When you deal with problems in the bathroom for months or even years, you start to think it’s just part of your life forever. But digestive disorders are often curable — and nothing to be embarrassed about.
Irritable bowel syndrome (IBS) is a very common disorder, but it doesn’t have to be.
How many people in the United States have IBS? According to the International Foundation of Functional Gastrointestinal Disorders, between 25 and 45 million people in the United States have IBS. That is almost a quarter of American adults.
It is almost sad to see IBS patients “treated” with pharmaceuticals that temporarily mask some symptoms and bring about all sorts of adverse side effects.
At PrimeHealth, our approach is identifying and treating the root cause of your IBS symptoms. In our practice, we have witnessed astounding success when diagnosing and addressing the underlying cause.
Click here to schedule a free consultation with us. We deliver results you will not find in a conventional hospital, and we empower patients to take an active part in their own healing.
What is irritable bowel syndrome (IBS)?
Irritable bowel syndrome (sometimes called spastic colon) is a disorder of the large intestine. IBS causes recurrent abdominal pain and diarrhea or constipation over at least 6 months. While conventional medicine claims this condition is chronic, it is possible to reverse IBS in many cases.
How long does IBS last? IBS symptoms must last for at least 6 months to officially be considered IBS, but this condition can last your whole life if you don’t do anything about it.
If you are experiencing changing bowel habits, it’s wise to see a healthcare provider sooner rather than later.
There are 4 types of IBS:
- Diarrhea-predominant (IBS-D)
- Constipation-predominant (IBS-C)
- Mixed, or mixed pattern (IBS-M)
- Unspecified (IBS-U)
Symptoms of IBS (in Men & Women)
What are the symptoms of irritable bowel syndrome?
- Bloating
- Abdominal pain
- Cramping
- Stomach growling
- Constipation
- Diarrhea, loose stool
- Undesired weight loss
- Urgency to go
For women on their menstrual cycle, menstrual cramps may be confused with abdominal cramping. Most women are good at deciphering which is which, but younger women who have only recently started menstruating may not have the same experience distinguishing between the two.
Telling the difference between IBS and IBD (inflammatory bowel disease) can be tricky. IBS and IBD are separate classifications. Crohn’s disease and ulcerative colitis are examples of IBD, and both are considered more severe disorders than IBS.
Extra-gastrointestinal IBD symptoms (outside the gut) include eye inflammation, joint pain, and extreme fatigue. A doctor can confirm the diagnosis of IBD with a colonoscopy and biopsies from the digestive tract.
Diagnosing Irritable Bowel Syndrome
To diagnose IBS, doctors use the Rome criteria. A proper diagnosis of IBS is when you have experienced recurring abdominal pain for 6 or more months or any two of the following three in the past 3 months:
- Pain or relief related to bowel movements
- Change in frequency of bowel movements
- Change in consistency of bowel movements
Right off the bat, your doctor should ask about your personal medical history and family history. They should rule out IBD, anemia, Celiac disease, colon cancer, carcinoid syndrome. A colonoscopy may be required to rule out some conditions.
For instance, the American College of Gastroenterology recommends all people with IBS symptoms get tested for celiac disease. The more health information you have about yourself, the better.
To identify the underlying cause of your IBS, we will discuss and test for specific IBS triggers, like:
- Food allergies
- Leaky gut
- Stress
- Parasites
- Yeast overgrowth
- Antibiotics
- Hormone imbalance
Keeping an up-to-date food diary may help nail down your individual IBS triggers.
SIBO tests
At PrimeHealth, we run SIBO tests for all our patients with IBS since SIBO is a common cause of its symptoms. SIBO stands for “small intestinal bacterial overgrowth.”
The majority of the time, the test will come back positive.
Glucose and lactulose breath tests are less invasive diagnostics than blood tests and effectively test for SIBO. A methane-positive test usually indicates a constipation-dominant IBS, and a hydrogen-positive test usually indicates diarrhea-dominant IBS.
This breath test gives doctors a better idea of how to treat your IBS by focusing on the underlying causes.
Common Triggers of IBS Symptoms
Chronic stress is a major trigger for IBS. Daily stress may weaken your bowels by disrupting your nervous system, specifically your migratory motor complex (MMC). When stress is a significant factor, your intestinal muscles can’t do what they need to do.
Antibiotics are often connected to bowel diseases because antibiotics kill good bacteria along with the bad (which may lead to leaky gut). The balance of good bacteria in your gut determines your gut and immune health.
Leaky gut syndrome is when an imbalance of harmful bacteria in your gut leads to weakened tight junction proteins in your intestinal lining, which let nutrients pass from the gastrointestinal tract into the bloodstream. Leaky gut may trigger immune dysfunction, digestive issues, and inflammation throughout the body.
Hormone imbalances can result in IBS. There is a direct interplay between your hormones and your gut. An imbalance in hormones can cause an imbalance in gut bacteria. In particular, thyroid disorders can be associated with digestive distress.
