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Understanding Irritable Bowel Syndrome (IBS)
3/31/2026 • Posted by Fidelis Care in Health and Wellness

 

If you often have stomach pain, bloating, or trouble going to the bathroom, you are not alone. Many people live with a condition called irritable bowel syndrome, or IBS.

IBS affects how food moves through your intestines. It can make your stomach feel uncomfortable or even painful at times. The good news is that IBS is not dangerous, and it does not lead to serious diseases.


What does IBS feel like?

IBS can feel different for everyone. For many people, it starts with stomach pain or cramping. You might feel bloated, like your stomach is full or tight. Gas is also common.

You may also notice changes in how often you go to the bathroom. Some people have diarrhea, while others have constipation. Some people switch between both.

One of the hardest parts of IBS is that it can come and go. You might feel fine for a while, and then your symptoms return without warning.


Why does IBS happen?

Doctors are still learning about IBS, and there is no single clear cause. But they believe it has to do with how the brain and the gut work together.

In people with IBS, the gut may be more sensitive than usual. Food might move too quickly or too slowly through the intestines. This can lead to pain and changes in bowel habits.

Certain things can make symptoms worse. These are called triggers. Triggers can be different for everyone, but often include certain foods, stress, or even some medications.


How common is IBS?

IBS is very common. About 10-15% of people in the United States have it.

It is more often seen in people under age 50, but older adults can have it too. Women are more likely to have IBS than men.

You may be more likely to develop IBS if someone in your family has it, if you deal with a lot of stress, or if you’ve had a serious stomach infection in the past.


IBS is not the same as IBD

IBS is sometimes confused with another condition called inflammatory bowel disease, or IBD. But they are not the same.

IBD includes conditions like Crohn’s disease and ulcerative colitis. These cause swelling in the intestines and can lead to more serious problems.

IBS does not cause this kind of damage. It can be uncomfortable, but it does not harm your intestines or increase your risk of cancer.


How is IBS diagnosed?

There is no single test for IBS. Instead, your provider will listen to your symptoms and ask about your health history. They may do a physical exam and sometimes order tests to make sure nothing else is causing your symptoms.


Living with IBS

There is no cure for IBS, but many people find ways to feel better over time.

For some, it starts with paying attention to what they eat. Certain foods, such as spicy foods, caffeine, alcohol, wheat, or dairy, can make symptoms worse. Learning your personal triggers can help you avoid flare-ups.

Daily habits also matter. Staying active, drinking enough water, and finding ways to manage stress can all help your body feel more balanced. Even small changes can make a difference.

Some people also need extra support. Your provider may suggest medication to help with constipation, diarrhea, or stomach pain. Others may benefit from probiotics or talking to a therapist, especially since stress can affect the gut.


When to talk to your provider

If you have ongoing stomach problems or changes in your bowel habits, it’s a good idea to talk to your provider. They can help you understand what’s going on and find ways to manage your symptoms.

Living with IBS can be frustrating, especially when symptoms come and go. But with the right support and a better understanding of your body, many people are able to manage their symptoms and feel more in control of their health.

 

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