Full text is available at the source.
Abstract
A wide range of underlying pathophysiological abnormalities are associated with irritable bowel syndrome (IBS).
- Peripheral mechanisms linked to IBS include gastrointestinal infection, changes in the gut microbiome, and visceral hypersensitivity.
- Increased intestinal permeability and low-grade mucosal inflammation may contribute to IBS symptoms.
- Central mechanisms such as psychological health and altered pain processing are also involved in IBS.
- The integration of central and peripheral mechanisms supports the concept of IBS as a gut-brain interaction disorder.
- Some mechanisms, like abnormal bile acid metabolism and accelerated colonic transit, can be quantified using validated tests.
Simplified