{"id":3525,"date":"2024-01-07T11:23:25","date_gmt":"2024-01-07T11:23:25","guid":{"rendered":"http:\/\/drhimanshuyadav.com\/irritable-bowel-syndrome-with-constipation-ibs-c\/"},"modified":"2024-01-07T11:23:25","modified_gmt":"2024-01-07T11:23:25","slug":"irritable-bowel-syndrome-with-constipation-ibs-c","status":"publish","type":"post","link":"https:\/\/drhimanshuyadav.com\/blog\/irritable-bowel-syndrome-with-constipation-ibs-c\/","title":{"rendered":"Irritable bowel syndrome with constipation (IBS-C)"},"content":{"rendered":"<div id=\"health-sc-page_1-0\" data-sc-sticky-offset=\"60\" data-sc-ad-label-height=\"24\" data-sc-ad-track-spacing=\"100\" data-sc-min-track-height=\"250\" data-sc-max-track-height=\"600\" data-sc-breakpoint=\"50em\" data-sc-load-immediate=\"4\" data-sc-content-positions=\"[400, 1400, 1400, 1700, 2000, 2200, 2400, 2600, 2800]\" data-bind-scroll-on-start=\"true\">\n<p id=\"mntl-sc-block_1-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Irritable bowel syndrome with constipation (IBS-C) is a condition characterized by chronic constipation accompanied by abdominal pain.\n<\/p>\n<p id=\"mntl-sc-block_1-0-2\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>This is a subtype of irritable bowel syndrome (IBS).  Approximately one-third of IBS patients have type IBS-C.<span class=\"ql-inline-citation\" data-cite=\"1\"\/>\n<\/p>\n<p id=\"mntl-sc-block_1-0-4\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>IBS-C is a functional gastrointestinal disorder. These are gastrointestinal (GI) disorders that cause symptoms, but the cause cannot be determined despite standard diagnostic tests. These disorders can cause significant suffering.\n<\/p>\n<p id=\"mntl-sc-block_1-0-6\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Dietary changes, fiber supplements, medications, and behavioral changes may reduce IBS symptoms associated with constipation. Some people try a low FODMAP diet to learn which foods to avoid to reduce symptoms.\n<\/p>\n<figure id=\"health-sc-block-image--none_1-0\" class=\"comp mntl-sc-block-image mntl-sc-block theme-none health-sc-block-image--none health-sc-block-image-base mntl-sc-block-universal-image figure-landscape figure-high-res\"><figcaption id=\"mntl-figure-caption_1-0\" class=\"comp mntl-figure-caption figure-article-caption\">\n<span class=\"figure-article-caption-owner\"><\/p>\n<p>Urbazon\/Getty Images<\/p>\n<p><\/span><br \/>\n<\/figcaption><\/figure>\n<p><span class=\"heading-toc\" id=\"toc-ibs-c-symptoms\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-9\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    Symptoms of IBS-C <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-10\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>The main symptom of IBS-C is frequent constipation with abdominal pain during defecation.<span class=\"ql-inline-citation\" data-cite=\"1\"\/>\n<\/p>\n<h3 id=\"mntl-sc-block_1-0-13\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    standard <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-14\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>It is normal to have one or two bowel movements a day, or no bowel movements every day. The characteristics of constipation are:<span class=\"ql-inline-citation\" data-cite=\"3\"\/>\n<\/p>\n<ul id=\"mntl-sc-block_1-0-16\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<li>Having bowel movements less than 3 times a week<\/li>\n<li>lumpy or hard stools<\/li>\n<li>The need to strain during defecation<span class=\"ql-inline-citation\" data-cite=\"3\"\/><\/li>\n<\/ul>\n<p id=\"mntl-sc-block_1-0-18\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>The Rome IV criteria define IBS based on specific signs and symptoms. According to these criteria, IBS-C is specifically defined as the following conditions:<span class=\"ql-inline-citation\" data-cite=\"2\"\/>\n<\/p>\n<ul id=\"mntl-sc-block_1-0-20\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<li>Painful constipation occurs at least 3 days per month<\/li>\n<li>Symptoms have persisted for the past 3 months<\/li>\n<li>At least 25% of stool is hard, while less than 25% is soft.<\/li>\n<\/ul>\n<h3 id=\"mntl-sc-block_1-0-23\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    Associated symptoms <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-24\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>In addition to the Rome IV criteria for IBS-C, other symptoms may occur in cases of constipation-predominant IBS.