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Causes (Why IBS Happens) IBS is usually a mix of factors : Gutbrain communication changes (nerves become extra sensitive) Altered motility (colon moves too fast or too slow) Microbiome shifts after infection, antibiotics, or stress Food triggers (e.g., highFODMAP foods, excess caffeine) Stress, anxiety, or poor sleep (they dont cause IBS but can magnify it) Pathophysiology (In Simple Terms) Think of the gut like a microphone turned up too loud: Visceral hypersensitivity: normal gas/stretch feels painful

Your doctor will make the call based on your situation and how you respond to the initial treatment