5 doctors weighed in:
What are the causes of constipative ibs?
5 doctors weighed in

Dr. Michael Klein
Family Medicine
2 doctors agree
In brief: Stress and more
One way i decribe irritable bowel syndrome (ibs) is that it involves a digestive system whose hardwiring for stress is a little overenthusiastic.
Our guts are supposed to respond to stress- that is what keeps us from having to go while we are running or public speaking, but sometimes it is too much of a good thing and we over-respond- that is ibs. Constipation IBS is one common style of ibs.

In brief: Stress and more
One way i decribe irritable bowel syndrome (ibs) is that it involves a digestive system whose hardwiring for stress is a little overenthusiastic.
Our guts are supposed to respond to stress- that is what keeps us from having to go while we are running or public speaking, but sometimes it is too much of a good thing and we over-respond- that is ibs. Constipation IBS is one common style of ibs.
Dr. Michael Klein
Dr. Michael Klein
Thank
Dr. John Feola
Internal Medicine
In brief: R/O IBS
IBS is a diagnosis of exclusion.
IUC/CROHNS DZ/IBD is inflammation usually DX by BX IBS SX can be managed .You need a full exam and blood work. Especially screen for H pylori . Also stool screen x 3 for occult blood /parasite/ &colonoscopy./EGD While you are getting these items checked out you should stick to a gluten free diet . Ie gutbliss.com and Wholeapproach.com TXPROBIOTICS/LEVSIN/BENTYL

In brief: R/O IBS
IBS is a diagnosis of exclusion.
IUC/CROHNS DZ/IBD is inflammation usually DX by BX IBS SX can be managed .You need a full exam and blood work. Especially screen for H pylori . Also stool screen x 3 for occult blood /parasite/ &colonoscopy./EGD While you are getting these items checked out you should stick to a gluten free diet . Ie gutbliss.com and Wholeapproach.com TXPROBIOTICS/LEVSIN/BENTYL
Dr. John Feola
Dr. John Feola
Thank
Dr. Michael Rothman
Internal Medicine
In brief: 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.

In brief: 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.
Dr. Michael Rothman
Dr. Michael Rothman
Thank
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