Is irritable bowel syndrome permanent. Irritable Bowel Syndrome: Understanding IBS, Its Permanence, and Management Strategies

31.07.202327.06.2023 by alexxlab

Is irritable bowel syndrome a lifelong condition. Can IBS be completely cured. How to effectively manage IBS symptoms. What are the latest treatment options for irritable bowel syndrome. Are there natural remedies for IBS relief.

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Understanding Irritable Bowel Syndrome (IBS): A Comprehensive Overview

Irritable Bowel Syndrome (IBS) is a common functional gastrointestinal disorder that affects millions of people worldwide. Unlike structural disorders, IBS alters how the bowel or intestines function without causing visible damage to the digestive tract. This complex condition is characterized by a range of symptoms that can significantly impact a person’s quality of life.

Key Symptoms of IBS

Abdominal pain or discomfort
Changes in bowel habits (constipation, diarrhea, or alternating between both)
Bloating
Gas
Mucus in the stool

It’s important to note that IBS symptoms can mimic those of other gastrointestinal conditions. Therefore, a proper diagnosis by a healthcare professional is crucial.

Psychological Aspects of IBS

Many individuals with IBS also experience psychological symptoms, such as anxiety and depression. The gut-brain connection plays a significant role in IBS, with stress and emotional factors often exacerbating symptoms. Understanding this relationship is key to developing effective management strategies.

Is Irritable Bowel Syndrome Permanent? Exploring the Long-Term Outlook

One of the most common questions asked by those diagnosed with IBS is whether the condition is permanent. To address this, we need to understand the nature of chronic conditions and how they differ from acute illnesses.

Chronic vs. Acute Conditions

Acute conditions, such as strep throat, can be cured with specific treatments like antibiotics. In contrast, chronic conditions like IBS are long-term and often require ongoing management rather than a one-time cure.

Is IBS considered a chronic condition? Yes, IBS is generally classified as a chronic disorder. However, this doesn’t mean that individuals with IBS will always experience symptoms or that the condition cannot improve over time.

The Variable Nature of IBS

IBS is known for its unpredictable nature. Symptoms can fluctuate over time, with periods of remission and flare-ups. Some individuals may experience significant improvement or even long-term remission of symptoms. Studies have shown that:

Approximately 40% of people diagnosed with IBS report long periods without symptoms within the first year.
After ten years, about 60% of individuals still experience lasting symptoms, while others may see significant improvement or remission.

These statistics highlight the variable nature of IBS and underscore the importance of personalized management strategies.

The Quest for an IBS Cure: Current Medical Understanding

While the search for a definitive cure for IBS continues, it’s essential to understand the current medical perspective on treating this condition.

Is There a Cure for IBS?

As of now, there is no known cure for IBS. This means that there isn’t a single treatment or medication that can permanently eliminate the condition. However, this doesn’t mean that individuals with IBS are without hope or effective treatment options.

The Focus on Symptom Management

Instead of seeking a cure, the medical community focuses on managing IBS symptoms effectively. This approach aims to reduce the frequency and severity of symptoms, improve quality of life, and help individuals maintain long periods of remission.

How can IBS symptoms be effectively managed? A multi-faceted approach is often most successful, including:

Dietary modifications
Stress management techniques
Medications for specific symptoms
Lifestyle changes
Mind-body therapies

Effective Treatment Strategies for Managing IBS Symptoms

While IBS may not have a cure, numerous treatment options can help individuals manage their symptoms and improve their quality of life. Let’s explore some of the most effective strategies:

Dietary Modifications

Diet plays a crucial role in managing IBS symptoms. Many individuals find relief by identifying and avoiding trigger foods. Some common dietary approaches include:

Low FODMAP diet: This diet involves reducing the intake of fermentable carbohydrates that can trigger IBS symptoms.
Fiber modification: Adjusting fiber intake can help manage constipation or diarrhea, depending on the individual’s predominant symptoms.
Elimination diets: Temporarily removing certain foods from the diet and gradually reintroducing them can help identify specific triggers.

