Irritable Bowel Syndrome (IBS)

You should see an IBS doctor for three reasons.

First, to confirm the diagnosis of IBS. The symptoms of IBS overlap with many other gastrointestinal disorders and diseases. Therefore, the diagnosis must be made accurately before instituting the treatment plan.

Second, to identify the possible causative factors for the IBS. This will have implications in the overall management.

Third, to establish an IBS treatment plan.

IBS is a multifactorial condition, where genetics, the gut microbiota (the microflora mix… yes we do have bugs in our gut!), intolerances (notably to the FODMAPs) and previous severe gut infections all play a role.

Equally important is the Brain-Gut Axis. There is constant communication between the brain and the gut. Therefore, symptoms of IBS can worsen due to certain factors such as stress and hypersensitivity.

The risk factors mirror the causative factors. These would include:

1. Previous enteric infection or factors that may have altered the gut microflora
2. Underlying food intolerances
3. Stress and an anxious personality
4. Underlying functional disorders such as Fibromyalgia and Pelvic pain syndrome
5. A family history of IBS

The diagnosis is based on a set of symptom criteria known as the Rome IV criteria. These includes:

1. Abdominal pain and discomfort
2. Associated with a change in bowel habits
3. Symptoms must be chronic, for at least the past 6 months, and regularly recurring

IBS is then further subclassified into C for constipation-predominant, D for diarrhoea-predominant, M for mixed and A for alternating bowel subtypes.

Your IBS doctor will need to have also excluded other gut disorders that have similar symptoms. Your doctor will need to take a detailed history, do a thorough physical examination and may also need to perform some tests and investigations.

In Singapore, the treatment of IBS has become more accessible with the growing number of specialised clinics focusing on gastrointestinal health. If you’re experiencing abdominal pain, flatulence, or other IBS symptoms, seeking help from a qualified doctor at a clinic is essential for an accurate diagnosis. Taking the first step to visit a specialist clinic will ensure that your symptoms are properly evaluated by a doctor and that you receive an personalised treatment plan.

The cost of IBS treatment in Singapore may vary depending on the type of clinic and the severity of your condition. It’s important to note that the cost can differ based on consultations with a specialist and any necessary diagnostic tests. Be sure to check with your clinic about the specific pricing before proceeding with treatments. In general, treatments may include lifestyle adjustments, medications for managing abdominal pain or flatulence, and even stress-reduction techniques, all aimed at improving your overall gut health and quality of life.

Treatment of IBS involves a multi-pronged approach and depends on the severity and underlying aetiology. This may involve:

1. Dietary changes
2. Medication for symptom relief
3. Medication for control of gut hypersensitivity
4. Psychological intervention
5. And most importantly self-education is vital. IBS is a non-life-threatening disorder that is managed with a holistic approach