No one will give you a specific cause of Irritable Bowel Syndrome. IBS is a motility disorder some experts say. An oversensitive or hyperactive gut is another possible cause of IBS. and the gut will react to changes influenced by stress, food and hormones.
Typically the bowel habit in IBS becomes chaotic. There is no surprised, therefore that it is considered a motility disorder. The transit time from ingestion of food to excretion is abnormal.
In diarrhoea the transit time is faster and in constipation it is slower. There are two types of IBS, diarrhoea predominant and constipation predominant. In some cases constipation and diarrhoea alternate. In IBS stools can vary from watery and unformed to hard pellets.
Some say there is a link between diet and IBS.
Certain foods will trigger IBS symptoms. Intestinal gut activity is stimulated by ingesting food. This is a normal action and the most common is the Gastro colic reflex. This reflex is strongest after breakfast. Gastro-Colic reflex in IBS is strongest after fatty or large meals. This strong gut contraction can cause abdominal pains and or diarrhoea.
There is no evidence that food causes IBS but certain foods and the volume consumed at one time can trigger symptoms.
One suggestion is that the fault that results in IBS resides in the Nervous System. The Enteric Nervous System is a complex interconnection of brain cells in the gut. To understand IBS, experts think you need to understand how the Enteric Nervous System works.
The highest level of serotonin, a neuro-chemical is found in the gut. Significant research is currently done on the chemical and its role in IBS.
Contractions of the smooth muscles of the gut are affected by serotonin. Low levels of serotonin lead to constipation and higher than normal levels cause diarrhoea.
Psychological factors such as anxiety, stress and depression can affect the gut. In addition psychological trauma such as physical, emotional and sexual abuse can affect the gut. Statistics show that there is a greater incidence of psychological trauma and disturbances in IBS. It is suggested that in addition to treating the IBS, treating the other issues will give better long-term results.
Gastroenteritis as a cause of IBS: IBS can develop is 20-30% of cases of severe gastro-enteritis. The common infective organisms are Campylobacter jejuni, Salmonella shigella, and Escherichia coli. Serotonin levels in gastro-enteritis is very high and in cases that develop IBS this high level continues.
In women with IBS, the hormones progesterone and estrogen vary during the menstrual cycle and the symptoms may fluctuate. These hormones can affect the colon and the passage of residue along the gut. In some women IBS is worse at certain stage of their cycle.
Yeast according to Prof. Jonathan Bostoff of The Meddlesex Hospital could be a possible cause of IBS. These patients have reduced levels of friendly bacteria, Lactobacilli and Bifidobacteria in their large bowel. This results in overgrowth of Candida.
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