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Irritable Bowel Syndrome (IBS) is a prevalent gastrointestinal disorder affecting millions worldwide, yet many suffer in silence due to the stigma and discomfort surrounding digestive issues. According to Laurence Bailen, a gastroenterologist and clinical associate professor of medicine at Tufts University School of Medicine, discussing symptoms such as bowel movements, bloating, and pain with a healthcare provider is the first step to improving quality of life.
IBS affects 5-10% of people globally, with up to 15% of individuals in the U.S. experiencing its symptoms. Despite its widespread nature, most people don’t seek medical attention until the discomfort becomes unbearable. “Many are dismissive about IBS, but the condition is real, and patients should never feel alone in their struggles,” Bailen states.
To be diagnosed with IBS, patients must experience recurrent abdominal pain at least once per week for three months, along with a combination of symptoms such as changes in bowel movements or stool consistency. This diagnosis is based on the Rome IV criteria, a set of guidelines created by healthcare professionals to identify disorders of gut-brain interaction (DGBI).
Bailen notes that IBS symptoms can vary widely—from mild discomfort after eating certain foods to severe, debilitating episodes that affect daily life. “It can be socially isolating,” Bailen explains. “People with IBS might avoid social gatherings or miss work due to their symptoms, which can take a significant emotional toll.”
Despite its high prevalence, IBS remains underdiagnosed. A large portion of patients never seek medical advice, which leads to prolonged suffering. “One of the first things I do with my patients is validate their condition. IBS should be treated like any other disease, such as diabetes or high blood pressure,” Bailen emphasizes.
When evaluating potential IBS cases, Bailen performs thorough screenings to rule out other possible conditions like celiac disease, infections, inflammatory disorders, or cancer. Blood tests, often showing normal results, are typically conducted, as IBS does not cause abnormalities like anemia or significant weight loss.
The root cause of IBS often lies in gut-brain interactions. “The autonomic nervous system, which controls gastrointestinal function, connects the brain and gut,” Bailen explains. “For patients with mental health conditions like anxiety or depression, this connection can lead to disturbances in bowel function.”
While IBS treatment varies depending on the severity of symptoms, Bailen focuses on providing reassurance to patients. Knowing their condition isn’t life-threatening can significantly ease mental health concerns and help improve digestive health. He also recommends stress management techniques such as yoga, meditation, and acupuncture, alongside dietary changes like a low-FODMAP diet, which avoids foods that contribute to bloating and gas.
For those considering whether they may have IBS, Bailen suggests asking questions like, “Am I regularly missing work or social events because of my symptoms?” or “Am I avoiding outings due to fear of not being near a bathroom?” If the answer is yes, it’s time to seek professional help. Providers can evaluate symptoms and offer treatments to control them.
Disclaimer: This article is for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a healthcare provider for concerns about your health.
