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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer From Ibs, Stomach Cramps. Crohn S Disease Or Even Worse?

Hi, my husband suffers from Ibs, but I'm worried it may be something else. He has to go to the toilet to open his bowels almost straight after food & suffers from stomach cramps. It's almost always diarrhoea & looks like the food hasn't digested properly. He sometimes gets severe stomach cramps & spends over half an hour at a time on the toilet. He knows the usual triggers for his IBS & tries to avoid them, but sometimes he gets this even without those foods. I'm just worried it could b Crohn's disease or even worse.
Fri, 5 Jul 2013
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Gastroenterologist,  's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).

Few things to know about IBS:
1. Is a chronic disease which has relapsing and remitting course
2. It will never harm you even if it will persist for whole life
3. Stress, life events, and anxiety leads to aggravation of symptoms
4. Intestine becomes hypersensitive so even discomfort is perceived as pain
5. Increase gas production leading to abdominal fullness and bloating
6. No alarming features like weight loss, gastrointestinal bleeding,loss of appetite, anemia or hypoproteinemia or fever
7.Three types IBS- C/D/Or M (constipation, diarrhoea prominent or mixed type)

So if your husband is not having any of the above alarming features then it must be IBS. If any of them is present then I advise to seek the opinion of Gastroenterologist to evaluate him further.

I hope I have answered your query and this will help you. Remain in touch.
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Suffer From Ibs, Stomach Cramps. Crohn S Disease Or Even Worse?

Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). Few things to know about IBS: 1. Is a chronic disease which has relapsing and remitting course 2. It will never harm you even if it will persist for whole life 3. Stress, life events, and anxiety leads to aggravation of symptoms 4. Intestine becomes hypersensitive so even discomfort is perceived as pain 5. Increase gas production leading to abdominal fullness and bloating 6. No alarming features like weight loss, gastrointestinal bleeding,loss of appetite, anemia or hypoproteinemia or fever 7.Three types IBS- C/D/Or M (constipation, diarrhoea prominent or mixed type) So if your husband is not having any of the above alarming features then it must be IBS. If any of them is present then I advise to seek the opinion of Gastroenterologist to evaluate him further. I hope I have answered your query and this will help you. Remain in touch.