Irritable Bowel Syndrome
Created 06-12-2008
Irritable bowel syndrome occurs more commonly in migraine sufferers than it does in the general population. Estimated rates of IBS in migraine vary. Studies of large populations have shown that in those diagnosed with IBS, the reported rate of migraine is up to 60%.
There is a female predominance in IBS, which affects women over men in rates of 2:1 to 3:1, somewhat similar to migraine. In women with IBS, the symptoms tend to be worse during their menstrual period, much as in migraine. The symptoms of IBS also tend to settle down with advancing age-another similarity to migraine. And, of course, both conditions can be influenced or triggered by the foods that are eaten.
Because of some of these similarities, some people have even suggested that IBS is the cause of migraine! This, however, is not accurate. In both cases, the origin of either condition is in the nervous system. What is interesting about IBS is the extensive nerve network that is in the intestines. Did you know that over 90% of the body's serotonin is actually in the gastrointestinal tract? This widespread nerve network that governs the speed of digestion and intestinal function is in direct communication with the brain and its neural networks, and uses many of the same neurotransmitters.
IBS is 2.5 times more likely in depressed individuals-and depression is more common in migraine sufferers. In one study, 77% of IBS sufferers were found to have a mood disorder (depression, anxiety, or bipolar disorder) at the time of diagnosis. Several studies have reported an increased incidence of childhood physical or sexual abuse in adults with IBS. The symptoms may also be worse in those with an abuse history.
IBS can be best described as faulty connections between the intestines, the brain, and the autonomic nervous system.
Common symptoms of IBS:
- Bloating and gas
- Mucus in the stool
- Constipation
- Diarrhea, especially after eating or first thing in the morning
- Feeling like you still need to have a bowel movement after you've already had one
- Feeling a strong urge to have a bowel movement
- Abdominal pain and cramping that may go away after having a bowel movement
- Learn more about it: http://www.digestive.niddk.nih.gov/ddiseases/pubs/ibs_ez/ http://www.nlm.nih.gov/medlineplus/irritablebowelsyndrome.html
If you think you might have IBS, check with your doctor to make sure. Milder cases can be managed with adequate hydration, avoidance of trigger foods, and an increase in dietary fiber. Some people may need to reduce or avoid caffeine and carbonated beverages. More severe symptoms may require medications. Treatment of concomitant depression or anxiety disorders is also important in the management of both IBS and migraine. Some evidence has shown that probiotics, stress reduction, or hypnotherapy may also be of use in the management of IBS.
If you think this applies to you, see your doctor and get the help you need!
By Christina Peterson, MD
