This is present in 15-20 % of the population. This problem is characterized by recurring pain, frequent, alternating constipation and diarrhea. Tests are usually negative, because there is no structural or biochemical abnormality. Patients with IBS have an increased response to experiencing pain initiated and aggravated by stress.

Stress management, better sleeping habits and more physical activity are beneficial. Reassurance and understanding the nature of pain also are helpful. Excluding sugar, wheat, potatoes,onions and milk from the diet could be beneficial. Probiotics and increased fiber intake are helpful.