IBS-M 2025: Causes, Symptoms & Effective Treatments Starting from $50
Alexandra Morgan
Alexandra Morgan 2 years ago
Journalist & Author #Sexual Wellness
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IBS-M 2025: Causes, Symptoms & Effective Treatments Starting from $50

Discover the latest insights on IBS-M, a mixed type of irritable bowel syndrome causing alternating constipation and diarrhea. Learn about its causes, symptoms, diagnosis, and proven strategies for relief in 2025.

IBS-M, or Mixed Irritable Bowel Syndrome, presents with fluctuating symptoms including both constipation and diarrhea, often switching unpredictably.

Irritable bowel syndrome (IBS) is a complex condition affecting individuals differently. While you and someone else might both have IBS, your triggers and symptoms can vary greatly. IBS-M specifically refers to the subtype where constipation and diarrhea alternate.

Recognizing Symptoms of IBS-M

IBS-M combines features of IBS with constipation (IBS-C) and IBS with diarrhea (IBS-D). What sets IBS-M apart is the alternating nature of these symptoms. Common signs across all IBS types include:

  • Persistent abdominal pain or cramping, which can be dull or sharp
  • An urgent need to use the restroom
  • A sensation of incomplete bowel evacuation after defecation

Many with IBS also experience symptoms beyond the digestive system, such as fatigue, muscle aches, sexual dysfunction, and sleep problems. These can overlap with other health issues.

How IBS-M is Diagnosed

If you’ve had symptoms for 3 to 6 months, consulting a healthcare professional is essential for an accurate diagnosis.

Your doctor will review your medical history and conduct tests to exclude other serious conditions. These may include lab work, stool analysis, X-rays, colonoscopy, and endoscopy.

IBS diagnosis typically requires symptoms occurring at least once a week over the past 3 months, with onset at least 6 months prior.

Diagnosis criteria also include:

  • Abdominal pain linked to bowel movements, either improving or worsening after defecation
  • Changes in stool appearance
  • Altered bowel movement frequency

For IBS-M, expect alternating phases dominated by constipation or diarrhea.

Effective Lifestyle Changes for IBS-M

Post-diagnosis, doctors often recommend lifestyle and dietary adjustments as first-line management.

Many IBS-M sufferers find relief by avoiding certain triggers such as:

  • Alcoholic beverages
  • Caffeinated drinks including coffee and tea
  • Dairy products
  • Sugars like fructose and sorbitol
  • Fruits such as apples, cherries, and watermelon
  • Vegetables like cabbage, beans, and cauliflower

Maintaining a detailed food diary helps identify personal trigger foods. Carbonated drinks, raw fruits, and vegetables like broccoli and cabbage often contribute to gas and bloating.

Stress management is critical since stress can exacerbate IBS symptoms. Practices such as yoga, meditation, and deep breathing exercises are highly recommended.

Medications to Manage IBS-M Symptoms

Several medication classes can aid IBS-M treatment, including antibiotics, antidepressants, and antispasmodics.

Antibiotics like rifaximin (Xifaxan) may help by positively altering gut bacteria, particularly for diarrhea symptoms.

Low-dose selective serotonin reuptake inhibitors (SSRIs) can alleviate stress-related symptoms and reduce intestinal cramping.

Antispasmodics such as dicyclomine help decrease intestinal spasms and discomfort.

Because IBS-M symptoms alternate, cautious use of over-the-counter remedies for diarrhea or constipation is advised.

Complementary & Alternative Therapies

IBS is highly individualized, so exploring complementary treatments might be beneficial.

Many patients report improvement with a gluten-free diet, avoiding wheat, rye, and barley.

Acupuncture, involving fine needle insertion to relieve pain, has mixed research results but is generally safe when performed by licensed practitioners.

Probiotics—live beneficial bacteria and yeasts—may help restore gut flora balance and improve digestion.

Always consult your healthcare provider before starting any alternative therapies.

Summary

IBS-M causes alternating constipation and diarrhea, along with abdominal pain, urgency, and incomplete bowel emptying feelings.

Diagnosis relies on symptom patterns and medical evaluation to exclude other conditions. Lifestyle changes, dietary adjustments, medications, and complementary therapies can collectively offer symptom relief.

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