Could Your Sensitive Stomach Actually Be IBS

Digestive discomfort is a common complaint among many people in Singapore, especially with the rich and diverse local food culture. Occasional bloating, constipation or diarrhoea may simply be attributed to a sensitive stomach or food intolerance. However, if these symptoms persist over time or significantly affect daily life, it may indicate a common gastrointestinal condition known as irritable bowel syndrome (IBS).

At Richmond Gastroenterology Centre, we see patients who experience a variety of gastrointestinal symptoms. Many are surprised to learn that their ongoing digestive troubles could be related to IBS, a functional disorder that affects the large intestine.

Understanding the symptoms of IBS and seeking timely medical evaluation is essential in managing this condition effectively.

What Is Irritable Bowel Syndrome

Irritable bowel syndrome is a long-term disorder of the digestive system, particularly the colon or large intestine. It affects how the gut moves and processes food, leading to a range of uncomfortable symptoms. Unlike conditions that involve structural damage, IBS does not cause physical changes to the bowel wall, but the impact on quality of life can be significant.

IBS can be classified into different subtypes depending on the predominant symptom:

• IBS-C: constipation-predominant

• IBS-D: diarrhoea-predominant

• IBS-M: mixed pattern of constipation and diarrhoea

  
  

The exact cause of IBS remains unclear, but factors such as abnormal bowel motility, gut sensitivity, stress and dietary triggers are thought to play a role.

IBS is not a life-threatening condition, but the chronic nature of its symptoms often causes frustration and disruption to daily activities, work, and social life.

Common Irritable Bowel Syndrome Symptoms (IBS)

Symptoms of IBS vary between individuals and can range from mild to severe. Typical irritable bowel syndrome symptoms include:

• Abdominal pain or cramping, often relieved by passing stool

• Excessive bloating or a sensation of fullness

• Flatulence or passing wind more frequently

• Changes in bowel habits, including constipation, diarrhoea or both

• Mucus in the stool

• A feeling of incomplete emptying after bowel movements

• 
  

In Singapore, where food plays a central role in social gatherings and daily life, some people may notice their symptoms worsen after consuming certain foods, particularly spicy or oily dishes.

Stress is another common trigger that may exacerbate symptoms, as the gut is closely linked to emotional and mental well-being.

When Should You Consider a Scope Test in Singapore

While IBS is often diagnosed based on a person’s symptom history, it is essential to rule out other conditions that may mimic IBS. This is especially important when symptoms are persistent, severe or accompanied by alarm signs.

At Richmond Gastroenterology Centre, patients with chronic digestive symptoms may be advised to undergo scope procedures for further evaluation. These procedures include:

Gastroscopy

A gastroscopy is a procedure that uses a thin, flexible tube with a camera to examine the oesophagus, stomach and the first part of the small intestine. It may be recommended if symptoms such as upper abdominal pain, nausea, vomiting or unexplained weight loss are present.

Colonoscopy

A colonoscopy allows the gastroenterologist to examine the entire large intestine. This test is particularly useful if there are symptoms like rectal bleeding, a change in bowel habits, or a family history of colorectal cancer.

Scope procedures not only help confirm a diagnosis of IBS by ruling out other

gastrointestinal conditions but also provide reassurance for patients concerned about their symptoms.

Irritable Bowel Syndrome Treatment in Singapore

Irritable bowel syndrome treatment is highly individualised and focuses on managing symptoms to improve overall quality of life. Treatment approaches may include:

Dietary Management

Dietary modification plays a key role in controlling IBS symptoms. Identifying and avoiding trigger foods is essential. The low FODMAP diet, which restricts certain types of fermentable carbohydrates, is commonly used to reduce bloating and discomfort.

Patients are encouraged to keep a food diary to track their diet and symptoms.

Stress Management

As stress and anxiety can exacerbate IBS symptoms, lifestyle changes such as regular exercise, mindfulness practices, or relaxation techniques may be helpful.

Medications

Medications may be prescribed to relieve specific symptoms such as abdominal pain, constipation or diarrhoea, depending on the IBS subtype.

Professional Support

In some cases, patients may benefit from working with a dietitian for dietary guidance or seeking psychological support for stress-related symptom management.

Irritable Bowel Syndrome Foods To Avoid

In Singapore, where meals often include a variety of spices, sauces and rich ingredients, individuals with IBS may need to be mindful of their food choices. Some commonly advised irritable bowel syndrome foods to avoid include:

• Fried and oily dishes such as fried noodles or deep-fried snacks

• Spicy foods containing chilli or sambal

• Dairy products, especially for those with lactose intolerance

• Beverages containing caffeine, such as kopi or teh

• Carbonated drinks

• High FODMAP foods like garlic, onions, beans and certain fruits

  
  

Personalised dietary advice is key, as food triggers vary among individuals.

Living with Irritable Bowel Syndrome in Singapore

Living with irritable bowel syndrome can be challenging, especially in a food-loving society like Singapore. However, with appropriate medical evaluation and management, many individuals are able to control their symptoms and lead active, fulfilling lives.

If you are experiencing persistent digestive symptoms, it is advisable to consult a gastroenterologist for a thorough assessment. Scope procedures such as gastroscopy or colonoscopy may be recommended to rule out other conditions and provide a clear diagnosis.

At Richmond Gastroenterology Centre in Mount Elizabeth Hospital and Farrer Park Hospital, patients have access to experienced specialists and comprehensive diagnostic services. A personalised, evidence-based approach helps ensure appropriate care for individuals experiencing symptoms of IBS or other gastrointestinal concerns