cause. Therefore, if you suspect IBS, always consult a doctor or a dietitian.

Irritable bowel syndrome is characterized by various intestinal symptoms, often multiple symptoms in parallel. How exactly the intestinal symptoms express themselves is different for each individual. Below are the most common complaints and symptoms to recognize IBS:

  • Abdominal pain
  • Abdominal cramps
  • Diarrhoea, Congestion (obstipation)
  • Bloated belly due to gas
  • Flatulence

In addition to the above intestinal complaints, some people also have stomach problems, nausea and are tired more often. Do you have blood in your stool, unwanted weight loss, fever or any other complaint not listed above? If so, consult a doctor as there may be an underlying condition.

There are dietary and lifestyle improvements that can help to reduce symptoms of IBS. We have some suggestions listed below.

It is important to discover what foods stimulate your intestines, what your ‘trigger foods’ are. This can vary from person to person and is sometimes difficult to find out. The FODMAP diet is a method to discover exactly which foods you react to. You first eliminate all FODMAPs from your diet and then one by one add them back, always under the guidance of a dietitian or other health professional. FODMAPs are fermentable and therefore poorly digestible carbohydrates that can cause many symptoms of IBS. When following the FODMAP diet, be sure to get guidance from a dietitian.

Besides finding out your trigger foods, a general healthy and varied diet is very important. It lays the foundation for a proper functioning of your digestive system, enabling better management and control of symptoms. Choose a varied diet, make sure there is enough fibre and moisture in your food and eat at set times as much as possible.

Exercise is essential for a healthy body and proper bowel function and digestion. Therefore, try to exercise preferably for half an hour to an hour each day. For example, go for a walk, bike ride or run daily.

Stress can make symptoms of IBS worse. Making enough time for relaxation and sleep is vital. Yoga, meditation, reading a book, or going for a walk are just a few relaxation ideas. The most important thing is to choose a way of relaxation that suits you.

Smoking and drinking alcohol can stimulate the intestines and therefore worsen the symptoms of IBS. Stop smoking as much as possible and limit your alcohol consumption. In addition to smoking and drinking alcohol, caffeine can also stimulate the intestines.

With supplements, you can reduce symptoms of IBS or even make them disappear completely. For example, there are supplements that contain digestive enzymes to support digestion. These supplements help you break down foods that you normally don’t digest well. Probiotic supplements can also support intestinal function and therefore reduce or cure symptoms associated with IBS. Probiotics are good intestinal bacteria that help with digestion in the intestines.

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