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Writer's pictureDr. Albert Snow

IBS-C

People with IBS-C actually have two conditions. They suffer from both constipation and diarrhea. Well, not at the same time. They swing back and forth often in the same day.


Irritable Bowel Syndrome with Constipation is quite common. The most common is the version featuring diarrhea. The bowel’s response to inflammation is to draw a lot of water into the colon to dilute the stomach acid and to push everything out to try to limit the damage to the tissue. That is called diarrhea. We need this to happen otherwise we will have rapid tissue erosion and will be on our way to Colitis or Crohn’s.


The difference with those of you who have the constipation version is genetics. Constipation is not manmade, it is who you are. The issue with constipation is that you don’t pull water into your bowel adequately hence you have dry and hard stools and when your body is trying to protect you it cannot pull enough water in to create the desired diarrhea. People with IBS-C stand a greater risk of increased damage to their colon because of this.


Treatment for IBS-C can be trickier to treat than the diarrhea version as you need to implement two strategies at once. Ultimately you need to repair the inside of your colon fixing the “irritable” part of the problem and you will also need to learn how to manage the constipation part. Diarrhea can be cured. Constipation must be managed.

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