Irritable bowel syndrome (IBS) - Symptoms 

Symptoms of IBS 

The symptoms of IBS are usually worse after eating and tend to come and go in bouts. Most people have a flare-up of symptoms that lasts for two to four days and afterwards their symptoms improve or disappear.

The most common symptoms of IBS are:

  • abdominal pain and cramping, which is often relieved by emptying your bowels
  • a change in your bowel habits, such as diarrhoeaconstipation or sometimes both
  • bloating and swelling of your abdomen
  • excessive wind (flatulence)
  • an urgent need to go to the toilet
  • a feeling that your need to open your bowels even if you've just been to the toilet
  • a feeling that you have not fully emptied your bowel
  • passing mucus from your back passage

Not surprisingly, given the embarrassment, pain and discomfort of IBS, many people with the condition also have symptoms of depression and anxiety.

Read more about how IBS can lead to anxiety and depression.

Bowel symptoms

There are three main patterns of bowel symptoms in IBS. They are:

  • IBS with diarrhoea: when you have repeated bouts of diarrhoea
  • IBS with constipation: when you have repeated bouts of constipation
  • IBS mixed: when you have repeated bouts of diarrhoea and constipation

These patterns aren't set in stone. You can switch from one to another and go for long periods with few or no symptoms at all.

Find out which foods and drinks can trigger IBS symptoms.

  • show glossary terms
Anxiety
Anxiety is an unpleasant feeling when you feel worried, uneasy or distressed about something that may or may not be about to happen.
Constipation
Constipation is when you pass stools less often than usual, or when you are having difficulty going to the toilet because your stools are hard and small.
Diarrhoea
Diarrhoea is the passing of frequent watery stools when you go to the toilet.
Nausea
Nausea is when you feel like you are going to be sick.
Pain
Pain is an unpleasant physical or emotional feeling that your body produces as a warning sign that it has been damaged. 
Stools
Stool (also known as faeces) is the solid waste matter that is passed from the body as a bowel movement.
Swelling
Inflammation is the body's response to infection, irritation or injury, which causes redness, swelling, pain and sometimes a feeling of heat in the affected area.

Last reviewed: 24/11/2010

Next review due: 24/11/2012

Red flag symptoms

Certain symptoms indicate that you may have a more serious condition than IBS and that you need further tests. These symptoms include:

  • unexplained weight loss
  • a swelling or lump in your abdomen or back passage
  • bleeding from your back passage (bottom) 
  • anaemia

Video: IBS - Ansar's story

Find out how Ansar Ahmed Ullah is finally learning to live with his irritable bowel syndrome (IBS).

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