Professor of Gastroenterology. Dr. Vedat Göral made important statements about irritable bowel syndrome, which is more common under the age of 45 in the society. prof. Dr. Göral pointed out that irritable bowel syndrome (IBS) is also referred to as irritable or irritable bowel syndrome or spastic colon and said, “It is a common disorder that affects approximately 15 percent of the population, especially under the age of 45. The disease occurs due to the disorder in the brain-intestinal axis and generally due to stress.
There is no organic and permanent damage to the person. Stress, anxiety and distress and complaints increase, and happiness and relaxation occur. Sometimes, disorders in the intestinal microbiota after intestinal infections, decrease in beneficial bacteria in the intestine and increase in harmful bacteria, cold and cold environments can trigger this disease. In addition, certain foods can trigger this disease. For this reason, when wheat, bread, milk, onions, dried beans, chickpeas and carbonated beverages are consumed, symptoms may increase.
Göral explained the symptoms and causes of irritable bowel syndrome as follows:
“Symptoms include abdominal cramping, pain, discomfort, bloating, gas, diarrhea or constipation, or both. Symptoms are usually mild and only a few patients have severe signs and symptoms. In the morning, there is mucous defecation.
However, no blood is detected in the stool. Stress, depression and panic situations, fears, some environmental factors; plays a role in the development of this disease. It occurs depending on the events in the brain-intestinal suspension. The intestines are considered as the second brain, and the events created by stress immediately affect the intestines negatively. Sometimes sexual abuse at an early age, physical or emotional events, great fears can cause irritable bowel disease in the future.”
Göral evaluated the stages in the diagnosis and treatment of the disease as follows:
“The patient should have blood and stool tests, ultrasound and endoscopy and colonoscopy, and all these examinations should be normal. The patient should be followed by a gastroenterologist. In most patients; By managing diet, lifestyle, and stress, symptoms can be controlled. If there are more severe complaints, it requires drug treatment. IBS does not cause changes in intestinal tissue or increase the risk of future colorectal cancer.
The patient should be informed that his/her disease is chronic, have a good prognosis and will not cause cancer, and his/her concerns should be addressed and confidence should be instilled. The patient should be told to learn to live with this disease and should be helped in this direction. Drug treatments and stress control for patients’ complaints work very well. It is recommended not to use cigarettes, alcohol and painkillers, if possible.
It is a chronic condition whose treatment must be managed in the long term. Psychological examination and, if necessary, psychological support should be obtained. In treatment, probiotics should be used primarily. If there are foods that cause the patient’s complaints to increase, he should not consume them. As a treatment, there are various drugs available today according to the symptoms. Bread and dairy products should not be consumed if they are uncomfortable. The main event in treatment is that the patient trusts his doctor and believes that he does not have a serious disease.