\n<\/p>\n<p id=\"mntl-sc-block_1-0-26\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Common symptoms of IBS-C include:<span class=\"ql-inline-citation\" data-cite=\"2\"\/>\n<\/p>\n<p id=\"mntl-sc-block_1-0-30\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>IBS-C rarely causes loose stools unless laxatives are used.\n<\/p>\n<h3 id=\"mntl-sc-block_1-0-33\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    IBS-C and chronic idiopathic constipation (CIC) <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-34\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>IBS-C and chronic idiopathic constipation (also called functional constipation) share many of the same symptoms.\n<\/p>\n<p id=\"mntl-sc-block_1-0-36\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>According to the Rome IV standard, the biggest differences are:\n<\/p>\n<ul id=\"mntl-sc-block_1-0-38\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<li><strong>IBS-C<\/strong> It causes abdominal pain and discomfort along with constipation.<\/li>\n<li><strong>idiopathic constipation<\/strong> It is usually painless.<\/li>\n<\/ul>\n<p id=\"mntl-sc-block_1-0-40\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Gastroenterologists wonder if these two symptoms are symptoms of the same disease along a single disease spectrum, rather than two separate diseases.<span class=\"ql-inline-citation\" data-cite=\"2\"\/>\n<\/p>\n<p id=\"mntl-sc-block_1-0-42\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>However, the two conditions respond to different treatments. This suggests that these may be two different conditions for her. At this point, the answer is not clear.\n<\/p>\n<p><span class=\"heading-toc\" id=\"toc-causes-of-ibs-c\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-46\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    Causes of IBS-C <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-47\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>The cause of IBS-C is unknown. This condition occurs because the digestive system is not working properly, but there is no specific cause.\n<\/p>\n<p id=\"mntl-sc-block_1-0-49\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Cooperative defecation, a dysfunction of the pelvic floor muscles, is common in IBS-C patients.<span class=\"ql-inline-citation\" data-cite=\"5\"\/>\n<\/p>\n<p><span class=\"heading-toc\" id=\"toc-how-is-ibs-c-diagnosed\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-51\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    How is IBS-C diagnosed? <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-52\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>IBS-C is traditionally a diagnosis of exclusion. This means that it is only diagnosed after ruling out other diseases that may be causing the symptoms. However, diagnostic guidelines released by the American College of Gastroenterology (ACG) in 2021 aim for a &#8220;positive&#8221; diagnosis instead.\n<\/p>\n<p id=\"mntl-sc-block_1-0-54\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>ACG says the recommended diagnostic method will speed up the process and get you the right treatment sooner.<span class=\"ql-inline-citation\" data-cite=\"7\"\/> It is unclear how the guidelines described below will change the IBS diagnosis process for healthcare providers. Both methods provide accurate diagnosis.\n<\/p>\n<h3 id=\"mntl-sc-block_1-0-57\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    Diagnosis of exclusion <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-58\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>If your health care provider suspects IBS-C, they may do the following:\n<\/p>\n<ul id=\"mntl-sc-block_1-0-60\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<li>I would like to ask about your symptoms.<\/li>\n<li>Please do a health check<\/li>\n<li>request a blood test<\/li>\n<li>Perform stool sample analysis.<\/li>\n<\/ul>\n<p id=\"mntl-sc-block_1-0-62\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>Other tests may be recommended depending on your symptoms and medical history. These include interventional tests such as imaging tests and colonoscopies.