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IBS or IBD
I have this prblm since 1 yr how can I distinguish its IBS or IBD I m worried .. I have these symptoms unfirmed stools indigestion bloat anxiety panic attacks as periods approach symptoms get worst worst I m also losing weight without trying since 1 yr sometimes I have all these symptoms sometimes normal I will b healthy I also have lower abdomen point pain which doesn't show in scan should i take ct scan ? Point pain which doesn't radiate is it IBS or IBd ? I m nutrient deficient
Answers (17)
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IBD is a destructive structural disease driven by chronic immune system inflammation, while IBS is a functional disorder where the gut looks normal but does not move correctly.... sometimes leading to diarrhea and sometimes to constipation.
Other than IBD or IBS other reasons can be SIBO, parasitic infection, malabsorption etc etc
Small Intestinal Bacterial Overgrowth (SIBO): An excess of bacteria in the small intestine can disrupt normal digestion, leading to heavy bloating and food particles passing through too soon.
Malabsorption or Enzyme Shortages: Conditions like lactose intolerance or a lack of pancreatic enzymes mean your body cannot properly process and extract nutrients from what you eat.
Next Steps
bloating, undigested food particles in stool, nutritional deficiencies, water especially when associated with weight loss, it mandates evaluation. meet a gastroenterologist
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1st of all tell me stool frequency per day and it’s with or without blood or mucus mix with stool.
In IBS- bloating, loose stool 5-6 episodes per day, weight loss, anxiety, decreased sleep.
In other hand IBD is inflammatory condition - there’s loose stool with blood and mucus 5-6 episodes or more per day, Low hb.
Next Steps
CBC, CRP, ESR, Colonoscopy
Treatment for IBS-
Cap Pantocid DSR/od bbf
Tab Rifagut 550 mg/Bd
Tab Colospa-x/bd
Sachet Bifiota/od
Tab librax / HS
If IBD- treatment will start after your actual symptoms and routine workup up.
U can consult with me. I’m Physician at Gastroenterology department.
Health Tips
Curd and curd based diet, avoid NSAIDS nd herbal medicines.
Stay hydrated
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Please consult a gastroenterologist offline.
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Please don’t self diagnose based just on your symptoms:
Take full consultations .
It might be. PSOM pre menstrual symptoms, some female experience series of such symptoms few days before their menses start. And there is proper guidance and medication for that .
Next Steps
Pl take an appointment and do contact me on Practo.
So that I can guide you further..
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Do consult
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Must be malabsorption or inflammatory bowel disease.see gastroenterologist land do colonoscopy and anti endomyceal antibody test
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Consult with Proctologist to differentiate.
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Kindly book consultation
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Aslam K Yoosuf
General Physician
1 yrs exp
Ernakulam
Distinguishing between IBS and IBD requires specific diagnostic tests, but key red-flag symptoms like unintentional weight loss and nutrient deficiencies mean you should consult a gastroenterologist promptly.
Understanding IBS vs. IBD
Irritable Bowel Syndrome (IBS): A functional disorder of how the gut and brain interact. It causes real symptoms like bloating, loose stools, and localized cramping—often triggered or worsened by stress, anxiety, or hormonal shifts around your period—without causing physical damage or showing up on routine scans.
Inflammatory Bowel Disease (IBD): An inflammatory condition (such as Crohn's or Ulcerative Colitis) that causes active structural inflammation and tissue damage in the digestive tract.
Evaluating Your Symptoms
Symptoms Common in IBS: Unfirmed stools, bloating, indigestion, premenstrual symptom spikes, anxiety, and sharp "point pain" on scans that come back normal are very classic for IBS.
"Red Flag" Symptoms: Unexplained weight loss and nutrient deficiencies are not typical for uncomplicated IBS. They suggest malabsorption or chronic inflammation, which makes ruling out IBD, Celiac disease, or another underlying digestive condition a priority.
Should You Get a CT Scan?
Before jumping straight to a CT scan (which involves radiation), a gastroenterologist will typically order simpler, highly specific tests first:
Fecal Calprotectin Test: A non-invasive stool test that measures inflammation in the gut. High levels point toward IBD, while normal levels strongly favor IBS.
Blood Work: To check for anemia, specific vitamin deficiencies, markers of systemic inflammation (CRP/ESR), and Celiac disease screen.
Endoscopy / Colonoscopy: Often the gold standard if inflammatory markers or red flag symptoms are present, as it allows direct visual inspection of the intestinal lining.
Next Step: Schedule an appointment with a primary care doctor or gastroenterologist. Share your complete symptom log, including the weight loss and nutritional deficiencies, so they can order targeted blood and stool tests to give you a clear, definitive diagnosis.
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Dr. Balija Mouni Priya
General Physician
4 yrs exp
Dharwad
I understand your pain. Your symptoms along with anxiety and panic attacks have a lot to tell about your lifestyle and habits. Don't get any scans done on your own. Abdominal point pain can due to many things. Consult, get a few investigations done. With medicine, we'll work on your sleep, eating habits, relationships and lifestyle.
Health Tips
Avoid spicy, sour and oily foods. Milk and it's products except buttermilk. Sleep by 8 to 10pm. Walk barefoot on soil or grass. Expose yourself to sunrise and sunset.
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Dr. Anuj Mothsra
General Physician
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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