Irritable Bowel Syndrome (IBS) — Patient Information

A clear guide for Valley Gastroenterology patients.

What is IBS?

Irritable Bowel Syndrome (IBS) is a common, long‑term condition affecting how the gut functions. It causes abdominal pain related to bowel movements with changes in stool frequency or form. IBS does not damage the intestines or lead to cancer, but it can significantly affect quality of life.

Subtypes

  • IBS‑C: constipation‑predominant
  • IBS‑D: diarrhea‑predominant
  • IBS‑M: mixed (both constipation and diarrhea)

Common symptoms

  • Cramping or abdominal pain that improves or worsens after a bowel movement
  • Bloating, gas
  • Constipation, diarrhea, or both
  • Mucus in the stool

Red‑flag symptoms — call us promptly

  • Rectal bleeding or black/tarry stools
  • Unintentional weight loss, fever, or persistent vomiting
  • Night‑time symptoms that wake you from sleep
  • New symptoms after age 50, or a family history of colon cancer, IBD, or celiac disease

How IBS is diagnosed

We review your history and symptoms, perform an exam, and use focused tests to rule out other conditions (e.g., celiac disease, IBD, thyroid issues, infection). Many patients do not need extensive testing. Some may need labs, stool tests, breath tests, or colonoscopy based on age and red flags.

Treatment approach (personalized)

We combine diet, lifestyle, and targeted medications based on your subtype and goals.

Diet & lifestyle

  • Regular meals; don’t skip breakfast; slow, mindful eating
  • Fiber: Aim for 25–30 g/day. For IBS‑C, consider soluble fiber (e.g., psyllium). Increase slowly and hydrate.
  • Low FODMAP trial (short‑term, 2–6 weeks) with re‑introduction guided by our team or a dietitian to identify triggers.
  • Hydration, movement, sleep, and stress management (walks, yoga, breathing exercises)

Medications (examples; we’ll tailor to you)

  • IBS‑C: osmotic laxatives (PEG), psyllium, prescription options (e.g., secretagogues or prokinetics)
  • IBS‑D: loperamide as needed, bile acid binders, antispasmodics; select prescription options when appropriate
  • Pain/cramping: antispasmodics (e.g., dicyclomine) or peppermint oil enteric‑coated capsules
  • Gas/bloating: simethicone; dietary adjustments
  • Microbiome‑directed therapies: select antibiotic courses for specific cases (e.g., SIBO) per clinician

Mind–gut therapies

Gut‑directed cognitive behavioral therapy, hypnotherapy, or counseling can reduce symptom flares and improve coping.

Flare management tips

  • Heat (warm pack) for cramps; gentle walking
  • Small, lower‑fat meals; limit alcohol and high‑FODMAP triggers during flares
  • Hydrate; consider peppermint oil or antispasmodic per your care plan
  • Track triggers with a simple symptom + food log

Long‑term outlook

IBS is manageable. Many patients find a stable routine that keeps symptoms mild. We adjust your plan at follow‑ups and screen for other conditions if your pattern changes.

When to seek urgent care

Go to the ER for severe abdominal pain with fever, heavy bleeding, black stools, dehydration, fainting, or if you cannot keep liquids down.

Alaska‑specific note

We accommodate winter travel and weather‑related rescheduling without penalty. Telehealth is available for many follow‑ups and diet counseling.

Next steps

Schedule a visit to confirm the subtype and build a plan.

Valley Gastroenterology

3190 E Meridian Park Loop, Suite 206

Wasilla, Alaska 99654

Phone: (907) 373-2544

Fax: (844) 689-4240

Web: ValleyGastroAK.com