Irritable Bowel Syndrome

Irritable Bowel Syndrome (IBS) — Diagnosis & Treatment in New York City and Poughkeepsie

Irritable Bowel Syndrome (IBS) is often referred to as a functional disorder. Testing is often normal, although a thorough evaluation should take place. Patients, often, but not exclusively, female report alternating constipation and diarrhea associated with crampy abdominal pains that are relieved with a bowel movement. The stools can be described as pencil thin. There varying presentations of IBS that can be constipation or diarrhea predominant. Often high fiber and fluid diets are recommended, but, unfortunately are not always helpful. While IBS can severely affect quality of life, it is unusual to experience fever, marked weight loss or bleeding. Such alarm symptoms, including a change in bowel habits, warrant immediate medical attention. Tests often performed in the diagnostic evaluation include stool studies for infection, routine lab work, and colonoscopy.

Frequently Asked Questions About IBS

What is the difference between IBS and IBD?

IBS (Irritable Bowel Syndrome) is a functional disorder — the bowel works abnormally but shows no signs of inflammation or structural damage on testing. IBD (Inflammatory Bowel Disease) includes Crohn's disease and ulcerative colitis, which cause measurable inflammation and tissue damage. Both require a gastroenterologist for proper diagnosis and management.

What foods should I avoid if I have IBS?

Common IBS triggers include high-FODMAP foods such as onions, garlic, wheat, certain fruits, and dairy products. A low-FODMAP elimination diet, guided by Dr. Starpoli and a registered dietitian, is one of the most evidence-based approaches to identifying your personal triggers.

Can SIBO cause IBS symptoms?

Yes. Small Intestinal Bacterial Overgrowth (SIBO) can mimic or worsen IBS symptoms including bloating, gas, and diarrhea. Dr. Starpoli uses breath testing to diagnose SIBO and can recommend targeted antibiotic or herbal treatment.

More recently, there has been attention given to the possibility of bacterial overgrowth in the intestine that may contribute to IBS. Intestinal bacterial overgrowth can be tested noninvasively by way of breath testing. Dr. Starpoli offers breath testing for bacterial overgrowth that may help in the management of IBS.