Your bowel is a muscular tube which stores and digests food. Irritable bowel syndrome (IBS) is a disorder which affects the nerves and muscles of the bowel. IBS is the most common functional gastrointestinal (GI) disorder. It affects males and females, adults and children. IBS causes abdominal pain and irregular bowel movements. Dr. Shawn Khodadadian of Manhattan Gastroenterology is a recognized leader in NYC as an Irritable Bowel Syndrome (IBS) specialist. 

IBS is extremely prevalent.  In the United States, it is estimated that 10 to15 percent of the adult population suffers from IBS symptoms, yet only 5 to 7 percent of adults have been diagnosed with the disease.  IBS is the most common disease diagnosed by the NYC gastroenterologist, Dr. Shawn Khodadadian.

Doctors often classify IBS into one of four types based on your usual stool consistency. These types are important because they affect the types of treatment that are most likely to improve your symptoms.

The four types of IBS are:

  • IBS with constipation, or IBS-C
    • Hard or lumpy stools at least 25 percent of the time
    • Loose or watery stools less than 25 percent of the time
  • IBS with diarrhea, or IBS-D
    • Loose or watery stools at least 25 percent of the time
    • Hard or lumpy stools less than 25 percent of the time
  • Mixed IBS, or IBS-M
    • Hard or lumpy stools at least 25 percent of the time
    • Loose or watery stools at least 25 percent of the time
  • Unsubtyped IBS, or IBS-U
    • Hard or lumpy stools less than 25 percent of the time
    • Loose or watery stools less than 25 percent of the time

The following may be checked by the NYC gastroenterologist before a diagnosis of IBS is made:

  • Food sensitivity testing
  • Celiac screening: Gliadin antibody test or IgA antibodies to transglutaminase
  • History, lifestyle, dietary factors
  • If any ‘red flag’ symptoms, such as rectal bleeding

IBS has recurrent abdominal pain plus two or more of:

  • Pain  from defecation
  • Altered stool at the onset of pain
  • Abdominal bloating
  • Increased or decreased stools at the onset of pain
  • A ‘never completely empty’ sensation after passing stool
  • Passing mucus from the rectum
  • Morning cluster of motions
  • Constipation alternating with diarrhea

Other symptoms reported by our NYC patients with IBS:

  • Fatigue (some IBS patients also have Chronic Fatigue Syndrome)
  • Nausea
  • Unexplained insomnia or disturbed sleep patterns
  • Susceptibility to colds, flus, sinusitis or post-nasal drip
  • Headaches
  • Allergic sensitivity
  • Restless leg syndrome
  • Gastric reflux

Lifestyle factors that may provoke IBS include:

  • Stress
  • Excessive use of caffeine
  • Inadequate water intake
  • Inadequate sleep
  • Long working hours without finding time for toileting
  • Poor nutrition
  • Lack of exercise
  • Eating meals too quickly (resulting in swallowing air)

Please note: There are no long-term organic complications associated with IBS. Once an adequate evaluation has been made by the NYC IBS doctor you will be customized a medical plan to made to manage your IBS. People with IBS have no greater need of preventive checkups than other people.

As a best rated NYC Upper East Side gastroenterologist (GI doctor), Dr. Shawn Khodadadian provides highly personalized and comprehensive care. His philosophy regarding the doctor/patient relationship is based on trust and has earned him one of the most respected reputations in NYC.

For more information about Irritable Bowel Syndrome (IBS) or to schedule a consultation with the NYC Gastroenterologist (GI doctor), Dr. Shawn Khodadidan, please contact our Upper East Side NYC office.

Dr. Shawn Khodadadian
Manhattan Gastroenterology
983 Park Ave, Ste 1D
New York, NY 10028
(212) 427.8761