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Q How common is IBS?
A Determining the true frequency is virtually impossible as many sufferers never seek medical attention. It has, however, been estimated that approximately 15% of the population has complaints of IBS, with women predominating two to one (it is likely that an equal number of males have IBS since they do not report symptoms as often). IBS is the most common gastrointestinal disorder and represents 30%-50% of all referrals to gastroenterologists.

Q How is IBS diagnosed?
A The diagnosis of IBS is often a diagnosis of exclusion by ruling out any of a number of conditions which can mimic IBS (see Table 1). If you have symptoms suggestive of IBS, please consult a physician for an accurate diagnosis. The physician will decide just how extensive the diagnostic process will be. A detailed medical history and physical examination has been shown to eliminate much of the vagueness involved in diagnosing IBS-3 Abdominal distention (bloating), relief of pain with bowel movements, and the onset of loose or more frequent bowel movements with pain seem to correlate best with the diagnosis of IBS.

Table 1 Conditions which may mimic IBS Response to dietary factors which interfere with some aspect of digestion such as excessive consumption of tea, coffee, carbonated beverages, and simple sugars, include:

Infectious diarrhea such as amebiasis and giardiasis
Inflammatory bowel disease
Laxative abuse Lactose intolerance
Intestinal candidiasis
Disturbed bacterial microflora as a result of antibiotic or antacid usage
Malabsorption diseases such as pancreatic insufficiency and celiac disease
Metabolic disorders such as adrenal insufficiency, diabetes, and hyperthyroidism
Mechanical causes such as fecal impaction
Cancer
Diverticular disease

The information presented is for informational purposes only. The results reported may not necessarily occur in all individuals. Consult your doctor or health care practitioner for any health problem and before using any supplements.