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Irritable bowel syndrome
Irritable bowel syndrome (IBS): In general
IBS is a very common disorder in children and adult alike
that affects the functioning of the bowel. Although the severity
of the condition (also occasionally referred to as spastic
colon) can vary considerably from one patient to another,
typical characteristics include changes in bowel habits ranging
from diarrhea to constipation, cramp-like pains, bloating
and a feeling of 'gassiness', and bloating.
Although IBS can produce lifelong symptoms,
it is not a life-threatening condition. It often worsens with
stress, but there is no specific cause or anything unusual
that the doctor can see in the colon.
IBS may be a cause of recurring abdominal pain in children.
The diagnosis of IBS is based on having abdominal pain or
discomfort plus any two of the following:
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The pain is relieved by having a bowel
movement.
The onset of pain is associated with a change in the frequency
of stools.
The onset of pain is associated with a change in stool consistency.
The symptoms must be present for at least 12 weeks in the
preceding 12 months, and there should be no diseases that
might cause the symptoms.
In children and adolescents, IBS affects girls and boys equally
and may be diarrhea-predominant, constipation-predominant,
or have a variable stool pattern.
Children with IBS may also have headache,
nausea, or mucus in the stool. Weight loss may occur if a
child eats less to try to avoid pain. Some children first
develop symptoms after a stressful event, such as teething,
a bout with the flu, or problems at school or at home. Stress
does not cause IBS, but it can trigger symptoms.
To diagnose IBS, the doctor will ask questions
about symptoms and examine the child to rule out more serious
problems or diseases.
In children, IBS is treated mainly through
changes in diet--eating more fiber and less fat to help prevent
spasms--and through bowel training to teach the child to empty
the bowels at regular, specific times during the day.
Irritable Bowel Syndrome is not a hereditary
or precursor to cancer. IBS is not caused by other diseases
nor is an infectious disease.
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