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Hi! I'm A 21-year-old Who Is A Bit Concerned About

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Posted on Sat, 25 Jul 2020
Question: Hi!
I'm a 21-year-old who is a bit concerned about my ibs diagnosis. In the beginning of last year I started having a lot of abdominal pain that got better after a trip to the bathroom. I went to the doctor and took a blood test and a stool test, as well as an ultrasound. Everything came back normal. I still have a a lot of problems with loose stools, mucus, and gass. The worst part is the abdominal pain though. It is usually in the lower parts of my stomach, and often on the left side. I've been trying to find food that triggers my ibs, but I can't find anything. It seems like stress is my biggest trigger. I have pain daily, even when I'm not having a bad ibs flare up. I have a lot of trouble with anxiety, and lately I have been very scared that my ibs might be colon cancer. I took a new stool test a month ago, and everything still looks fine. I've had the pain I've come to associate with ibs for quite a few years, so I don't quite know why I'm getting scared now. Not having had a colonoscopy, how do I know for sure it is ibs and not something else? I'm so tired of being scared and being in pain.
doctor
Answered by Dr. Ramesh Kumar (4 hours later)
Brief Answer:
Anxiety is a common cause of IBS.

Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details and can very well feel your agony and concerns,
Firstly i would like to say that there is not test to diagnose IBS.IBS is a diagnosis of exclusion which means that when despite of maximum testing(every test) when every thing turns up to be normal and patient is symptomatic like you it's said that patient has IBS.

In easy words in IBS there is nothing wrong with Anatomy of your digestive system rather it's a physiological problem.

Anxiety is among one of the most common cause behind IBS.
Once your colonoscopy is normal ask your doctor(discuss) to start you on-
Tab cibis 8mg thrice daily(contains Chlordiazepoxide, Clidinium Bromide, and Dicyclomine)

Why cibis?
Dicyclomine(for spasmodic pain) is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.

Clidinium bromide(For pain) is an anticholinergic (specifically a muscarinic antagonist) drug.

Chlordiazepoxide is an anti anxiety agent(Benzodiapene)works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.
Take a probiotic daily with food.
Food pattern recommended is-
Eat simple and natural home cooked food.
If possible try detox diet (Raw vegans) for at least 3 month. Take normal food in lunch while in supper take uncooked raw (low fiber) natural form of food. This can play wonders.
Avoid taking excessive fibres. A total fiber intake of about 20-25 gram per day would be good for you.
No pizza,Burger, Red meat, and dairies for few weeks.
No alcohol or smoking.

As to take natural food rich in probiotics like Yoghurt, Kimchi,etc.This doesn't mean that you have to take them as much as you can.Follow your body increase their uptake gradually.
Drink lots of juices and fresh water daily. Drink cleaner water, it will help a lot.
Avoid over spicy and heavy food.

If possible go for a detox diet but again don't force your body rather let your body adopt gradually to things.

Thank you!
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2865 Questions

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Hi! I'm A 21-year-old Who Is A Bit Concerned About

Brief Answer: Anxiety is a common cause of IBS. Detailed Answer: Hello and thank you for choosing "Ask a Doctor" service for your query, Have seen your details and can very well feel your agony and concerns, Firstly i would like to say that there is not test to diagnose IBS.IBS is a diagnosis of exclusion which means that when despite of maximum testing(every test) when every thing turns up to be normal and patient is symptomatic like you it's said that patient has IBS. In easy words in IBS there is nothing wrong with Anatomy of your digestive system rather it's a physiological problem. Anxiety is among one of the most common cause behind IBS. Once your colonoscopy is normal ask your doctor(discuss) to start you on- Tab cibis 8mg thrice daily(contains Chlordiazepoxide, Clidinium Bromide, and Dicyclomine) Why cibis? Dicyclomine(for spasmodic pain) is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells. Clidinium bromide(For pain) is an anticholinergic (specifically a muscarinic antagonist) drug. Chlordiazepoxide is an anti anxiety agent(Benzodiapene)works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain. Take a probiotic daily with food. Food pattern recommended is- Eat simple and natural home cooked food. If possible try detox diet (Raw vegans) for at least 3 month. Take normal food in lunch while in supper take uncooked raw (low fiber) natural form of food. This can play wonders. Avoid taking excessive fibres. A total fiber intake of about 20-25 gram per day would be good for you. No pizza,Burger, Red meat, and dairies for few weeks. No alcohol or smoking. As to take natural food rich in probiotics like Yoghurt, Kimchi,etc.This doesn't mean that you have to take them as much as you can.Follow your body increase their uptake gradually. Drink lots of juices and fresh water daily. Drink cleaner water, it will help a lot. Avoid over spicy and heavy food. If possible go for a detox diet but again don't force your body rather let your body adopt gradually to things. Thank you!