\n<\/p>\n<p id=\"mntl-sc-block_1-0-64\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>IBS-C can be diagnosed if the symptoms match the diagnostic criteria for IBS-C and there are no red flags or evidence of other illnesses.<span class=\"ql-inline-citation\" data-cite=\"2\"\/>\n<\/p>\n<h3 id=\"mntl-sc-block_1-0-67\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    positive diagnosis <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-68\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>The ACG-recommended diagnostic method involves focusing on the following key symptoms, as well as the medical history and physical exam, rather than extensive testing:<span class=\"ql-inline-citation\" data-cite=\"7\"\/>\n<\/p>\n<ul id=\"mntl-sc-block_1-0-70\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<li>abdominal pain<\/li>\n<li>Changes in bowel habits<\/li>\n<li>Symptoms last for at least 6 months<\/li>\n<li>No alarm function for other possible conditions<\/li>\n<li>Possibility of anorectal physiology test if pelvic floor disease is suspected or constipation does not respond to standard treatments<\/li>\n<\/ul>\n<p id=\"mntl-sc-block_1-0-72\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>No further testing is recommended for IBS-C.\n<\/p>\n<p><span class=\"heading-toc\" id=\"toc-ibs-c-treatment\"\/> <\/p>\n<h2 id=\"mntl-sc-block_1-0-74\" class=\"comp mntl-sc-block health-sc-block-heading mntl-sc-block-heading\"> <span class=\"mntl-sc-block-heading__text\">    Treatment of IBS-C <\/span> <\/h2>\n<p id=\"mntl-sc-block_1-0-75\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>ACG treatment protocols for IBS-C include dietary modifications, supplements, prescription medications, and lifestyle and behavioral changes.<span class=\"ql-inline-citation\" data-cite=\"7\"\/>\n<\/p>\n<h3 id=\"mntl-sc-block_1-0-78\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    diet and supplements <\/span> <\/h3>\n<ul id=\"mntl-sc-block_1-0-79\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<li><strong>dietary changes<\/strong>:<strong> <\/strong>Trying a low FODMAP diet for a short period of time can help you identify which foods are causing your symptoms and learn which foods to avoid. <\/li>\n<li><strong>fiber<\/strong>: Slowly increasing the amount of fiber, especially soluble fiber, in your diet (or supplements) may encourage more frequent bowel movements.<\/li>\n<li><strong>peppermint oil<\/strong>: Enteric-coated peppermint oil capsules help relax intestinal muscles, reduce pain and inflammation, and eliminate harmful bacteria.<\/li>\n<\/ul>\n<h3 id=\"mntl-sc-block_1-0-82\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    Prescription drugs <\/span> <\/h3>\n<ul id=\"mntl-sc-block_1-0-83\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<li>Amitiza (lubiprostone):<strong> <\/strong>increases fluid secretion in the intestines<\/li>\n<li><strong>Linzess (linaclotide) or Torlans (plecanatide)<\/strong>\uff1aIncrease the amount of defecation<span class=\"ql-inline-citation\" data-cite=\"6\"\/><\/li>\n<li><strong>Zelnorm (Tegaserod)<\/strong>: Promotes digestion and reduces gastrointestinal hypersensitivity (recommended only for women under 65 years of age without cardiovascular risk factors and unresponsive to other medications)<\/li>\n<li><strong>Tricyclic antidepressants<\/strong>: Prescription drugs that can affect nerves in the digestive system through changes in the activity of the neurotransmitters noradrenaline and dopamine<\/li>\n<\/ul>\n<h3 id=\"mntl-sc-block_1-0-86\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    behavioral changes <\/span> <\/h3>\n<h3 id=\"mntl-sc-block_1-0-90\" class=\"comp mntl-sc-block mntl-sc-block-subheading\"> <span class=\"mntl-sc-block-subheading__text\">    Not recommended <\/span> <\/h3>\n<p id=\"mntl-sc-block_1-0-91\" class=\"comp mntl-sc-block mntl-sc-block-html\">\n<p>The ACG states that some common IBS-C treatments do not have enough evidence of effectiveness to recommend them. These include:\n<\/p>\n<div id=\"health-sc-block-faq--none_1-0\" class=\"comp theme-none health-sc-block-faq--none health-sc-block-faq-base mntl-sc-block-faq mntl-block\">\n<span class=\"heading-toc\" id=\"toc-frequently-asked-questions-81034094-14ca-46f4-a913-7374deeb8eb2\"\/><\/p>\n<h3 id=\"mntl-sc-block-faq__title_1-0\" class=\"comp mntl-sc-block-faq__title mntl-text-block\">\n<p>FAQ<\/h3>\n<ul id=\"mntl-sc-block-faq__content_1-0\" class=\"comp mntl-sc-block-faq__content mntl-accordion js-accordion\" data-tracking-container=\"true\">\n<li class=\"accordion__item js-accordion-item \">\n<p>\n<svg class=\"icon icon-arrow accordion__icon\">\n<use xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#icon-arrow\"\/>\n<\/svg><br \/>\n<span class=\"accordion__title\">What types of IBS are there?