IBS symptoms and treatment in Surat by Dr. Mayank Agrawal

Irritable Bowel Syndrome (IBS) is a common gastrointestinal condition seen in patients across Surat. It affects the gut–brain connection and can cause long-term digestive and psychological symptoms. Many patients consult both gastroenterologists and psychiatrists due to the mixed nature of complaints.

Symptoms of IBS

Common symptoms include:

• Abdominal pain or cramps

• Gas and bloating

• Constipation, diarrhea, or both (mixed bowel habits)

• Urgency or incomplete evacuation

• Mucus in stool

• Pain worsening with stress or specific foods

Diagnosis of IBS

IBS is diagnosed clinically after ruling out other conditions. The diagnostic process may include:

• Rome IV criteria

• Detailed medical history and examination

• Blood tests

• Stool tests

• Ultrasound or endoscopy (if needed)

• Psychological evaluation when stress or mood issues are present

Treatment of IBS in Surat

Managed by Dr. Mayank Agrawal

IBS treatment require

s a personalised and multi-step approach depending on the type of IBS:

• IBS-C (Constipation dominant)

• IBS-D (Diarrhea dominant)

• IBS-M (Mixed type)

1. Diet and Lifestyle Management

• Low FODMAP diet

• High-fiber diet in selected cases

• Adequate hydration

• Avoidance of trigger foods such as caffeine, fried items, dairy, and processed food

• Regular physical activity and proper sleep

2. Gut-Focused Medications

Depending on symptoms, treatment may include:

• Antispasmodic medicines for pain

• Probiotics

• Laxatives for constipation-type IBS

• Antidiarrheals for diarrhea-type IBS

• Fiber or enzyme supplements

Role of Antidepressants in IBS Treatment

Supervised by Dr. Mayank Agrawal

Many patients do not know that certain antidepressants can significantly improve IBS even when depression is not present. This is because the digestive system and brain are closely connected through the gut–brain axis.

How Antidepressants Help

1. Reduction of visceral pain and gut sensitivity

2. Improvement in anxiety and stress-related symptoms

3. Better sleep and emotional regulation

4. Normalisation of bowel movement patterns

Types of Antidepressants Used in IBS

SSRIs (Selective Serotonin Reuptake Inhibitors)

Useful for IBS with constipation, anxiety, or associated low moodExamples:

• Escitalopram

• Fluoxetine

• Sertraline

TCAs (Tricyclic Antidepressants)

Useful in IBS with diarrhea or persistent abdominal painExamples:

• Amitriptyline

• Nortriptyline

• Imipramine

SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)

Helpful in cases with chronic pain and mood symptomsExamples:

• Duloxetine

• Venlafaxine

These medications are prescribed in low doses and monitored carefully by Dr. Mayank Agrawal based on severity and patient response.