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Gut Feelings and Aching Backs: Exploring the Intriguing Relationship Between IBS and Low Back Pain

Updated: Apr 9


IBS irritable bowel syndrome, low back pain, chiropractor in Alameda
IBS and Low Back Pain Connection


When I was 15, I had a traumatic brain injury. It was the first time I started dealing with irritable bowel issues. When I was in my 20s, I had an allergic reaction to a medication, and that triggered a worsening of my irritable bowel issues. Irritable Bowel Syndrome (IBS) is a common gastrointestinal disorder affecting millions of people worldwide. Characterized by symptoms like abdominal pain, bloating, and altered bowel habits, IBS can significantly impact one's quality of life. Interestingly, research suggests a correlation of up to 80% of people who have IBS also experiencing low back pain, highlighting the complex interplay between gastrointestinal and musculoskeletal health.


Types of Irritable Bowel Syndrome


There are three main types of IBS:


  • IBS with constipation (IBS-C): Individuals with this type primarily experience constipation as a predominant symptom.

  • IBS with diarrhea (IBS-D): Diarrhea is the primary symptom in this subtype.

  • Mixed IBS (IBS-M): People with mixed IBS experience both diarrhea and constipation, with symptoms alternating over time.


Symptoms to Watch Out For


Common symptoms of IBS include:


  • Abdominal pain or discomfort

  • Bloating

  • Changes in bowel habits (constipation, diarrhea, or both)

  • Gas and flatulence

  • Urgency to have a bowel movement

  • Feeling of incomplete bowel movement


Causes of Irritable Bowel Syndrome


While the exact cause of IBS remains unknown, several factors may contribute to its development:


  • Abnormal gastrointestinal motility: Dysfunction in the movement of the intestines can lead to symptoms such as diarrhea or constipation.

  • Visceral hypersensitivity: Individuals with IBS may have heightened sensitivity to pain in the gut, leading to discomfort or pain even with normal intestinal activity.

  • Gut-brain axis dysfunction: Alterations in communication between the gut and the brain may play a role in IBS development, contributing to symptoms like abdominal pain and bloating.

  • Psychological factors: Stress, anxiety, and depression can exacerbate IBS symptoms and may contribute to its onset in susceptible individuals.


Dietary Modifications for Managing IBS Symptoms


Diet plays a crucial role in managing IBS symptoms. While triggers can vary from person to person, some common dietary modifications that may help alleviate symptoms include:


  • Fiber-rich foods: Gradually increasing fiber intake can help regulate bowel movements. Foods like fruits, vegetables, and whole grains are excellent sources of dietary fiber.

  • Low-FODMAP diet: This involves avoiding foods high in fermentable carbohydrates, such as certain fruits, vegetables, dairy products, and artificial sweeteners. Following a low-FODMAP diet under the guidance of a healthcare professional can help identify trigger foods.

  • Probiotics: Incorporating probiotic-rich foods like yogurt or taking probiotic supplements may help restore gut flora balance and alleviate symptoms for some individuals. Probiotics can be either food-based or soil-based, and different people may respond differently to either type.

  • Hydration: Drinking an adequate amount of water is essential for maintaining bowel regularity and preventing constipation.

When to Consult Your Medical Doctor


It's essential to speak with your family doctor if you experience persistent or severe symptoms of IBS, or if you notice any concerning changes in your bowel habits. Additionally, seek medical advice if you have symptoms such as:


  • Unintended weight loss

  • Rectal bleeding

  • Iron deficiency anemia

  • Difficulty swallowing

  • Persistent vomiting

  • Family history of gastrointestinal disorders or colorectal cancer


Consulting a Chiropractor for Low Back Pain


In addition to gastrointestinal symptoms, some individuals with IBS may also experience low back pain. While the exact mechanism linking the two conditions is not fully understood, it's essential to address both issues for comprehensive management.

Chiropractic care, which focuses on the diagnosis and treatment of musculoskeletal disorders, including low back pain, can be beneficial. A chiropractor can assess spinal movement, offer rehabilitative exercises, and provide manual adjustments to help alleviate low back pain and improve mobility.


However, it's crucial to communicate openly with both your family doctor and chiropractor about your symptoms, as well as any treatments or medications you are currently undergoing for IBS or other health conditions. This collaborative approach ensures that you receive integrated care tailored to your specific needs.


Irritable Bowel Syndrome is a multifaceted condition that can significantly impact gastrointestinal and musculoskeletal health. By understanding the various types of IBS, implementing dietary modifications, recognizing symptoms, and seeking appropriate medical advice, individuals can better manage their condition and improve their quality of life. Additionally, consulting with healthcare professionals like family doctors and Dr. Whit at Alameda Chiropractic & Ergonomics can provide comprehensive care for both IBS and associated conditions like low back pain.



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