What is the pain associated with irritable bowel syndrome like?

The pain seems to be associated partly with the intermittent increased bowel activity (peristalsis) and at other times with constipation. The pain with the peristalsis is colicky - it comes and goes in waves. It may be felt anywhere in the abdomen. There may also be a more constant pain associated with distension of the lowest part of the colon, which is in the left lower quadrant of the abdomen, just before the faeces enter the rectum. There may be pain in the right lower quadrant where the contents from the small intestine enter the large intestine (caecum).

Sometimes there may be associated headaches or migraine. One variety of IBS is called abdominal migraine. Fatigue is a frequent problem in IBS sufferers.


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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.

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