I was fairly young when I first started having bowel trouble. A consistently nervous young woman, I was constantly in a state of worry – about school, boys, and friendships – pretty much the normal run of the mill high school concerns. My mother always said I had “nervous bowels”, and my family became accustomed to stopping frequently to use the restroom on trips, and always asking me if I had to go before leaving the house. The pain I felt sometimes with bloating or cramping was attributed to my nerves. And while my family was fairly sympathetic to my condition, I experienced a lot of eye-rolling growing up when my symptoms would strike (“We have to stop for Annette again?” my brother would say. “She just went!”) It was a normal occurrence that lasted into my college years, and then later as I started a family. And while it was inconvenient and could definitely be painful at times – it wasn’t until after the birth of my first child that I thought about it as a “condition” that could actually be treated.
IBS, or irritable bowel syndrome, is when you have an overly sensitive colon or large intestine. This may result in the contents of your bowel moving too quickly, resulting in diarrhea, or too slowly, resulting in constipation. (Both of which I have experienced, although my symptoms tend to lie more in the former camp, causing me to constantly race to the bathroom for fear of an accident). Symptoms also can include cramping or abdominal pain, bloating, gas, or mucus in the stool. The condition is more common than you may think. As many as 1 in 5 American adults have IBS, the majority of them being women. And, this is not an old persons disease either – IBS strikes young, commonly in ages younger than 45.
I was finally diagnosed at age 28 – a whopping 13 years after I started experiencing symptoms, and I wish I had thought to seek help earlier. My doctor told me that there are many things that can contribute to IBS. Things like hormones, certain types of food, and stress (I guess my mother was right) may all impact IBS symptoms. Since the cause is of IBS is not known, treatments usually focus on relieving symptoms so that you can live as normally as possible.
Below is a list of treatments my doctor discussed with me.
Behavioral Changes:
Diet. Many foods can trigger IBS. And, while they might not be the same for everyone, there are some common triggers that have been identified:
Alcohol
Caffeine (including coffee, chocolate)
Dairy products
Sugar-free sweeteners
High-gas foods, such as beans, cabbage, cauliflower, broccoli, raw fruits or carbonated beverages)
Fatty foods
FODMAPs (types of carbohydrates that are found in certain grans, vegetables fruits and dairy products)
Gluten
One of the first things I did when starting treatment was to keep a bowel diary, which tracked the foods I ate and how they effected me. This was a huge help in learning my food triggers. I also learned to eat more frequent, smaller meals, which helped ease my symptoms. (Although those who experience more constipation may see improvement by eating larger amounts of high-fiber foods.)
Stress Management. This was a huge one for me. It turns out, your brain controls your bowels, so if you’re a hand wringer like me, it may end up making you run to the bathroom more often than you’d like. Learning ways to control stress was a game changer and I saw a huge improvement with these steps:
Meditation – Just taking the time to quite your mind can do wonders in helping you manage stress on a regular basis.
Physical Exercise – Regular exercise is a great de-stressor and, if you have constipation, can help keep things moving in that department too. I walk regularly and practice yoga 3 times per week to keep my stress at bay.
Deep Breathing Exercises – This is a great trick to practice if you feel yourself starting to get worked up. Practice counting to 10, while breathing in and out slowly until you start feeling relaxed.
Counseling – Sometimes you need someone to talk to help you work through your emotions. You may find comfort in talking with a friend or family member, or even a professional counselor, who can help you learn how to deal better with stress.
Massage – This one likely doesn’t need much explanation – who doesn’t love a good massage?
Drink Plenty Of Water. Drinking enough water just helps your body function better. And for people with IBS, it will ensure that everything moves more smoothly and minimize pain. This is especially true with those who suffer from constipation.
Medications
There are several different medications used to treat symptoms of IBS. Whether you suffer from constipation, or diarrhea, OTCs and prescriptions are available. Antibiotics are also sometimes prescribed for those patients whose symptoms are caused by an overgrowth of bacteria in the intestines. And if you suffer from anxiety or depression, like me, some antidepressants and anti-anxiety agents can actually improve your IBS symptoms too. Talk with your doctor about your symptoms and work with him or her to find a solution that’s best for you.
Other treatment options
Acupuncture. Despite a lack of data on acupuncture and IBS, many patients turn to this method of treatment for pain and bloating. Acupuncture, which is usually performed by a licensed acupuncturist, targets specific points in the body to help channel energy flow properly.
Probiotics. As research continues to emerge around the importance of gut bacteria and your overall health, probiotics may become a more common treatment option. Consuming them can increase the “good” bacteria that live in your intestines and may help ease your symptoms.
Hypnosis. Hypnotherapy has been shown to improve symptoms by helping the patient to relax. If you’re interested in learning more about whether it’s an effective treatment or just hype, this resource on hypnosis is a great place to start. Practicing hypnotherapy have reported improved quality of life, reduced abdominal pain and constipation, and reduced bloating. However, most of the time hypnotherapy is dependent upon a therapist, and is usually not covered by insurance plans, making it a costly form of therapy.
I’m 37 now and have had my IBS pretty much under control for the last several years. Looking back, I can’t believe I lived with it as “normal” for so long. If you suffer from this condition, there is simply no reason to not get it treated.
Need help finding a doctor? Use the NAFC Specialist Locator.
About the Author: Annette Jennings lives in Oklahoma with her husband, 2 children, 2 dogs, and 1 cat. She’s happy to be speaking up about her condition and hopes it will inspire more people to do so.
One Response
Very interesting, good job and thanks for sharing such a good blog.