Irritable Bowel Syndrome (IBS) is a functional disorder of the digestive system rather than a structural organic disease. This means that imaging, endoscopy, or laboratory tests typically do not reveal a clear pathological finding, despite the presence of significant symptoms.
Patients with IBS may report a wide range of symptoms, including recurrent abdominal pain, bloating, excessive gas, diarrhea, constipation, or a combination of both, and sometimes nausea and persistent abdominal discomfort. Symptoms tend to vary in intensity and character over time and are often exacerbated after eating.
Pathophysiologically, the syndrome is linked to a disturbance in the brain-gut axis, visceral hypersensitivity, changes in intestinal motility, and sometimes alterations in the gut microbiota. In many cases, psychological factors such as stress, pressure, and anxiety have a significant impact and can trigger or worsen symptoms.
Diagnosis is based on clinical criteria after ruling out other organic diseases, especially in the absence of "red flag" warning signs such as gastrointestinal bleeding, unexplained weight loss, or anemia. Treatment includes pharmacological, dietary, and sometimes psychological interventions.
Diarrhea is a medical condition characterized by the passage of loose or liquid stools with increased frequency, typically more than three times a day, and sometimes in larger volumes than usual. Diarrhea can be caused by poor nutrition, bacterial, viral, or parasitic infections, gastrointestinal inflammation, non-gastroenterological diseases, use of various medications, or psychological stress.
Pathophysiologically, diarrhea results from one or more of the following mechanisms: impaired absorption of water and electrolytes in the intestine, increased secretion of fluids into the intestinal lumen, accelerated intestinal motility, or damage to the intestinal mucosa.
Clinically, diarrhea is classified by duration:
Diarrhea may be accompanied by additional symptoms such as abdominal pain, bloating and gas, fever, blood or mucus in the stool, unexplained weight loss, and signs of dehydration. The clinical significance and the need for medical investigation depend on the duration of the symptom, its severity, the patient's age, and the presence of warning signs.
Difficulty passing stool out of the intestine. This may be due to slow transit through the intestine, a problem with the anus, or secondary to medications or systemic diseases (such as Parkinson’s disease, severe diabetes, and others). Treatment is medicinal.
Constipation is a common gastroenterological problem. Constipation is defined as two or fewer bowel movements per week, or significant difficulty and effort during evacuation. In the general population, the normal frequency of bowel movements is defined as between 3-12 per week. There is a common misconception that normal bowel movement frequency is once daily. This misconception leads to excessive and sometimes even dangerous use of laxatives.
People experiencing this often have difficulties during the passage of stool, and this process is accompanied by pain and effort. Fortunately, most cases of constipation are temporary. A minor change in lifestyle, such as increased physical activity and a diet rich in dietary fiber, will often relieve constipation.
Complaints and signs:
Hard stool
Fewer than three bowel movements per week
Excessive straining during bowel movements
A sensation of "rectal blockage"
A feeling of incomplete evacuation after a bowel movement
Under normal circumstances, stool is propelled through the intestine by muscle contractions. In the colon, most of the water and salt present in the stool are mixed and reabsorbed because they are essential for the body. However, when the colon absorbs excessive amounts of water or if muscle contractions are slow, the stool becomes hard and dry and moves through the intestine very slowly.
This is the main cause of constipation. Another cause of constipation is when the muscles used during bowel movements are not properly "coordinated".
This condition is called "pelvic floor dysfunction," and it causes straining during every bowel movement.
Gases in the digestive system are manifested as belching (expulsion of gas through the mouth) or flatulence (expulsion of gas through the rectum).
Most people produce between half a liter and one and a half liters of gas each day, and release gas up to 14 times a day.
This is a normal and natural bodily phenomenon. In most cases, the emission of gas is odorless, but there are cases where an unpleasant smell is released. Additionally, the presence of gas may cause abdominal bloating and pain, and those who experience it slightly above the average amount may suffer considerably and even feel a decrease in quality of life. Proper and accurate treatment of gastrointestinal gas can greatly assist in reducing gas, abdominal bloating, and abdominal pain.
In patients fifty years and older, the possibility of colon cancer is usually also considered. This is also the case if there are prior cases of gastrointestinal cancer in the patient’s family. This matter is especially important in cases where the patient has never undergone an examination of the colon, such as sigmoidoscopy or colonoscopy (endoscopic examinations of the lower gastrointestinal tract).