Stress Management and Mind-Body Techniques

Given the strong connection between stress and IBS symptoms, stress management is a crucial component of treatment. Effective techniques include:

Cognitive Behavioral Therapy (CBT)
Mindfulness meditation
Hypnotherapy
Relaxation exercises

Medications and Supplements

Various medications and supplements can help manage specific IBS symptoms:

Antispasmodics for abdominal pain
Laxatives or anti-diarrheal medications for bowel regularity
Low-dose antidepressants for pain and overall symptom improvement
Probiotics to support gut health
Peppermint oil for reducing abdominal pain and bloating

Lifestyle Modifications

Simple lifestyle changes can have a significant impact on IBS symptoms:

Regular exercise
Adequate sleep
Staying hydrated
Establishing a regular meal schedule

The Role of Integrative Medicine in IBS Management

Integrative medicine, which combines conventional medical treatments with complementary therapies, is gaining recognition in the management of IBS. This approach takes into account the complex nature of IBS and addresses both physical and psychological aspects of the condition.

Complementary Therapies for IBS

Several complementary therapies have shown promise in managing IBS symptoms:

Acupuncture
Herbal remedies (e.g., peppermint, chamomile)
Gut-directed hypnotherapy
Biofeedback

While these therapies may not work for everyone, many individuals find them helpful when used in conjunction with conventional treatments.

The Importance of a Personalized Approach

Given the variable nature of IBS, a one-size-fits-all approach is rarely effective. A personalized treatment plan that takes into account an individual’s specific symptoms, triggers, and lifestyle is crucial for successful management.

Emerging Research and Future Directions in IBS Treatment

While a cure for IBS remains elusive, ongoing research continues to shed light on the condition and potential new treatment avenues.

Gut Microbiome Research

The role of the gut microbiome in IBS is an area of intense study. Researchers are exploring how alterations in gut bacteria may contribute to IBS symptoms and whether targeted interventions to modify the microbiome could provide relief.

Novel Pharmaceutical Approaches

New medications targeting specific aspects of IBS pathophysiology are in development. These include:

Drugs that modulate gut motility
Medications targeting visceral hypersensitivity
Novel anti-inflammatory agents

Personalized Medicine and Genetic Factors

Advances in genetic research may lead to more personalized treatment approaches for IBS. Identifying genetic markers associated with IBS could help predict which treatments are likely to be most effective for individual patients.

Living Well with IBS: Strategies for Long-Term Management

While IBS may be a chronic condition, it’s entirely possible to live a full and active life with proper management. Here are some strategies for long-term success:

Developing a Support Network

Building a strong support network can make a significant difference in managing IBS. This may include:

Family and friends who understand the condition
Support groups (online or in-person)
Mental health professionals specializing in chronic conditions

Tracking Symptoms and Triggers

Keeping a detailed journal of symptoms, diet, stress levels, and other potential triggers can help identify patterns and inform management strategies. Many smartphone apps are available to facilitate this process.

Regular Check-ups and Open Communication with Healthcare Providers

Maintaining regular check-ups with healthcare providers and openly discussing symptoms and concerns is crucial for effective long-term management. This allows for timely adjustments to treatment plans and ensures that any new developments are addressed promptly.

Embracing a Holistic Approach to Health

Managing IBS often requires a holistic approach that addresses not just physical symptoms but also mental and emotional well-being. This may involve:

Practicing self-care
Engaging in stress-reducing activities
Maintaining a balanced diet and regular exercise routine
Cultivating positive relationships and social connections

By adopting a comprehensive approach to health and well-being, individuals with IBS can significantly improve their quality of life and reduce the impact of symptoms on daily activities.

When to Seek Medical Attention: Red Flags and Complications

While IBS is a functional disorder, it’s crucial to be aware of symptoms that may indicate a more serious condition. Recognizing these red flags can ensure timely medical intervention when necessary.

