Irritable bowel syndrome natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]

Overview

The symptoms of irritable bowel syndrome (IBS) usually develop in the second decade of life, and start with symptoms such as abdominal pain, diarrhea and constipation. IBS may develop after exposure to early life adverse events, sexual abuse, anxiety, depression and stressors. Psychological conditions may also develop as complications of the disease. If left untreated, patients with IBS may progress to develop malnutrition (resulting from food intolerance), impacted bowel, and poor quality of life. Common complications of IBS include dehydration, hemorrhoids and fatigue. Prognosis is good, as IBS does not lead to life threatening complications or shorten lifespan of an affected individual. IBS patients tend to have long symptom free intervals interspersed with periods of severe symptoms. Although Irritable bowel syndrome may be a life-long condition, symptoms can often be improved or relieved through treatment.

Natural History, Complications, and Prognosis

Natural History

Complications

Complications of irritable bowel syndrome may include:

Prognosis

  • Prognosis is good, as IBS does not lead to life threatening complications or shorten lifespan of an individual.
  • IBS patients tend to have long symptom free intervals interspersed with periods of severe symptoms.
  • Irritable bowel syndrome may be a life-long condition, but symptoms can often be improved or relieved through treatment.
  • Less than 5 percent of IBS patients develop another gastrointestinal disease.

References

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