Special Health Reports

Managing Irritable Bowel Syndrome

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Managing Irritable Bowel Syndrome: Managing this common digestive disorder

IBS is a gastrointestinal disorder in which your gut becomes more sensitive and the muscles of your digestive system have abnormal contractions that affect your bowel movements. IBS cannot be cured, but the good news is it can be managed to minimize the effect on your overall health and quality of life. This report explores how your digestive system works and what science knows about this mysterious disorder. We’ll cover the types of IBS, how it’s diagnosed, and best of all, what you can do to control IBS instead of having it control you.

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Do you ever suffer with abdominal pain, uncomfortable bloating or embarrassing gas? Do you find yourself avoiding social functions or coming in late to work because of debilitating pain? Do you need to run to the bathroom after you eat a meal? Or conversely, do you feel like you need to move your bowels but can’t?

If so, you may be suffering from IBS, a common gastrointestinal disorder that can cause severe abdominal pain. If you have IBS, your gut becomes more sensitive and the muscles of your digestive system have abnormal contractions that affect your bowel movements.

The good news is that although IBS is uncomfortable, it does not permanently harm your body. And, with the right information you can learn to manage the symptoms so you can lead a normal, active, healthy life.

That’s why Harvard Medical School experts created Managing Irritable Bowel Syndrome to help you understand all about IBS – the causes, how it’s diagnosed, how to treat the symptoms and how to get relief. 

Here’s a small sample of what you’ll learn:

  • The main 3 different types of IBS
  • The so-called “healthy foods” that can trigger nasty stomach distress.
  • 5 simple strategies to help you deal with an IBS flare-up
  • The autoimmune disease that is often misdiagnosed as IBS.
  • The 3 most effective treatments for IBS symptoms.
  • And much more.

Prepared by the editors of Harvard Health Publishing in consultation with Daniel J. Stein, MD, MPH, Assistant Professor of Medicine, Harvard Medical School Physician, Department of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital. (2025)

About Harvard Medical School Guides

Harvard Medical School Guides deliver compact, practical information on important health concerns. These publications are smaller in scope than our Special Health Reports, but they are written in the same clear, easy-to-understand language, and they provide the authoritative health advice you expect from Harvard Health Publishing.

The process of digestion

Even though IBS is quite common, how and why it affects people is still something of a mystery. One reason is the vast role and complex functioning of the digestive system. It does more than just digest food and absorb nutrients. To better understand IBS, we’ll look more closely at how the digestive system works.

The digestive process begins in the mouth when food is chewed into more easily digestible pieces. Saliva starts the process of breaking down starches into smaller molecules and makes food wetter, softer, and easier to swallow.

As swallowed food enters the esophagus, it’s pushed onward by the coordinated contractions of muscles in the walls of the entire digestive tract. When food reaches the stomach, it is stored, mixed with stomach acid and digestive enzymes, and slowly emptied into the small intestine. Enzymes released in the stomach begin the digestion of proteins.

Digestion then continues in the small intestine, where the digestive juices, enzymes, and bile produced by the pancreas, liver, and gallbladder work together to break down carbohydrates, fats, and proteins into simple sugars, fatty acids, and amino acids. These nutrients are then absorbed through the walls of the small intestine into blood vessels and transported throughout the body.

Any food molecules that aren’t absorbed are emptied into the colon and eventually get eliminated from the body. The colon absorbs excess water, and bacteria in the colon break down the remaining material, transforming it into solid stool. Then the colon’s muscular walls contract to push out the stool during a bowel movement.

  • What is IBS?
    • Types of IBS
  • The process of digestion
  • Causes of IBS
  • Diagnosis
    • IBS, or something else?
  • Avoiding triggers and treating symptoms
    • Dietary changes
    • Psychological threapy and stress management
    • Medications and supplements
    • Complementary and alternative medicine
  • Coping with IBS
  • Resources

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