<\/span>\n<\/p>\n<p><!--end accordion__header--><\/p>\n<div class=\"accordion__body\">\n<div id=\"mntl-sc-block-faq__accordion-content_1-0-section-0\" class=\"comp class com.about.mantle.model.extended.docv2.sc.blocks.StructuredContentFaqEx$Faq mntl-sc-block-faq__accordion-content\">\n<div class=\"faq-accordion__item-answer\">\n<p>There are four types of IBS:<span class=\"ql-inline-citation\" data-cite=\"8\"\/><\/p>\n<ul>\n<li>IBS with predominant constipation (IBS-C)<\/li>\n<li>IBS with predominant diarrhea (IBS-D)<\/li>\n<li>IBS with mixed bowel habits (IBS-M)<\/li>\n<li>Uncategorized IBS (IBS-U)<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<p><!--end accordion__body-->\n<\/li>\n<p><!--end accordion__item--><\/p>\n<li class=\"accordion__item js-accordion-item \">\n<p>\n<svg class=\"icon icon-arrow accordion__icon\">\n<use xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#icon-arrow\"\/>\n<\/svg><br \/>\n<span class=\"accordion__title\">How long does IBS-C last?<\/span>\n<\/p>\n<p><!--end accordion__header--><\/p>\n<div class=\"accordion__body\">\n<div id=\"mntl-sc-block-faq__accordion-content_1-0-section-1\" class=\"comp class com.about.mantle.model.extended.docv2.sc.blocks.StructuredContentFaqEx$Faq mntl-sc-block-faq__accordion-content\">\n<div class=\"faq-accordion__item-answer\">\n<p>IBS-C is a chronic disease with periodic flare-ups. Flares can last anywhere from a few days to several months, depending on a variety of factors.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><!--end accordion__body-->\n<\/li>\n<p><!--end accordion__item--><\/p>\n<li class=\"accordion__item js-accordion-item \">\n<p>\n<svg class=\"icon icon-arrow accordion__icon\">\n<use xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#icon-arrow\"\/>\n<\/svg><br \/>\n<span class=\"accordion__title\">What foods should I avoid with IBS-C?<\/span>\n<\/p>\n<p><!--end accordion__header--><\/p>\n<div class=\"accordion__body\">\n<div id=\"mntl-sc-block-faq__accordion-content_1-0-section-2\" class=\"comp class com.about.mantle.model.extended.docv2.sc.blocks.StructuredContentFaqEx$Faq mntl-sc-block-faq__accordion-content\">\n<div class=\"faq-accordion__item-answer\">\n<p>Some people find relief from IBS-C by avoiding high FODMAP foods, such as:<span class=\"ql-inline-citation\" data-cite=\"11\"\/><\/p>\n<ul>\n<li>milk and dairy products<\/li>\n<li>sugar free chewing gum<\/li>\n<li>Wheat-based products such as wheat bran, bread, and pasta<\/li>\n<li>Certain vegetables such as artichokes, asparagus, onions, and garlic<\/li>\n<li>Beans and legumes<\/li>\n<\/ul>\n<p>You can also avoid carbonated drinks, soda, caffeine, and gas-producing foods such as broccoli, Brussels sprouts, and beans.<span class=\"ql-inline-citation\" data-cite=\"10\"\/><\/p>\n<p>However, the triggers for eating vary from person to person. Some people are triggered by certain foods, while others are not.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><!--end accordion__body-->\n<\/li>\n<p><!--end accordion__item--><\/p>\n<li class=\"accordion__item js-accordion-item \">\n<p>\n<svg class=\"icon icon-arrow accordion__icon\">\n<use xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#icon-arrow\"\/>\n<\/svg><br \/>\n<span class=\"accordion__title\">Do I need to take laxatives if I have IBS?<\/span>\n<\/p>\n<p><!--end accordion__header--><\/p>\n<div class=\"accordion__body\">\n<div id=\"mntl-sc-block-faq__accordion-content_1-0-section-3\" class=\"comp class com.about.mantle.model.extended.docv2.sc.blocks.StructuredContentFaqEx$Faq mntl-sc-block-faq__accordion-content\">\n<div class=\"faq-accordion__item-answer\">\n<p>Please consult your health care provider first. However, the most common drugs used to improve bowel function in IBS-C patients are laxatives.<span class=\"ql-inline-citation\" data-cite=\"9\"\/><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><!--end accordion__body-->\n<\/li>\n<p><!