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What Is The Cause And Treatment For IBS?

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Posted on Wed, 8 Oct 2014
Question: Hi, I am 53 year old women , still in peri-menopause (tiny periods every 3 to 4 months). 8 years ago I had a full colonoscopy which was normal ( not even a polyp). It was done because I had change in bowel movement habits, and other stomach problems. Since everything was normal, I was diagnosed with IBS. In the past 12 months my irritable bowel syndrome has been worse, so I visited a gastro specialist several times. After a normal examination and my history he said that there was no need for another colonoscopy yet and told me how to manage my IBS symptoms. I also had stoll culture which was normal, and an anoscopy and everything was normal ( it was done because I was complaining of some anal pressure ). Less than a year ago I had a comprehensive blood work which was also normal. I have hemorrhoids, but they do not seem to bother me very much. However, my stomach is, so to say, constantly nervous and more often my stools are mushy, soft, sometimes watery ( and all of a sudden sometimes completely normal). Sometimes for no apparent reason to me I have plain, real diarrhea. It also often feels like I need to go few times a day, when I actually do not need to. As to so called red flags, I do not have blood, severe pain and in the past 12 months my weight has been stable ( I even gained 2 pounds). But, this nervousness in my stomach bothers me a lot,especially because I do not know why I get diarrhea, and I wish my bowel movements were firmer, and more formed. I am also very anxious and it causes a lot of fear in me. Please, give me an honest answer: should I go again and bother my doctor ( he saw me at least four or five times in the past year, but insists that colonoscopy is not needed and that I simply have worsened IBS.). Should I insist on colonoscopy?

p. s. This all started to worsen 12 months ago when I was under the threat to lose my job, which completely freaked my out) Thank you very much in advance
doctor
Answered by Dr. Dr Samir Patil (13 hours later)
Brief Answer:
Do not need a colonoscopy right now.

Detailed Answer:
Hello,
I have read the description you have provided and I agree with your doctor that you have IBS. You probably d not need a colonoscopy now.

However I would advise you to get a stool test vs for occult blood done on three consecutive days. In case all the reports are negative you do not need a colonoscopy.

Stress is an important factor which can aggravate IBS. So stress management is an important part in treating IBS.
You should visit your doctor. You kith need a change in medications or an addition of new medications.

In the mean time I would suggest adding a fiber supplement like psyllium husk to your diet.

Hope this helps
Do get back in case you have further queries
Regards
Dr Samir Patil
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Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Dr Samir Patil

Gastroenterologist

Practicing since :1997

Answered : 551 Questions

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What Is The Cause And Treatment For IBS?

Brief Answer: Do not need a colonoscopy right now. Detailed Answer: Hello, I have read the description you have provided and I agree with your doctor that you have IBS. You probably d not need a colonoscopy now. However I would advise you to get a stool test vs for occult blood done on three consecutive days. In case all the reports are negative you do not need a colonoscopy. Stress is an important factor which can aggravate IBS. So stress management is an important part in treating IBS. You should visit your doctor. You kith need a change in medications or an addition of new medications. In the mean time I would suggest adding a fiber supplement like psyllium husk to your diet. Hope this helps Do get back in case you have further queries Regards Dr Samir Patil