Launching September 2027

Irritable Bowel Syndrome (IBS)

IBS At A Glance

  • Irritable bowel syndrome is a common functional digestive disorder in which the colon looks normal but does not function normally.
  • IBS can cause recurring abdominal pain along with diarrhea, constipation, or alternating between the two.
  • Other symptoms may include bloating, excess gas, mucus in the stool, and a feeling that bowel movements are incomplete.
  • The exact cause is unknown, but altered brain-gut communication, intestinal muscle contractions, gut sensitivity, infections, microbiome changes, stress, and family history may contribute.
  • Unlike inflammatory bowel disease, IBS does not cause intestinal inflammation or permanent damage and does not increase colorectal cancer risk.
  • Treatment may include dietary changes, a low-FODMAP diet, stress management, exercise, fiber, and medications tailored to the person’s symptoms.

Table of Contents

Table of Contents

What Is IBS?

Irritable Bowel Syndrome (IBS) is a common disorder that affects how the large intestine (colon) functions. IBS is considered a functional gastrointestinal disorder, meaning the digestive tract looks normal but does not function normally. It can cause recurring abdominal pain along with changes in bowel habits, such as diarrhea, constipation, or both.

Unlike inflammatory bowel diseases such as Crohn’s disease and ulcerative colitis, IBS does not cause inflammation, permanent damage to the intestines, or increase the risk of colorectal cancer. Although IBS is a chronic condition, many people successfully manage their symptoms with healthy lifestyle changes, stress management, dietary modifications, and medications when needed.

Learn More

Irritable Bowel Syndrome – NIH MedlinePlus
https://medlineplus.gov/irritablebowelsyndrome.html

Provides easy-to-understand information about IBS, including symptoms, diagnosis, treatment, and living with the condition.

Irritable Bowel Syndrome – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/digestive-diseases/irritable-bowel-syndrome

Explains what IBS is, common symptoms, causes, diagnosis, and treatment options.

How Common Is IBS?

IBS is one of the most common digestive disorders worldwide. It affects an estimated 10% to 15% of adults, although many people never receive a formal diagnosis. IBS is more common in women than men and often develops before the age of 50.

Learn More

Irritable Bowel Syndrome – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/irritable-bowel-syndrome

Provides information about how common IBS is and who is most likely to develop it.

What Symptoms Might You Notice?

IBS symptoms vary from person to person and often come and go over time.

Common symptoms may include:

  • Abdominal pain or cramping
  • Bloating
  • Excess gas
  • Diarrhea
  • Constipation
  • Alternating diarrhea and constipation
  • Mucus in the stool
  • Feeling that bowel movements are incomplete
  • Symptoms that improve after a bowel movement

How Is IBS Diagnosed?

Your healthcare provider will ask about your symptoms, review your medical history, and perform a physical examination. IBS is usually diagnosed using symptom-based criteria called the Rome IV criteria after other conditions have been ruled out when appropriate.

Additional testing may be recommended if you have warning signs such as unexplained weight loss, rectal bleeding, anemia, or symptoms that begin later in life.

Learn More

Irritable Bowel Syndrome – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/irritable-bowel-syndrome

Explains how IBS is diagnosed and when additional testing may be recommended.

Irritable Bowel Syndrome (IBS) infographic – click to enlarge

What Causes IBS?

The exact cause of IBS is unknown. Researchers believe several factors work together to affect how the digestive system functions.

Possible causes and contributing factors include:

  • Changes in communication between the brain and intestines (brain-gut interaction)
  • Abnormal intestinal muscle contractions
  • Increased sensitivity of the intestines
  • Previous gastrointestinal infections
  • Changes in the gut microbiome
  • Stress
  • Family history

Learn More

Irritable Bowel Syndrome – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/irritable-bowel-syndrome

Learn about the possible causes and risk factors associated with IBS.

What Can Make IBS Worse?

Many people notice that certain foods or situations trigger their IBS symptoms.

Common triggers include:

  • Stress
  • Anxiety
  • Large meals
  • Fatty or greasy foods
  • Caffeine
  • Alcohol
  • Carbonated beverages
  • Certain high-FODMAP foods
  • Menstrual hormone changes in some women

Learn More

IBS Diet – Monash University
https://www.monashfodmap.com/ibs-central/

Provides evidence-based information about the low-FODMAP diet and common IBS triggers.

Prevention

Although IBS cannot always be prevented, healthy lifestyle habits may reduce symptoms and decrease the frequency of flare-ups.

Helpful prevention tips include:

  • Eat regular, balanced meals.
  • Stay well hydrated.
  • Identify and avoid personal food triggers.
  • Exercise regularly.
  • Manage stress.
  • Get enough sleep.
  • Avoid smoking.
  • Limit alcohol and caffeine if they worsen symptoms.
  • Follow your healthcare provider’s treatment plan.

Learn More

Irritable Bowel Syndrome – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/digestive-diseases/irritable-bowel-syndrome

Provides practical recommendations for managing IBS and reducing symptom flare-ups.

Labs

There is no single laboratory test that diagnoses IBS. However, laboratory testing may be performed to rule out other medical conditions.

