What do all these woman have in common?

Irritable Bowel Syndrome (IBS).

The diagnosis of irritable bowel syndrome is diagnosed by 3 months of abdominal discomfort associated with changes in frequency and consistency of stools, relief after defecation, and at least two of the following symptoms.

• Altered stool frequency


• Stool form


• Stool passage


• Passage of mucus


• Abdominal bloating

The condition is found in approximately 14% of women in the United States. Although IBS is not a life-threatening illness it can be very unpleasant and potentially disabling. Attacks of diarrhea disrupt patients' work, especially in a workplace where one cannot got to the restroom at will. Travel may be virtually impossible due to the fear of diarrhea or flatulence. IBS can also worsen anxiety.

The management of IBS focuses on the relief of symptoms that are bothersome. Women are encouraged to keep a regular schedule if possible. Fresh fruits and vegetables and other high fiber foods have been said to make the symptoms worsen, but studies have not been able to confirm this claim. Women who suffer from the symptoms described above are advised to keep a careful food, event, and symptom diary for at least two weeks.

Abdominal pain or discomfort is

• Relieved by defecation


• Associated with change in frequency of stool

Two or more of the following, on at least one fourth of occasions or days

• Altered stool frequency (altered may be defined as     more than three bowel movements each day or less     than three bowel movements each week)


• Altered stool form (lumpy/hard or loose/watery stool)


• Altered stool passage (straining, urgency, or feeling     of incomplete evacuation)


• Passage of mucus


• Bloating or feeling of abdominal distention

IBS can often be diagnosed by woman's history and the physical exam. Discuss with your doctor your concerns if any of the symptoms described above are troubling you.