IBS consists of a group of gastro intestinal symptoms particularly associated with lower bowel in the absence of demonstrable organic pathology. There is recurrent abdominal pain with altered bowel habits. Also is there is diarrhoea or constipation and at times there is diarrhoea alternate with constipation. It is also known as functional bowel disease or nervous colon.
The prevalence of IBS is becoming more common in young adults. Since there is no recognizable pathology it is believed to be the after effect of stress and strain and sometimes when this situation is over the symptoms may also subside. But it may relapse after some time, and in short it is a functional disorder. Young women are affected 2-3 times more often than men. Majority of the patients have a history of physical or sexual abuse.
About 50 % patients with IBS meet the criteria for psychiatric diagnoses. However, it is not life-threatening diseases. Whatever may be the symptoms patients do not lose weight and are constitutionally well.
Criteria for IBS
Recurrent abdominal pain or discomfort for at least three days per month in the last three month associated with two or more of the following,
1) Improvement after defecation
2) Onset associated with change in frequency of stool.
Other symptoms are
a) Abnormal stool frequency
b) Abnormal stool form
c) Abnormal stool passage
d) Passage of mucus
e) Bloating or feeling of abdominal distension
Clinical types
1) Chronic abdominal pain with constipation
2) Diarrhoea predominant IBS
3) Mixed IBS
4) Disturbance of GI motility
Etiology
Marital difficulties and childhood physical abuses are reported more commonly in chronic IBS symptoms.
Post infective cause
Onset of symptoms may follow an enteric infective episode and IBS symptoms are common in patients with inflammatory disease.
Abnormal regulatory physiology
Patients with IBS have been reported to exhibit exaggerated GI responses, either as intrinsic reflexes or to exogenously infused drugs.
Diet
Colonic fiber fermentation may be a source of perceived excess gas, and has led to a suggestion of a role of abnormal colonic bacterial flora. Lactose and wheat are the main dietary factors.
Features of IBS
Altered bowel habit
Colicky abdominal pain
Rectal mucus
Abdominal distention
Feeling of incomplete defecation
Treatment
General
Diet regulation
Diet regulation is a must not only to control but to cure IBS. Chocolate, caffeine, carbonated drinks, milk and milk products, are to be avoided.
Alcohol and alcoholic beverages are also should be avoided.
Stop smoking
Avoid large and heavy meals
Include fiber-rich food in the diet. Whole-wheat bread, cereals, vegetables, fruits are good sources of fibers. These fiber foods help to distend the colon and thereby prevent the spasm.
Practice relaxation therapy and hypnotherapy for relieving stress
Homeopathic treatment and scope.
As we have seen from the article that IBS has no demonstrable organic pathology, only homeopathy has got a better scope in the treatment.
The reason behind in the majority of the cases is a conflict in the life situations as well bitter experiences throughout the life. So this type of incidents will cause a stamped type of impact on the mind, and that in due course will manifest as physical symptoms. Here the science of homeopathy comes up. So a medicine that can penetrate into the subconscious mind and unlock the conflicts, and the impacts, can only cure the physical manifestations.
There are medicines in homeopathy that has a special action in the mental sphere. By choosing the exact medicines based on the causative factors, the conflicts and also assuming the physical symptoms complete cure is possible. This is clinically verified several times and the patients who are benefited certify the efficacy of homeopathy on IBS.
Medicines
Ignatia. Nat mur, Sepia, Arg nit, Nux vom etc. are the commonly indicated remedies.
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