Common laboratory tests may include:

  • Complete Blood Count (CBC): Checks for anemia or infection.
  • Comprehensive Metabolic Panel (CMP): Evaluates kidney function, liver function, and electrolytes.
  • Celiac Disease Blood Tests: May be recommended, especially in people with diarrhea-predominant IBS.
  • C-Reactive Protein (CRP): May help rule out inflammatory bowel disease.
  • Stool Studies: May be ordered to evaluate for infection, inflammation, or blood.

Learn More

Irritable Bowel Syndrome – NIH MedlinePlus
https://medlineplus.gov/irritablebowelsyndrome.html

Provides information about testing commonly used when evaluating IBS.

Diagnostics

Additional testing is usually performed only when symptoms suggest another digestive condition or if warning signs are present.

Common diagnostic tests may include:

  • Colonoscopy: May be recommended based on your age, symptoms, family history, or colorectal cancer screening guidelines.
  • Flexible Sigmoidoscopy: Examines the lower portion of the colon in selected patients.
  • Upper Endoscopy (EGD): May be recommended if upper digestive symptoms are present.
  • Breath Testing: May be used to evaluate lactose intolerance or small intestinal bacterial overgrowth (SIBO) in selected patients.

Learn More

Irritable Bowel Syndrome – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/irritable-bowel-syndrome

Learn about the tests that may be used to evaluate IBS and rule out other digestive disorders.

Treatment & Management

Treatment Options

Treatment focuses on reducing symptoms, improving quality of life, and identifying individual triggers. Your treatment plan will depend on your symptoms and whether constipation, diarrhea, or both are present.

Treatment options may include:

  • Dietary changes
  • Low-FODMAP diet
  • Stress management
  • Regular physical activity
  • Fiber supplements
  • Medications for diarrhea or constipation
  • Antispasmodic medications
  • Medications that target IBS symptoms

Learn More

Irritable Bowel Syndrome – American College of Gastroenterology (ACG)
https://gi.org/topics/irritable-bowel-syndrome/

Provides information about treatment options and long-term management of IBS.

Lifestyle Changes

Healthy lifestyle habits often play a major role in improving IBS symptoms.

Helpful lifestyle changes include:

  • Eat regular meals.
  • Stay well hydrated.
  • Increase fiber gradually if recommended.
  • Consider a low-FODMAP diet under the guidance of a healthcare provider or dietitian.
  • Exercise regularly.
  • Manage stress.
  • Get enough sleep.
  • Keep a food and symptom diary.
  • Take medications exactly as prescribed.

Learn More

Low-FODMAP Diet – Monash University
https://www.monashfodmap.com/

Provides evidence-based information about the low-FODMAP diet and managing IBS symptoms.

Medications

Several medications can help manage IBS symptoms. The best choice depends on whether your symptoms are primarily diarrhea, constipation, abdominal pain, or a combination of these.

Common medications include:

  • Fiber Supplements: May help improve constipation and regulate bowel movements.
  • Laxatives: May be recommended for constipation-predominant IBS.
  • Antidiarrheal Medications: Such as loperamide, to help control diarrhea.
  • Antispasmodic Medications: Help reduce intestinal muscle spasms and abdominal cramping.
  • Prescription IBS Medications: Such as linaclotide, plecanatide, lubiprostone, rifaximin, eluxadoline, or tenapanor for selected patients depending on the type of IBS.
  • Low-Dose Antidepressants: May help reduce abdominal pain and improve communication between the brain and digestive tract in some individuals.

Learn More

Irritable Bowel Syndrome – American College of Gastroenterology (ACG)
https://gi.org/topics/irritable-bowel-syndrome/

Provides information about medications commonly used to treat IBS.

Procedures

Most people with IBS do not require surgery or invasive procedures. Treatment usually focuses on dietary changes, lifestyle modifications, stress management, and medications. However, certain procedures or tests may be recommended to rule out other digestive conditions or evaluate persistent symptoms.

Common procedures may include:

  • Colonoscopy: May be recommended if you have rectal bleeding, unexplained weight loss, anemia, a family history of colorectal cancer, or are due for routine colorectal cancer screening.
  • Upper Endoscopy (EGD): May be performed if symptoms suggest a problem involving the upper digestive tract.
  • Hydrogen or Methane Breath Testing: May help diagnose lactose intolerance, fructose intolerance, or small intestinal bacterial overgrowth (SIBO) in selected patients.
  • Anorectal Manometry: Measures how well the muscles and nerves of the rectum and anus work and may be recommended for certain people with chronic constipation.

Learn More

Irritable Bowel Syndrome – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/digestive-diseases/irritable-bowel-syndrome

Learn about the procedures and tests that may be used to evaluate IBS and rule out other digestive conditions.

What Should You Expect Long-Term?

IBS is a long-term condition, but it does not damage the intestines or increase your risk of colorectal cancer. Symptoms often come and go, with periods of improvement followed by flare-ups. Many people successfully manage IBS through healthy lifestyle changes, identifying personal triggers, stress reduction, and medications when needed.

Working closely with your healthcare provider can help you develop a treatment plan that improves your symptoms and quality of life.

