What causes IBS (Irritable Bowel Syndrome) ?
The exact cause of IBS is not fully understood, but several factors are believed to contribute to the condition:
- Abnormal muscle contractions in the intestine
- Gut-brain axis miscommunication
- Increased sensitivity to pain in the digestive tract
- Imbalance in gut bacteria (dysbiosis)
- History of intestinal infections or food poisoning
- Stress, anxiety or mental health issues
- Hormonal fluctuations (especially in women)
What are the symptoms of IBS?
IBS symptoms vary from person to person and can range from mild to severe. Common signs include:
- Abdominal pain or cramping, often relieved after a bowel movement
- Bloating and excessive gas
- Changes in bowel habits (diarrhea, constipation or alternating between both)
- Urgency to pass stool or a feeling of incomplete evacuation
- Mucus in stool
- Fatigue and disturbed sleep (in some cases)
How is IBS diagnosed?
There’s no single test to diagnose IBS. Instead, doctors rely on a combination of:
- Medical history and symptom review
- Physical examination
- Rome IV criteria (standardized diagnostic guidelines for IBS)
- Exclusion of other conditions through tests like blood tests, stool analysis or colonoscopy (if needed)
How can IBS be treated?
Lifestyle and Diet Changes
- Adopting a low FODMAP diet (avoiding fermentable sugars and carbs)
- Eating smaller, more frequent meals
- Staying hydrated
- Reducing caffeine, alcohol and spicy foods
- Keeping a food diary to identify personal triggers
Medications used to treat IBS
- Antispasmodics to relieve abdominal cramping
- Laxatives for constipation-predominant IBS
- Anti-diarrheal medications for diarrhea-predominant IBS
- Gut-targeted antibiotics
- Antidepressants or anti-anxiety medications (for gut-brain axis regulation)
Is ayurvedic treatment effective for IBS?
Yes. Ayurveda views IBS as a disorder of Agni (digestive fire) and dosha imbalance, often classified as Grahani. Ayurvedic treatment focuses on:
- Panchakarma therapies (e.g., Virechana) for detoxification
- Herbal formulations like Kutaj, Bilva and Musta
- Digestive tonics to strengthen metabolism
- Diet and lifestyle changes based on individual body constitution (Prakriti)
Ayurvedic care offers a holistic approach with fewer side effects and focuses on long-term digestive balance.