Candida or yeast overgrowth is a particularly frustrating IBS trigger. Though not recognized as a diagnosis in conventional medicine, candida/yeast infection cases are increasing due to antibiotic overuse and excess dietary sugar.
Parasites can also trigger IBS. We can test for parasites in a stool sample. While stool samples conducted in conventional medical centers may not pick up parasites, PrimeHealth uses specific testing companies that detect parasites through PCR DNA analysis and advanced microscopic techniques.
Excessive alcohol use has been linked with IBS symptoms.
Low vagal tone has been observed in IBS and other bowel diseases. The vagus nerve is the biggest cranial nerve, which connects your brain to the rest of your body. Stimulation can cause a sudden drop in blood pressure and heart rate, resulting in fainting. Low vagal tone means low vagus nerve activity — also a sluggish digestive system.
Thyroid dysfunction is another potential IBS trigger. Since thyroid hormones regulate your metabolism, both hypothyroidism and hyperthyroidism may cause digestive system problems that lead to IBS.
Histamine intolerance can contribute to IBS. Histamine regulates allergic responses and gut function.
Poor hydration may also trigger IBS.
Food poisoning can also damage the migratory motor complex and lead to a prolonged bowel disorder such as IBS.
What foods can aggravate IBS?
- Simple sugar, carbohydrates (in yeast infection)
- Excessive caffeine (in yeast infection or cortisol excess)
- Food allergens (For instance, if you have lactose intolerance, dairy can trigger IBS. Allergic to gluten? Wheat products can trigger IBS.)
- Eating too frequently in general (The migratory motor complex is not activated when you do not give your body enough time to digest.)
Causes & Risk Factors
What are the causes of IBS? The primary causes of IBS are unknown. However, there are several known triggers, each of which causes IBS — such as leaky gut syndrome and, most frequently, SIBO.
What are the risk factors for IBS?
- Stress
- Younger age
- Stomach flu (gastroenteritis)
- Smoking
- Excessive alcohol use
- Diabetes
Post-infectious IBS refers to irritable bowel syndrome that occurs after a bacterial infection in your digestive tract. Bacterial infections are a common cause of IBS.
5 IBS Treatments to Discuss with Your Doctor
Some IBS medications can support the recovery and reversal of this condition.
Conventional doctors may prescribe the following:
- Bentyl (dicyclomine) for cramping
- Loperamide or eluxadoline for diarrhea
- Lubiprostone or linaclotide for constipation
- Tricyclic antidepressants to improve mental health and ease physical pain
But we believe the side effects are not worth the superficial treatment of symptoms, not causes.
Here are 5 IBS treatments worth mentioning that you can discuss with your healthcare provider:
- Rifaximin is the generic of Xifaxan, an antibiotic that is FDA-approved to treat IBS-D. Rifaximin is the only medication we prescribe for hydrogen-dominant IBS. While many insurance companies will not pay its high price tag, we use pharmacies in Canada to obtain the generic form at an extremely reasonable price.
- For methane-dominant IBS, there are more options. Rifaximin in conjunction with another antibiotic has been shown in studies to yield more positive results. Neomycin is a potential antibiotic we may use. However, if a patient tests positive for parasites, we will prescribe an antiparasitic antibiotic — either metronidazole or tinidazole.
- Biofilm disruptors are a way to weaken harmful bacteria. Often, bacteria will form a biofilm to adapt to their environment. Biofilms are very resistant to antibiotics, so a biofilm disruptor is sometimes needed to neutralize bacteria’s defenses.
- Fecal transplant is a procedure that transfers healthy stool into a patient with a digestive disorder. This procedure restores a lot of beneficial bacteria to the patient. There is surprisingly convincing science to back up this procedure.
- Prokinetics (AKA promotility agents) are benign medications that are useful in very resistant cases of IBS. Prokinetics aid in digestion when your digestive tract does not work as effectively as it needs to. Prokinetics alleviate bloating. Some examples are ginger, low-dose naltrexone, and prucalopride.
A 2014 study revealed that specific herbal blends were as effective as Rifaximin in treating SIBO. So, for many patients, the all-natural route is the best one.
Natural Treatments for Irritable Bowel Syndrome
Below, we will discuss the most common and effective natural treatment options for irritable bowel syndrome.
We have found that IBS can be cured in most cases. Yes, that is a controversial claim to make. But our patients prove it to be true.
The conventional medical community does not recognize an official cause for IBS — because there are several. Therefore, conventional doctors almost always only prescribe medications that mask symptoms to try and improve quality of life without treating the actual disease.
This vicious cycle of dependency on synthetic medications does not treat the underlying cause of your IBS but can lead to ugly side effects.
At PrimeHealth, we identify which of the many IBS triggers might be causing a patient’s symptoms. Eliminating all IBS triggers may lead to the reversal of IBS altogether.
Personal story: I will never forget one of our patients who had suffered from IBS and acid reflux for a few years. Doctors and gastroenterologists did their tests and prescribed him acid-blocking meds, which did not even relieve his symptoms.