--end accordion__item-->\n<\/ul>\n<p><!--end accordion -->\n<\/div>\n<\/div>\n<div id=\"post-article_1-0\">\n<div id=\"sources_1-0\" class=\"comp sources mntl-block\">\n<div id=\"mntl-article-sources_1-0\" class=\"comp mntl-article-sources mntl-expandable-block\" data-scroll-offset=\"70\">\n<div class=\"loc expandable-content\">\n<div id=\"source-guidelines_1-0\" class=\"comp source-guidelines mntl-text-block\">\n<p>Verywell Health uses only high-quality sources, including peer-reviewed research, to support the facts in our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and reliable.<\/p><\/div>\n<div id=\"mntl-article-sources__citation-sources_1-0\" class=\"comp mntl-article-sources__citation-sources mntl-citation-sources mntl-sources\" data-tracking-container=\"true\">\n<ol class=\"mntl-sources__content\">\n<li class=\"mntl-sources__source\" id=\"citation-1\">\n<p>Chandar AK.<a href=\"https:\/\/doi.org\/10.2147\/IJGM.S126581\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\"> Diagnosis and treatment of constipation-predominant irritable bowel syndrome in the primary care setting: focus on linaclotide<\/a>. <em>International J Gene Medicine<\/em>.  2017;10:385-393. doi:10.2147\/IJGM.S126581<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-3\">\n<p>National Institute of Diabetes and Digestive and Kidney Diseases. <a 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rel=\"noopener\">Diagnosis and treatment of defecation dysfunction.<\/a> <em>J Neurogastrointestinal Role Motil<\/em>.  2016;22(3):423-35. doi:10.5056\/jnm16060<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-7\">\n<p>Lacey BE, Pimentel M, Brenner DM, et al. <a href=\"https:\/\/doi.org\/10.14309\/ajg.0000000000001036\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">ACG Clinical Guidelines: Management of Irritable Bowel Syndrome<\/a>. <em>Am J Gastroenterol<\/em>.  2021;116(1):17-44.  doi:10.14309\/ajg.0000000000001036<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-6\">\n<p>Jadara KA, Crabbe SM, Saunders DS. <a href=\"https:\/\/doi.org\/10.3748\/wjg.v20.i27.8898\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Constipation-predominant irritable bowel syndrome: a review of current and new pharmacotherapies<\/a>. <em>World J Gastroenterol<\/em>.  2014;20(27):8898-909.  doi:10.3748\/wjg.v20.i27.8898<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-8\">\n<p>Rome Foundation. <a href=\"https:\/\/theromefoundation.org\/rome-iv\/rome-iv-criteria\/\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Criterion of Rome IV<\/a>.<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-11\">\n<p>Monash University. <a href=\"https:\/\/www.monashfodmap.com\/about-fodmap-and-ibs\/\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">FODMAP and irritable bowel syndrome<\/a>.<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-10\">\n<p>American Society of Gastrointestinal Endoscopy (ASGE). <a href=\"https:\/\/www.asge.org\/home\/for-patients\/patient-information\/understanding-irritable-bowel-syndrome-with-constipation-ibs-c\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Understanding Irritable Bowel Syndrome with Constipation (IBS-C)<\/a>.<\/p>\n<\/li>\n<li class=\"mntl-sources__source\" id=\"citation-9\">\n<p>Bellini M, Gambaccini D, Usai-Satta P, et al. <a href=\"https:\/\/doi.org\/10.3748\/wjg.v21.i40.11362\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Irritable bowel syndrome and chronic constipation: fact and fiction<\/a>. <em>World J Gastroenterol<\/em>.  2015;21(40):11362-11370. doi:10.3748\/wjg.v21.i40.11362<\/p>\n<\/li>\n<\/ol>\n<\/div>\n<p><span id=\"mntl-article-sources__subheading_1-0\" class=\"comp mntl-article-sources__subheading mntl-text-block\"><\/p>\n<p>Additional Resources<\/span><\/p>\n<div id=\"mntl-article-sources__additional-reading_1-0\" class=\"comp mntl-article-sources__additional-reading mntl-additional-reading mntl-sources\" data-tracking-container=\"true\">\n<ul class=\"mntl-sources__content\">\n<li class=\"mntl-sources__source\">\n<p>Drosman DA. <a href=\"http:\/\/dx.doi.org\/%2010.1053\/j.gastro.2016.02.032\" class=\"pseudoStyle\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" target=\"_blank\" rel=\"noopener\">Functional gastrointestinal disorders: history, pathophysiology, clinical features, and Rome IV<\/a>. <em>Department of Gastroenterology<\/em>.  