Constipation in Irritable Bowel Syndrome (IBS): Symptoms, Causes, Diagnosis, and Treatment

 


Constipation is a frequent issue associated with Irritable Bowel Syndrome (IBS), impacting digestion and overall health. It is often accompanied by bloating, abdominal discomfort, and difficulty passing stools. Managing IBS-related constipation requires a comprehensive approach involving dietary modifications, medications, and lifestyle changes.


Symptoms of IBS-Related Constipation

Individuals with IBS-related constipation may experience:

  • Passing hard or lumpy stools that are difficult to eliminate

  • Having bowel movements less than three times a week

  • Bloating and gas

  • Abdominal pain or cramping relieved after bowel movements

  • A sensation of incomplete evacuation


Causes of IBS-Related Constipation

Several factors contribute to constipation in IBS, including:

  • Dietary Imbalances – Low fiber intake, dehydration, or excessive consumption of processed foods

  • Gut Motility Issues – The slower movement of stool through the intestines

  • Imbalanced Gut Microbiota – Disruptions in the gut bacteria may worsen symptoms

  • Chronic Stress & Anxiety – The gut-brain connection plays a crucial role in IBS symptoms

  • Certain Medications – Some pain relievers, antidepressants, and iron supplements can cause constipation


Diagnosis of IBS-Related Constipation

An accurate diagnosis is essential to identify or eliminate other digestive conditions. Doctors may use:

  • Medical History & Symptom Review – Evaluating stool patterns and abdominal discomfort

  • Rome IV Criteria for IBS – A diagnostic framework assessing symptoms over time

  • Colonoscopy or Sigmoidoscopy – To rule out structural abnormalities in the intestines

  • Stool & Blood Tests – To check for infections, inflammation, or nutritional deficiencies


Treatment for IBS-Related Constipation

1. Dietary & Lifestyle Changes

  • Increase Fibre Intake – Consume fruits, vegetables, whole grains, and legumes

  • Stay Hydrated – Staying hydrated aids in keeping stools soft and easier to pass.

  • Regular Exercise – Improves gut motility and overall digestive function


2. Medications

  • Over-the-Counter Laxatives – Short-term relief for occasional constipation

  • Prescription Medications – Linaclotide or lubiprostone for chronic constipation

  • Probiotics – They may promote gut health and help ease symptoms.


3. Stress Management & Behavioral Therapies

  • Cognitive Behavioral Therapy (CBT) – Helps reduce anxiety-related gut issues

  • Gut-Directed Hypnotherapy – Shown to improve bowel function in IBS patients

  • Mindfulness & Relaxation Techniques – Yoga, meditation, and deep breathing exercises

4. Medical Procedures (If Needed)

In severe cases where other treatments fail, additional medical interventions may be considered under a doctor’s guidance.


When to Seek Medical Help?

If constipation is persistent, accompanied by severe abdominal pain, rectal bleeding, or unexplained weight loss, consult a gastroenterologist immediately.


At Desai Surgical Hospital, our experienced gastroenterology team delivers advanced diagnostics and customized treatment solutions for IBS and various digestive disorders.


Contact Us

Experiencing persistent constipation or IBS-related symptoms? Get expert care at Desai Surgical Hospital.


Location:

Desai Surgical Hospital, Near G.P.O Kharivav Road, Dandia Bazaar Rd, Raopura, Vadodara, Gujarat 390001


Call Us: 0265 2435153


Email: care@desaisurgical.com 

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