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Does IBS cause abdominal discomfort with bowel spasms, stomach cramps, and fluctuating stool consistency?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been experiencing severe bowel spasms and stomach cramps for several days. The pain comes and goes, lasting anywhere from 2 minutes to several hours. Additionally, I have noticed that my stool alternates between being hard and loose in consistency. I wonder if this could indicate Irritable bowel syndrome (IBS). While the pain is generally tolerable, it becomes intense at times, that it prompts me to have a bowel movement, only for nothing to pass. It is worth mentioning that I had a similar episode a few weeks ago, but it resolved on its own. I am a 20-year-old male weighing 121 pounds. Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Indeed, the symptoms you described align with Irritable bowel syndrome (IBS). This condition can result in disrupted bowel movements. The recommended approach for managing IBS involves initiating bowel clearance through the use of laxatives, followed by implementing dietary modifications and lifestyle adjustments. Typically, many patients experience positive responses to this treatment regimen. However, for individuals who do not respond adequately, advanced medications such as the tablet Amitriptyline which consists of colloidal silicon dioxide, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polyethylene glycol, polysorbate, sodium starch glycolate, and titanium dioxide or SSRIs ( selective serotonin reuptake inhibitors) may be considered.

It was a pleasure to help you, and I look forward to helping you further with your medical needs.

Thank you.

Investigations to be done

No investigations are required.

Probable diagnosis

The probable diagnosis is IBS (Irritable Bowel Syndrome).

Treatment plan

For the treatment, I suggest you take Polyethylene glycol 130gm in 4.2 pints of water over 3 hours. Do not take solid food in between this medicine. By the second day, take 30gm of Polyethylene glycol with two hundred ml water at night. After one month, we need to change the laxatives. .Take a high-fiber diet. Plenty of water. Please stop all—other medicine.

Regarding follow up

For follow-up review back after one week with response details.

Medically reviewed byiCliniq medical review team

Published At September 20, 2023
Reviewed AtJune 11, 2024

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