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Dr. Alexander Khvoshchev, gastroenterologist at Kandinsky Clinic, discusses irritable bowel syndrome (IBS) and ways to manage it effectively.

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Understanding IBS Symptoms

IBS is a chronic gastrointestinal condition characterized by abdominal pain or discomfort, frequent changes in bowel movements (alternating diarrhea and constipation), bloating, and a sensation of incomplete bowel evacuation. Despite these symptoms, there is no significant physical damage to the intestines. Essentially, the bowel "rebels," though the cause of this "rebellion" often remains unclear.


Diagnosis Process

If you suspect you have IBS, consulting a doctor should be your first step. Diagnosis requires ruling out other potential causes through examinations such as colonoscopy, blood tests, and stool analysis.


Managing IBS

Treatment is always personalized and may include dietary modifications (avoiding fatty, spicy, and gas-producing foods, as well as high-fiber products), physician-prescribed medications, regular physical activity, and stress reduction techniques.


The Psychological Connection

Chronic stress triggers the body's "fight or flight" response, causing physiological changes. During stress, the body produces cortisol and other stress hormones that can alter bowel function, leading to symptoms like diarrhea or constipation. Additionally, chronic stress may cause intestinal inflammation, exacerbating IBS symptoms.

Depression can affect the intestines through the nervous system, altering bowel function and increasing inflammatory processes. People with depression often experience appetite changes that can impact their diet and cause additional digestive issues.


Coping Strategies

To address psychological factors affecting your health and quality of life, consider these approaches:

Professional counseling can help identify and address sources of anxiety. Meditation can reduce stress levels and improve emotional well-being. Relaxation techniques, such as breathing exercises or muscle relaxation, can decrease tension and improve bowel function. Regular physical activity promotes the production of endorphins - "happiness hormones" that help manage stress and depression.


Essential Management Tips

Each patient requires an individualized approach to IBS treatment. What works for one person may not work for another. Consult with a gastroenterologist or general practitioner who can develop a treatment plan considering your symptoms, lifestyle, and dietary habits.

Maintain regularity in your eating schedule, avoiding overeating and long gaps between meals. Aim for 7-9 hours of sleep each night to allow your body to rest and recover. Be proactive about new or worsening symptoms by consulting your doctor promptly to discuss potential changes in medications or supplements like probiotics.

Remember that managing IBS is a marathon, not a sprint. You may experience good days and bad days, which is normal. The key is following medical recommendations, listening to your body, and maintaining optimism. Your patience and persistence will yield tangible results.

Avoid self-treatment despite the abundance of information available online about various IBS remedies. Always consult healthcare professionals before making any changes to your treatment regimen, as what benefits one person may be harmful or ineffective for another.

The specialists at Kandinsky Clinic are committed to helping you maintain a full and active lifestyle while managing IBS. Our doctors will develop personalized treatment plans and ensure your health and comfort remain top priorities.