Warning Signs That Require Immediate Medical Attention

If you experience any of the following symptoms, it’s important to consult a healthcare provider promptly:

Unexplained weight loss
Blood in the stool
Persistent fever
Severe abdominal pain that doesn’t improve with bowel movements
Symptoms that wake you from sleep
Family history of colon cancer or inflammatory bowel disease
Onset of symptoms after age 50

Distinguishing IBS from Other Gastrointestinal Disorders

IBS symptoms can sometimes mimic those of other gastrointestinal conditions. It’s important to work with a healthcare provider to rule out conditions such as:

Inflammatory Bowel Disease (IBD), including Crohn’s disease and ulcerative colitis
Celiac disease
Microscopic colitis
Colorectal cancer

Proper diagnosis is crucial for effective management and to ensure that more serious conditions are not overlooked.

The Importance of Regular Screening

Individuals with IBS should adhere to recommended screening guidelines for colorectal cancer and other gastrointestinal conditions. This is particularly important as IBS symptoms can sometimes mask the early signs of more serious disorders.

In conclusion, while Irritable Bowel Syndrome may not have a permanent cure, it is a manageable condition with a wide range of effective treatment strategies available. By working closely with healthcare providers, adopting a personalized approach to management, and staying informed about the latest research and treatment options, individuals with IBS can significantly improve their quality of life and maintain long periods of symptom relief. Remember, everyone’s experience with IBS is unique, and what works for one person may not work for another. Patience, persistence, and a willingness to explore different management strategies are key to finding the most effective approach for each individual.

Is There an Irritable Bowel Syndrome Cure?

Irritable Bowel Syndrome (IBS)

First, a little bit of information about IBS or irritable bowel syndrome. It is a common functional gastrointestinal (GI) disorder which means it changes how the bowel or intestines function or work. The symptoms of IBS are similar to many other GI conditions.

The GI symptoms of IBS are: constipation, diarrhea, gas, bloating, and abdominal discomfort or pain. It is also common to have underlying psychological symptoms, like anxious or depressed feelings, with the GI symptoms.

Serious GI symptoms

A person may have symptoms that they think are IBS, but they may mean something more serious.

Symptoms like those described for IBS (above) with any of the following: low iron in the blood (anemia), blood in the stool, weight loss, a fever, a family history of colorectal cancer or inflammatory bowel disease (IBD), or symptoms that started after age 50 may mean a serious condition. The person should contact their doctor for an appointment.

Curable vs. Incurable?

What does it mean if a condition is curable or not?

When a condition is considered curable, it means with treatment, it will go away. As an example, a sore throat due to a strep infection goes away when a person takes several days of an antibiotic medicine. In other words, strep throat is curable.

When a condition is incurable it means even with treatment, it won’t go away. A person may receive treatment and have improved symptoms, but they will still have the condition. For example, a person with high blood pressure (hypertension) may take medicine to control their blood pressure, but they still have hypertension.

Is IBS Curable?

Irritable Bowel Syndrome is not curable. There is no medicine that you can take that will stop IBS. However, IBS symptoms may lessen, go away for a while, or even go away altogether. Also, the symptoms can be effectively treated using the methods below.

Fewer IBS Symptoms

It is common for IBS to vary over time, often for no understandable reason. There are also times when diet, stress level, habits, overall health or other factors may be associated with changing symptoms. This is the nature of IBS.

Although IBS symptoms may get worse, they may also get better. This may be from day-to-day or they may get better for a period of time.

IBS Treatment

Although IBS isn’t curable, treatment can help lessen symptoms. Therapies may include medicines and supplements, changes to the diet and lifestyle, mind and body techniques, as well as exercise. Goodpath’s IBS program includes all of these treatments based on your symptoms and needs.

IBS Remission

A person with IBS may have a remission – symptoms may go away for long periods, and at times, never return. In studies of people with IBS one year after diagnosis, about 2 out of 5 people have long periods without symptoms. However, ten years after diagnosis, 3 out of 5 people have lasting symptoms.

The Bottom Line: Is IBS Curable?

There isn’t a cure for IBS. However, there is treatment that can help control your symptoms. An integrative approach may include: mind-body techniques; dietary changes, like the low FODMAP diet; nutritional supplements; over-the-counter and prescription medications; and physical activity and exercise.

If you think you have IBS, we’ll help you figure out if your symptoms actually are IBS. Complete our assessment and we’ll provide you with answers and a personalized program to help lessen your symptoms.

