What to Tell Your Doctor About IBS
IBS (Irritable Bowel Syndrome) is a diagnosis of exclusion — your doctor needs to rule out other conditions first. That means a gastroenterology appointment involves a lot of symptom mapping. The more precise your symptom description, the faster and more accurate the diagnostic process will be. "My stomach hurts sometimes" is very different from "I have cramping pain in my lower left abdomen that relieves after a bowel movement, alternating constipation and diarrhoea, and symptoms are consistently worse after eating wheat and dairy." This guide helps you build that picture.
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What to tell your doctor
- 1Stool pattern: frequency, consistency (Bristol Stool Scale 1–7 is useful), and whether it has changed recently
- 2Pain location, character (cramping, burning, bloating), and whether it relieves after a bowel movement
- 3Foods or drinks that reliably trigger symptoms
- 4Whether symptoms are related to stress, menstrual cycle, or time of day
- 5Any blood in the stool, unexplained weight loss, or night-time symptoms — these are red flags that rule out simple IBS
- 6Family history of Crohn's, colitis, coeliac disease, or bowel cancer
- 7Any previous investigations: colonoscopy, endoscopy, stool tests, coeliac blood tests
Questions to ask your doctor
- Q1.What tests do you recommend to rule out IBD, coeliac disease, and other causes?
- Q2.Do you recommend a low-FODMAP diet trial, and would you refer me to a dietitian?
- Q3.What is the evidence for gut-directed hypnotherapy or CBT for IBS?
- Q4.If medication is appropriate, what are the options for my symptom pattern?
- Q5.Are there any alarm symptoms I should contact you urgently about?
- Q6.How often would you want to monitor my condition?
Don't forget to bring
- ✓A 2-week food and symptom diary — noting meals, symptoms, and bowel movements each day
- ✓Stool test results if your GP has already run them
- ✓Previous colonoscopy or endoscopy reports
- ✓List of any dietary changes you have already tried (e.g. cutting out gluten, dairy)
- ✓Any current medications that could affect gut function: antibiotics, iron, PPIs, NSAIDs