2016;S0016-5085(16)00223-7. doi:10.1053\/j.gastro.2016.02.032<\/p>\n<\/li>\n<li class=\"mntl-sources__source\">\n<p>Schmalsson MJ, Drosman DA, <a href=\"http:\/dx.doi.org\/ 10.5056\/jnm16214\" class=\"pseudoStyle\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"internalLink\" data-ordinal=\"1\">New features in Rome IV<\/a>. <em>J Neurogastrointestinal Role Motil<\/em>.  2017;23(2):151-163. doi:10.5056\/jnm16214<\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"author-bio_1-0\" class=\"comp author-bio\">\n<div class=\"loc author-bio__image\">\n<img data-src=\"https:\/\/www.verywellhealth.com\/thmb\/lPfQeiXTuxCtIMJ3WmbcI47EWeg=\/144x144\/filters:no_upscale():max_bytes(150000):strip_icc()\/BarbaraBolenPhD_1000-518fe02049d3402380d5d029c47b9b53.jpg\" width=\"144\" height=\"144\" class=\"lazyload universal-image__image\" data-expand=\"300\"\/><br \/>\n<noscript><br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.verywellhealth.com\/thmb\/lPfQeiXTuxCtIMJ3WmbcI47EWeg=\/144x144\/filters:no_upscale():max_bytes(150000):strip_icc()\/BarbaraBolenPhD_1000-518fe02049d3402380d5d029c47b9b53.jpg\" width=\"144\" height=\"144\" class=\"img--noscript universal-image__image\"\/><br \/>\n<\/noscript>\n<\/div>\n<p class=\"author-bio__bio-text\">\n<span class=\"author-bio__bio-title\">Written by Dr. Barbara Bolen<\/span><br \/>\n<br \/>Dr. Barbara Bolen is a licensed clinical psychologist and health coach. She has written multiple books focused on living with irritable bowel syndrome.\n<\/p>\n<\/div>\n<div id=\"trust-ribbon_1-0\" class=\"comp trust-ribbon trust-ribbon-expandable-block\">\n<div class=\"loc expandable-content\">\n<div id=\"trust-ribbon__feedback-block_1-0\" class=\"comp trust-ribbon__feedback-block article-feedback mntl-article-feedback\">\n<div class=\"article-feedback__success-section js-success-section is-hidden\">\n<p>Thank you for your feedback!<\/p>\n<\/div>\n<div class=\"article-feedback__feedback-section js-feedback-section is-hidden\">\n<p>What is your feedback?<\/p>\n<p><button id=\"article-feedback__open-form-button_1-0\" class=\"comp article-feedback__feedback-button article-feedback__open-form-button mntl-button\"><\/p>\n<p>other<br \/>\n<\/button><br \/>\n<button id=\"helpful-button_1-0\" class=\"comp article-feedback__feedback-button helpful-button mntl-button\"><\/p>\n<p>useful<br \/>\n<\/button><br \/>\n<button id=\"report-error-button_1-0\" class=\"comp article-feedback__feedback-button report-error-button mntl-button\"><\/p>\n<p>Report an error<br \/>\n<\/button><br \/>\n<svg class=\"icon icon-x close-button\">\n<use xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#icon-x\"\/>\n<\/svg><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Irritable bowel syndrome with constipation (IBS-C) is a condition characterized by chronic constipation accompanied by abdominal pain. This is a subtype of irritable bowel syndrome (IBS). Approximately one-third of IBS patients have type IBS-C. IBS-C is a functional gastrointestinal disorder. These are gastrointestinal (GI) disorders that cause symptoms, but the cause cannot be determined despite &#8230; <a title=\"Irritable bowel syndrome with constipation (IBS-C)\" class=\"read-more\" href=\"https:\/\/drhimanshuyadav.com\/blog\/irritable-bowel-syndrome-with-constipation-ibs-c\/\" aria-label=\"Read more about Irritable bowel syndrome with constipation (IBS-C)\">Read more<\/a><\/p>\n","protected":false},"author":2,"featured_media":3526,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[335],"tags":[16,103,2376,619,620],"class_list":["post-3525","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-functional-bowel-disorders","tag-bowel","tag-constipation","tag-ibsc","tag-irritable","tag-syndrome"],"_links":{"self":[{"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/posts\/3525","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/comments?post=3525"}],"version-history":[{"count":0,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/posts\/3525\/revisions"}],"wp:attachment":[{"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/media?parent=3525"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/categories?post=3525"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drhimanshuyadav.com\/blog\/wp-json\/wp\/v2\/tags?post=3525"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}