IBS-C is a subtype of irritable bowel syndrome marked by chronic abdominal pain or cramping linked to bowel habits and predominantly hard or lumpy stools. Unlike simple constipation, IBS-C features discomfort that typically improves after a bowel movement. Physicians commonly classify it under the ICD-10 code K58.1.
Symptoms of IBS-C can vary in intensity and often wax and wane. Key signs include:
The precise cause of IBS-C is unknown, but several factors are thought to contribute:
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IBS-C involves recurrent abdominal pain or cramping that improves after a bowel movement, along with hard stools and bloating, whereas regular constipation typically features infrequent or difficult stools without a clear pain-relief pattern.
Diagnosis is based on the Rome IV criteria: at least three months of recurrent abdominal pain associated with constipation and symptom onset at least six months before diagnosis.
The ICD-10 code for Irritable Bowel Syndrome with predominant constipation is K58.1.
Yes. A low-FODMAP diet and increased soluble fiber (such as psyllium) often reduce bloating and improve stool frequency in many patients.
Yes. Prescription options include lubiprostone, linaclotide, and plecanatide, which help increase intestinal fluid secretion and alleviate both pain and constipation.
Some patients notice improvement within 1-2 weeks, while others may need several weeks to a few months to see full symptom relief as treatments are optimized.
Yes, especially if symptoms persist despite lifestyle and over-the-counter measures. A gastroenterologist can offer advanced testing and tailored therapies.
Yes. Stress and anxiety can alter gut motility and sensitivity, often triggering or exacerbating IBS-C flare-ups.
Some patients benefit from probiotics-particularly Bifidobacterium strains-that can help restore a healthy balance of gut bacteria and reduce bloating.
No, not routinely. A colonoscopy is recommended only if alarm features like gastrointestinal bleeding, unexplained weight loss, or anemia are present.
