Treatment of IBS focuses on relieving symptoms so that you can live as symptom-free as possible. Bile acid is a digestive liquid produced in your liver. Your stool might be examined for bacteria, parasites or the presence of bile acid. Bacterial overgrowth is more common among people who have had bowel surgery or who have diabetes or some other disease that slows down digestion. A breath test also can determine if you have bacterial overgrowth in your small intestine. Your provider may order a breath test or ask you to remove milk and milk products from your diet for several weeks. If you don't produce lactase, you may have problems similar to those caused by IBS, including belly pain, gas and diarrhea. Lactase is an enzyme you need to digest the sugar found in dairy products. An endoscopy may be recommended if celiac disease is suspected. A sample of fluid may be collected to look for overgrowth of bacteria. During an endoscopy, a tissue sample (biopsy) may be collected. A camera on the end of the tube allows your provider to view your upper digestive tract. A long, flexible tube is inserted down your throat and into the esophagus, which is the tube connecting your mouth and stomach. This test produces images of your abdomen and pelvis that might rule out other causes of your symptoms, especially if you have belly pain. Your provider uses a small, flexible tube to examine the entire length of the colon. Additional tests may be recommended to rule out other causes of your symptoms. This is a disorder known as malabsorption. Stool studies also can check to see if your intestine has trouble taking in nutrients. Your provider may recommend several tests, including stool studies to check for infection. If you have these symptoms, or if an initial treatment for IBS doesn't work, you'll likely need additional tests. Diarrhea that is ongoing or awakens you from sleep.Belly pain, especially if it's not related to a bowel movement, or occurs at night.Your provider will also likely assess whether you have other symptoms that might suggest another, more serious, condition. For the purpose of treatment, IBS can be divided into four types, based on your symptoms: constipation-predominant, diarrhea-predominant, mixed or unclassified. This must also occur with at least two of the following: Pain and discomfort related to defecation, a change in the frequency of defecation, or a change in stool consistency. These criteria include belly pain and discomfort averaging at least one day a week in the last three months. After other conditions have been ruled out, your provider is likely to use one of these sets of diagnostic criteria for IBS:
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