What Can You Do At Home?

Daily self-care can significantly improve IBS symptoms and reduce flare-ups.

Helpful tips include:

  • Eat meals on a regular schedule.
  • Stay well hydrated.
  • Keep a food diary to identify trigger foods.
  • Consider a low-FODMAP diet with guidance from your healthcare provider or dietitian.
  • Exercise regularly.
  • Manage stress through relaxation techniques, mindfulness, or counseling if needed.
  • Get enough sleep.
  • Take medications exactly as prescribed.
  • Keep regular healthcare appointments.

Learn More

Low-FODMAP Diet – Monash University
https://www.monashfodmap.com/

Provides evidence-based guidance on using the low-FODMAP diet to help manage IBS symptoms.

Frequently Asked Questions

What is the difference between IBS and inflammatory bowel disease (IBD)?

IBS is a functional digestive disorder that does not cause inflammation or permanent damage to the intestines. Inflammatory bowel diseases, such as Crohn’s disease and ulcerative colitis, cause chronic inflammation and can damage the digestive tract.

Can stress make IBS worse?

Yes. Stress and anxiety commonly trigger or worsen IBS symptoms in many people.

Can certain foods trigger IBS symptoms?

Yes. Trigger foods vary from person to person. Common triggers include fatty foods, caffeine, alcohol, spicy foods, dairy products for some people, and certain high-FODMAP foods.

Does IBS increase my risk of colon cancer?

No. IBS does not increase the risk of colorectal cancer.

Can exercise help IBS?

Yes. Regular physical activity may improve bowel function, reduce stress, and lessen IBS symptoms.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • What type of IBS do I have?
  • What foods are most likely to trigger my symptoms?
  • Should I try a low-FODMAP diet?
  • Do I need additional testing?
  • What medications are best for my symptoms?
  • Should I see a dietitian?
  • When should I schedule a follow-up appointment?

Specialist Referrals

Many people with IBS receive care from their primary care provider. Depending on your symptoms and treatment response, your provider may recommend seeing a specialist.

You may be referred to:

  • Gastroenterologist: Specializes in digestive system disorders and IBS management.
  • Registered Dietitian: Helps develop a personalized nutrition plan and guides the low-FODMAP diet.
  • Mental Health Professional: Helps manage stress, anxiety, depression, or other psychological factors that may contribute to IBS symptoms.
  • Pelvic Floor Physical Therapist: May help individuals with pelvic floor dysfunction or chronic constipation.

Learn More

American College of Gastroenterology – Irritable Bowel Syndrome
https://gi.org/topics/irritable-bowel-syndrome/

Provides patient education about IBS, treatment options, and specialty care.

Is IBS Curable?

There is currently no cure for IBS. However, many people successfully manage their symptoms with dietary changes, stress management, regular physical activity, and medications when needed.

Symptoms often improve over time, and many people are able to lead healthy, active lives with an individualized treatment plan.

Emergency Symptoms / When To Seek Immediate Help

IBS itself does not usually cause medical emergencies. However, certain symptoms may indicate a more serious condition.

Call 911 or seek emergency medical care immediately if you experience:

  • Severe abdominal pain that is sudden or worsening
  • Persistent vomiting
  • Black or tarry stools
  • Heavy rectal bleeding
  • Difficulty staying awake
  • Confusion

Seek prompt medical evaluation if you notice:

  • Unexplained weight loss
  • Persistent fever
  • Blood in your stool
  • Symptoms that wake you from sleep regularly
  • New symptoms beginning after age 50
  • Persistent diarrhea leading to dehydration

Learn More

Irritable Bowel Syndrome – NIH MedlinePlus
https://medlineplus.gov/irritablebowelsyndrome.html

Learn when IBS symptoms require medical evaluation and when emergency medical care is needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Irritable Bowel Syndrome – NIH MedlinePlus
https://medlineplus.gov/irritablebowelsyndrome.html

Easy-to-understand information about IBS, including symptoms, diagnosis, treatment, and living with the condition.

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) – Irritable Bowel Syndrome
https://www.niddk.nih.gov/health-information/digestive-diseases/irritable-bowel-syndrome

Comprehensive information about IBS, treatment options, nutrition, and long-term management.

American College of Gastroenterology (ACG) – Irritable Bowel Syndrome
https://gi.org/topics/irritable-bowel-syndrome/

Evidence-based patient education about IBS, medications, dietary recommendations, and specialty care.

Monash University – Low-FODMAP Diet
https://www.monashfodmap.com/

Reliable information about the low-FODMAP diet and evidence-based nutrition strategies for managing IBS.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your symptoms worsen, new symptoms develop, or your treatment plan is no longer controlling your IBS. Call 911 immediately if you experience severe abdominal pain, heavy rectal bleeding, black stools, persistent vomiting, confusion, or another medical emergency.

Get personalized care for IBS

At APNS, our providers take the time to understand your condition and your goals. We offer comprehensive telehealth visits at a fixed rate — no membership fees, no insurance required, and no unexpected charges. Whether you’re newly diagnosed or looking for a provider who actually listens, we’re here to help.