Or, if your doctor told you that you have IBS, you can also complete our assessment and we’ll provide a customized program to help lessen your symptoms.

If you want more information about IBS, Goodpath has it. Please go to our “Learn Center” for IBS information from our medical team.

How to Cure IBS Permanently: Tips for Preventing Flare-ups

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Medically reviewed by Saurabh Sethi, M. D., MPH — By Corey Whelan on May 4, 2023

There’s no cure for IBS, but medications along with dietary and lifestyle changes can help you prevent flare-ups.

Irritable bowel syndrome (IBS) is a chronic gastrointestinal disorder without a cure. Treatment for this condition centers around the reduction of flare-ups. If you have IBS, lifestyle and dietary changes exist that can give you long stretches of relief from symptoms.

IBS has three subtypes:

IBS with constipation (IBS-C)
IBS with diarrhea (IBS-D)
IBS with mixed bowel habits (IBS-M)

This condition is earmarked by symptoms that flare up and recede, like:

stomach pain
cramps
gastrointestinal (GI) gas
constipation
diarrhea

IBS can be challenging to live with, but there are steps you can take to make it manageable.

Increasing your fiber intake and avoiding gluten may help reduce symptoms like cramping, constipation, and diarrhea. A healthcare professional may also recommend you try the low FODMAP diet.

FODMAPs (fermentable, oligo-, di-, monosaccharides, and polyols) are a type of carbohydrate that you can’t fully digest. The bacteria in your gut ferment them, attracting water and producing gas. This causes feelings of bloating and other GI symptoms.

Multiple studies have found that eliminating high-FODMAP foods can significantly reduce IBS symptoms.

The low FODMAP diet aims to help you figure out which foods cause your IBS symptoms. Since triggers vary, it’s not a one-size-fits-all eating plan.

A low FODMAP diet typically has three phases:

Elimination: Remove all FODMAPs from your diet for 2 to 4 weeks.
Reintroduction: Reintroduce FODMAP food groups one at a time while you monitor yourself for symptom recurrence.
Personalization: After determining which foods trigger symptoms and which you tolerate well, you’ll be able to generate a long-term, personalized eating plan that helps you avoid flare-ups.

Experts think an imbalance of your gut microbiota may exacerbate IBS symptoms. Your gut microbiota is the community of bacteria, fungi, and other substances that live in your digestive tract and help you digest food. They may also support other bodily functions, like your immune system.

Probiotics are supplements that contain live bacteria and yeasts. Data on their benefit for IBS is mixed, but several studies included in a 2019 review found probiotics to be highly beneficial for reducing IBS symptoms.

Probiotics work by generating and supporting a healthy balance of “good” gut microbiota levels.

It can take time to determine what your personal triggers are. Following a low FODMAP diet can help significantly, but FODMAPs are not the only IBS triggers you may have. Common trigger foods and beverages include:

coffee
alcohol, especially red wine
carbonated soda
artificial sweeteners
smoking cigarettes
fried food
processed foods, like chips, crackers, and cookies
fatty food
dairy products
gluten and wheat products
beans and lentils
cruciferous vegetables, like broccoli and Brussels sprouts
alliums, including garlic and onions

Large meals may cause flares, even if you’re eating foods you tolerate well.

Your IBS type may provide clues to the trigger foods you’re most susceptible to. For example, eating too much fiber may cause diarrhea if you have IBS-D.

When thinking about triggers, it’s not just food you should consider. In people assigned female at birth, menstruation may trigger symptoms monthly or almost monthly. If your flares seem to coincide with your period, you may benefit from birth control methods that reduce or eliminate monthly bleeding.

Medications you take, both over-the-counter (OTC) and prescribed, may also be triggers. Talk with a healthcare professional about the medications you take to determine if any are associated with flare-ups. These include some antibiotics, certain antidepressants, and OTC drugs that contain sorbitol.

Doctors consider IBS a gut-brain interaction disorder. The way your digestive tract and your brain communicate may affect your symptoms. So, emotions like stress and anxiety can play a role in triggering flare-ups.

