IBS C or D mandatory???
#366153 - 09/23/11 07:08 PM
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arash
Reged: 09/21/11
Posts: 4
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Hello new here on the forum.
I was just wondering, with IBS do you either have C or D or both??
I have neither (well the BM are sometims a little C) however i do have the other symptomps of upset stomach, gas, feeling of "incomplete BM" . Having to go many times a day. And i feel stress is SOOOOOO having a bad influence on it. I constantly feel like have to have a BM.
Am i misunderstanding something or do just most people have c or d?
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Welcome to the boards. IBS-C and D are very general umbrella categories. The 3rd one is IBS-A, which means you alternate between C and D. I also find I have symptoms of both, but I lean more towards C than D.
I think if you described your symptoms to a doctor, he or she wouldn't probably classify you as predominantly D because it sounds like you tend towards excessive gut motility, not a lack of motility. Going BM several times a day and always feeling like you have to go is symptomatic of a colon that's moving waste through too fast.
What makes you say your BMs feel C? Are they hard?
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IBS-C, lots of spasm and trapped gas.
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Welcome to the board,
There are three general classes of IBS.
IBS-D - three or more BM per days
IBS-C - three or less BM per week
IBS-A - alternating between IBS-C and IBS-D
The feeling of incomplete BM is common to all three types.
However, in the ROME III criteria for diagnosing functional bowel disorders such as IBS says "Because of the characteristic symptom instability, we prefer the terms IBS with constipation and IBS with diarrhea instead of constipation- and diarrhea-predominant IBS. In this categorical system, many people whose features place them close to a subtype boundary change pattern without a major change in pathophysiology."
It goes on to say "Patient reports of "diarrhea" and "constipation" may mislead physicians. The stool may be solid, though defecation is frequent (pseudodiarrhea). Conversely, straining to defecate may occur with soft or watery stools. Some patients feel constipated because they have unproductive urges to defecate or feelings of incomplete evacuation that prompt them to strain after passing stool."
Stress is known to effect IBS symptoms.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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Thanks for the quick reply.
I actually mixed up c with d. (english is not my native tongue) 
The thing is i don't think i'm ever constipated and i don't have a constant diarrhea.
C = constipated
D = diarrhea
?
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Thank you 
This was exactly what i was looking for
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