A member asked:

Diagnosed with ibs six years ago, but gotten much worse since last summer. tested neg for ibd and celiac. what's going on?

4 doctors weighed in across 3 answers
Dr. Jason Hemming answered

Specializes in Gastroenterology

? SIBO: Small intestinal bacterial overgrowth may cause worsening ibs sx. However other things may do the same, one of the most common being change in lifestyle or changes ing stress/mood.

Answered 7/20/2012

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Nature of disease: Irritable bowel syndrome (ibs) is notorious for changeable symptoms. Some people have more problems when stressed, some only after the stress is resolved. Changes in diet, medications, daily routine can all alter symptoms. You've been wise to be tested for ibd and celiac disease, as ibs is a diagnosis of exclusion. Work with your doctor on management- it's an ongoing process. Hang in there!

Answered 7/20/2012

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Dr. Michael Rothman answered

Specializes in Internal Medicine

Multifactorial cause: Irritable bowel syndrome is the multifactorial consequence of hormonal, immune system and nervous system dysfunction resulting from genetic predispositions and dietary and environmental insults. The predominant symptoms like diarrhea cramps constipation are the result of autonomic nervous system instability. Pts like you may benefit from a metabolically directed approach mdwellnessmd.Com.

Answered 11/28/2017

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