It can be hard to eliminate emotional triggers completely, but managing stress may be helpful. Strategies to try include:

working with a therapist
exercise
yoga
meditation and mindfulness
getting enough rest
spending time with friends and loved ones
spending time in nature and with animals, including pets
reducing screen time, including time spent on social media
establishing boundaries around stressors, like unending work days or negative relationships

Since IBS has no cure, medical treatments aim to relieve symptoms. Your IBS type will determine which medications a healthcare professional recommends. Treatments include:

laxatives (for IBS-C)
OTC fiber supplements (for IBS-C)
OTC or prescribed anti-diarrheal medications (for IBS-D)
anticholinergics, to reduce bowel spasms in people with IBS-D
antidepressants, including tricyclic drugs and selective serotonin reuptake inhibitors (SSRIs)
pain medication

IBS is a chronic condition without a cure. But lifestyle changes, like following a low FODMAP eating plan and reducing stress, can significantly reduce symptoms and the frequency of flare-ups.

Identifying your triggers is an important step toward symptom relief. A healthcare professional may also recommend medications that may make life more comfortable.

Last medically reviewed on May 4, 2023

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Dale HF, et al. (2019). Probiotics in irritable bowel syndrome: An up-to-date systematic review. (2019).
ncbi.nlm.nih.gov/pmc/articles/PMC6769995/
Eswaran S. (n.d.). Low FODMAP diet.
gi.org/topics/low-fodmap-diet/
Irritable bowel syndrome (IBS). (n.d.)
niddk.nih.gov/health-information/digestive-diseases/irritable-bowel-syndrome
Marsh A, et al. (2016). Does a diet low in FODMAPs reduce symptoms associated with functional gastrointestinal disorders? A comprehensive systematic review and meta-analysis.
pubmed.ncbi.nlm.nih.gov/25982757/

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

May 4, 2023

Written By

Corey Whelan

Edited By

A. L. Heywood

Medically Reviewed By

Saurabh Sethi, MD, MPH

Copy Edited By

Connor Rice

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Medically reviewed by Saurabh Sethi, M.D., MPH — By Corey Whelan on May 4, 2023

Diagnosis and treatment of irritable bowel syndrome (IBS)

Treatment of irritable bowel syndrome must begin with an accurate diagnosis . Many dangerous diseases can be disguised as this disease, and before treating it, it is necessary to conduct a diagnosis that excludes these pathologies.

Based on modern clinical guidelines, our center has developed the necessary screening to exclude diseases of the intestines and other organs and systems, which is carried out to confirm the diagnosis of irritable bowel syndrome. The list of examinations is determined at the initial appointment as a result of a conversation with the doctor, as well as a study of the medical documentation you have and a detailed examination.

We provide comprehensive treatment for irritable bowel syndrome, which includes medication, diet, lifestyle changes and psychological support. In case of severe symptoms of anxiety and other nervous disorders, the help of a neurologist who takes in our center is possible. To choose a suitable diet, you can consult with our nutritionist – Kovaleva Svetlana Igorevna , who specializes in developing therapeutic diets for patients with various diseases of the gastrointestinal tract.

Treatment of irritable bowel syndrome takes a long time. Selection of drug therapy and diet is carried out gradually. Not all patients respond to medications in the same way, so it may need to be adjusted during treatment. To clarify your reaction to food, we recommend keeping a food diary.

At your appointment, you and your doctor will develop a treatment plan, discuss the choice of drugs and the expected effect of them, and outline the goals of treatment. If the medicines prescribed by your doctor do not help to achieve the expected result, be sure to inform him.

During the treatment, the doctor will maintain constant contact with you, consult on the prescribed treatment and ask you questions that may concern you by phone or through the form on the website. This system of interaction helps our gastroenterologists to provide effective therapy and achieve the maximum improvement in the health of our patients.

Treatment will result in

Stopping symptoms and improving quality of life.
Improvement of the psychological state.

