What is irritable bowel syndrome?

Introduction: Why IBS Needs a New Approach

Irritable Bowel Syndrome (IBS) affects millions of people worldwide and is often misunderstood or under-treated with conventional medicine. At Patients Medical in New York City, we go beyond just treating the symptoms. Our integrative approach combines conventional, holistic, and functional medicine to uncover the root causes of IBS—whether it’s gut dysbiosis, food sensitivities, or stress—and offer long-term solutions that work. We treat the whole person, not just the digestive system.

What Is IBS?

Irritable Bowel Syndrome is a chronic digestive condition that affects the large intestine (colon), causing symptoms like bloating, abdominal pain, diarrhea, and constipation. Unlike inflammatory bowel disease (IBD), IBS does not cause permanent damage to the intestines, but it can significantly impact quality of life.

Key Aspects of IBS:

  • Digestive Discomfort: Common symptoms include bloating, cramping, and a change in bowel habits (either diarrhea or constipation).
  • Functional Disorder: IBS is often a functional disorder, meaning the digestive system isn’t working optimally but without underlying tissue damage.
  • Chronic Condition: While IBS can be managed, it is often a long-term condition that requires a multi-faceted approach.

 

Common Symptoms of IBS

Root Causes: Why Did You Develop IBS?

Functional medicine looks deeper to understand why IBS developed in the first place. Here are some of the most common root causes of IBS:

  • Gut dysbiosis: An imbalance of gut bacteria, leading to digestive issues and inflammation.
  • Food sensitivities or intolerances: Gluten, dairy, and other foods may trigger IBS symptoms.
  • Leaky gut syndrome: Increased intestinal permeability can contribute to systemic inflammation.
  • Chronic stress: Stress can disrupt the gut-brain axis and trigger IBS flare-ups.
  • Infections: Bacterial, viral, or parasitic infections can cause long-term digestive disturbances.
  • Poor diet: Diets high in processed foods, sugars, and low fiber can worsen IBS symptoms.

Hormonal imbalances: Especially in women, changes in hormones (such as estrogen and progesterone) can affect the gut.

Diagnostic Testing We Use

To understand the underlying causes of your leaky gut, we use advanced testing:

Comprehensive stool analysis (gut microbiome and pathogens)

Food sensitivity testing (identify trigger foods)

Leaky gut testing (intestinal permeability markers)

Gut inflammation markers (calprotectin, lactoferrin)

SIBO (Small Intestinal Bacterial Overgrowth) testing

Thyroid and hormone panels (to check for imbalances)

Integrative Treatments for IBS

Nutritional Therapy

  • Low FODMAP diet (eliminates foods that trigger IBS symptoms)
  • Gluten-free or dairy-free options
  • Gut-healing foods like bone broth, collagen, and healthy fats
  • Fiber-rich foods to regulate bowel movements and promote gut health

IV Vitamin Therapy

  • B vitamins (support digestion and energy)
  • Magnesium (relaxes muscles and helps with constipation)
  • Vitamin C (antioxidant, reduces inflammation)
  • Glutamine (supports gut lining repair)

Herbal & Nutraceuticals

  • Probiotics (restore healthy gut bacteria)
  • Digestive enzymes (help with nutrient absorption)
  • Curcumin (reduces gut inflammation)
  • Peppermint oil (relieves abdominal pain and bloating)
  • Slippery elm and marshmallow root (soothe the digestive tract)

Stress Management

  • Meditation and mindfulness
  • Acupuncture (to balance the gut-brain axis)
  • Adaptogenic herbs like ashwagandha to support the nervous system

Gut Repair Protocol

  • Phase 1: Detoxification to reduce inflammation and remove toxins
  • Phase 2: Restoration of gut microbiome balance through probiotics and diet
  • Phase 3: Repair and strengthen the gut lining using amino acids and anti-inflammatory foods

Real Case Study: Sarah’s IBS Relief Journey

Sarah, age 40, had been suffering from IBS-D for over five years. She experienced frequent diarrhea, bloating, and abdominal pain. Traditional treatments provided temporary relief but never solved the issue. After testing, we discovered an imbalance in her gut microbiome and food sensitivities.

Her personalized plan included:

  • Low FODMAP diet
  • Probiotics and digestive enzymes
  • IV nutrient therapy for gut healing
  • Stress-reducing therapies like acupuncture and meditation

After three months, Sarah’s symptoms were significantly reduced, and she reported fewer flare-ups and improved digestion.

Testimonials

Frequently Asked Questions

Yes! With the right diet, stress management, and targeted supplementation, many IBS symptoms can be significantly reduced or eliminated.

The main causes of IBS include gut dysbiosis, food sensitivities, stress, leaky gut, infections, and poor diet.

Yes, stress is a common trigger for IBS flare-ups. Managing stress through lifestyle changes and therapies like acupuncture or mindfulness is essential for long-term relief.

Yes, the Low FODMAP diet is highly effective for managing IBS symptoms. It involves eliminating certain carbohydrates that are poorly absorbed by the gut and cause bloating and discomfort.

Yes, IBS is linked to other health problems, including anxiety, depression, fatigue, and autoimmune conditions. Healing the gut can help improve overall health.

Healing from IBS can take time, typically 3 to 6 months, depending on the severity and your adherence to the treatment plan.

Some patients may benefit from medications for symptom relief, but many people can manage IBS effectively through diet, supplementation, and lifestyle changes.

A gluten-free diet can be helpful for people with IBS, especially if gluten is a trigger. It’s best to test for food sensitivities to tailor your diet.

Yes, IBS can significantly impact daily life by causing discomfort, anxiety, and social embarrassment. But with the right treatment, relief is possible.

We are an out-of-network provider but offer superbills for reimbursement. Some lab tests may be partially covered by insurance.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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