Then, after two months of PrimeHealth treatment (gut-healing supplements and dietary changes in his case), he had no more IBS symptoms. PrimeHealth’s approach to treating IBS works!
Without further adieu: What is the best natural treatment for irritable bowel syndrome?
1. The IBS Diet
What is a typical IBS diet? The low-FODMAP diet is typically beneficial for most IBS patients. Even the National Institute of Diabetes and Digestive and Kidney Diseases talks about the efficacy of the low-FODMAP diet.
We recommend a temporary low-FODMAP diet as part of nearly every treatment plan for PrimeHealth patients.
FODMAPs are fermentable carbs. They are notorious for triggering bloating and other digestive issues. Low-FODMAP is not meant to be followed for more than a few months.
Avoid these foods on the Low-FODMAP diet:
- Wheat, rye
- Dairy
- Beans
- Garlic, onions (contain fructans)
- Fruit (because of fructose)
- Asparagus, brussels sprouts, cauliflower, mushrooms, snow peas
- Agave nectar, sugar alcohols
The low-FODMAP diet is meant to be an elimination diet. If symptoms subside while on the diet, you can slowly reintroduce foods. Figure out which foods you can tolerate, and determine the amount you can handle.
The low-FODMAP diet is not recommended while being treated for SIBO with antibiotics. These antibiotics are more effective when you eat high-FODMAP foods, so your doctor should consider this.
Check out this article for more IBS diets. Hint: avoid honey.
2. Lifestyle Changes
Stress relief is a surefire way to lower your risk of irritable bowel syndrome. Meditation, a full night’s sleep, yoga, and spending time outside are all great ways to relieve stress.
Exercise may help treat IBS. Studies show that physically active people are significantly less likely to suffer from IBS than inactive people.
Intermittent fasting (bowel rest) may help relieve IBS symptoms. If you’re eating too much too quickly, your digestive tract doesn’t have enough time to process the food properly. Fasting in the mornings or evenings can help correct this issue — shoot for a fasting window of 12 hours, then work your way to 14-16 hours between dinner and breakfast.
3. Probiotics and Other Gut Healing Supplements
Probiotics restore the good bacteria that many people lose throughout their lives. Whether through diet, lifestyle, antibiotic overuse, or medical conditions, your gut often needs a helping hand.
Probiotics treat leaky gut syndrome (an imbalance of good bacteria), and leaky gut is a potential trigger for IBS.
4. CBD for IBS
Cannabidiol, commonly known as CBD, has been shown by study after study to help treat bowel diseases.
A study published in Biochemical Pharmacology confirmed that CBD treats bowel inflammation.
A 2016 study talks about how CBD affects many organ systems. Despite the social controversy, CBD may truly address serious digestive tract issues.
5. Vitamin D
Vitamin D, the only vitamin that is also a hormone, may help treat IBS.
Research indicates that vitamin D deficiency is significantly more prevalent in those with IBS than those without IBS.
A 2018 study observed that vitamin D effectively treated IBS in adolescents.
6. Other Dietary Supplements
Here is a concise list of various over-the-counter dietary supplements and the IBS triggers that each one addresses:
- Digestive enzymes aid in the digestive process
- Berberine addresses yeast infections
- Artemisia treats parasites
- Chasteberry balances hormones
- Iodine helps correct thyroid problems
- Allicin treats SIBO
- Glutathione fights toxins
- Oil of oregano treats SIBO, yeast infections, and leaky gut
- Peppermint oil addresses constipation
- Certain herbal blends, like Dysbiocide or FC-cidal, treat SIBO
Possible Complications of IBS
Several possible complications can arise when you live with irritable bowel syndrome.
Good bacteria in your gut are usually out of whack. An imbalance in healthy gut bacteria can lead to leaky gut syndrome. Because a large portion of your immune system lives in your gut, a leaky gut often leads to an autoimmune condition or other immune dysfunction.
If you’re constipated, this can mean you are not detoxing properly. A healthy digestive system detoxes your body of:
- Heavy metals
- Pesticides
- Excess estrogen
Without detoxing these and other toxins, you may face hormone or immune disorders.
As with other digestive issues, you may be experiencing malabsorption, meaning your digestive tract is not absorbing all the nutrients it needs whenever you eat. The food is hurrying through your digestive system too quickly.
Malabsorption can increase the risk of osteoporosis (due to calcium malabsorption), cognitive decline (due to vitamin B12 malabsorption), infection, and immune dysfunction (due to zinc and vitamin A malabsorption).
Also, acid-blocking meds and laxatives (two potential IBS medications) can both lead to malabsorption.
Long-Term Outlook
You can reverse irritable bowel syndrome by treating the root cause of your IBS.
Patients have come through our doors who have had IBS for 10 years. IBS affects your daily life in many negative ways, and a decade of suffering can wear a person down.
Nothing worked for them until we identified and addressed the root cause. Suddenly, we saw massive improvements in a couple months!
If you live in the greater Denver area (or you’re willing to travel for revolutionary treatment), learn more about our science-backed approach to treating IBS and hypothyroidism.
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