Fact Sheet

Irritable Bowel Syndrome (IBS) is a condition characterized by intermittent bowel problems in which you experience bloating, abdominal discomfort or pain, diarrhea or constipation, or both. This condition is chronic, lasting more than 6 months and is not associated with the quality of food, the presence of infection and pathological changes in the intestine.

Main symptoms

The main clinical symptoms are abdominal discomfort and cramping associated with defecation, flatulence, diarrhea or constipation, or alternating diarrhea and constipation. With irritable bowel syndrome, the large intestine suffers mainly, the regulation of its motor activity and the production of intestinal juice is disturbed.

A large proportion of patients with irritable bowel syndrome also have extraintestinal symptoms:

headaches and dizziness;
lump in throat when swallowing;
feeling tired and unwell;
anxiety, depression, hypochondria, panic attacks;
pain in the back and in the muscles.

Mechanism of development of the disease

Although the causes of irritable bowel syndrome have not been studied enough, there are several factors that influence its development: genetic predisposition; the impact of stress and emotional instability; the presence of neuroses and neurasthenia; disorder of nervous regulation of intestinal activity at the level of the central and autonomic nervous system. In addition, the course of the disease is affected by the quantitative and qualitative composition of the intestinal microflora and the presence of nonspecific inflammation of the intestinal mucosa.

Women suffer from irritable bowel syndrome more often, the average age of patients is from 20 to 40 years.

Diet

Some people with troublesome symptoms of irritable bowel syndrome benefit from a diet low in FODMAPs. FODMAP is a complex name for groups of molecules found in foods that are difficult to break down and absorb in the gut in some people.

A high fiber diet is recommended for constipation, but people with a tendency to bloat may not tolerate it well.

When should I see a doctor?

In the presence of persistent diarrhea or constipation, abdominal pain, flatulence and other unpleasant symptoms, it is necessary to consult a doctor to exclude dangerous diseases masquerading as irritable bowel syndrome and to prescribe treatment that helps to reduce and stop symptoms and improve quality of life.

“Anxiety symptoms” or “red flag symptoms” requiring a doctor’s visit

unmotivated weight loss;
occurrence of diarrhea or abdominal pain at night;
persistent severe abdominal pain;
onset of symptoms in old age;
blood in stool;
blood relatives with inflammatory bowel disease or colon cancer.

Complications

Irritable bowel syndrome is not accompanied by any pathological changes in the gastrointestinal tract, but can significantly impair the quality of life and increase nervous breakdown.

Irritable bowel syndrome – Treatment in the multidisciplinary family clinic “K medicine”

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Diseases

irritable bowel syndrome

Titov Valery Viktorovich

Candidate of Medical Sciences, doctor of the highest category

Gastroenterologist, Phlebologist, Surgeon

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Irritable Bowel Syndrome is a bowel dysfunction characterized by chronic pain and discomfort.
According to statistics, approximately 30% of patients suffer from this disease.

Concept
Reasons
Key Features
Diagnostics
How to treat
What is dangerous
Prevention

Causes

The syndrome occurs as a result of a violation of the contractions of the intestinal walls and the digestion of food. The main factors are:

constant stress, emotional distress;
infectious diseases of the digestive system;
endocrine changes in the body;
genetic predisposition;
injury to the abdominal organs;
intestinal hypersensitivity;
malnutrition;
continuous use of antibiotics.

Key features

Typical symptoms of irritable bowel syndrome are as follows:

rumbling, bloating;
constipation;
diarrhea in the morning;
sharp constant pain in the lower abdomen;
intermittent nausea and vomiting;
rapid fatigue;
mucus impurities in the feces;
violation of urination;
sour belching;
bad dream.

If you notice similar symptoms, we recommend that you make an appointment with your doctor.

Make an appointment with highly qualified specialists

Diagnostics

To make an accurate diagnosis – “irritable bowel syndrome” requires a comprehensive examination:

complete blood and urine analysis;
sowing feces for bacterial flora and the presence of worms;
ultrasound examination of the abdominal organs;
gastroscopy – examination of the upper gastrointestinal tract using a flexible long tube with digital video recording;
colonoscopy – the study of the colon mucosa with a video endoscope from the anal canal to the intestinal valve.