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Irritable Bowel Syndrome (IBS)

Irritable Bowel Syndrome (IBS) affects millions with abdominal discomfort, bloating and irregular bowel habits. At GastroDoxs in Houston, Dr. Scott offers personalized evidence-based care-from dietary guidance and medications to advanced therapies-to manage symptoms effectively and enhance your overall digestive health.

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Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

What Is Irritable Bowel Syndrome (IBS)?

Irritable Bowel Syndrome (IBS) is a common functional digestive disorder characterized by abdominal pain or discomfort, bloating and changes in bowel habits (diarrhea, constipation, or both). It does not cause permanent damage to the intestines but can significantly affect daily life and well-being.

Common Causes and Risk Factors

  • Abnormal gut-brain signaling leading to heightened bowel sensitivity
  • Trigger foods and beverages (e.g., caffeine, fatty or spicy meals)
  • High stress, anxiety or other emotional factors
  • Family history of IBS or other functional bowel disorders
  • Hormonal fluctuations (IBS is more common in women)
  • Prior gastrointestinal infections or antibiotic use

Signs and Symptoms

  • Recurrent cramping or pain in the lower abdomen
  • Abdominal bloating, gas or distention
  • Altered bowel habits: diarrhea, constipation or mixed pattern
  • Mucus in the stool
  • Sensation of incomplete bowel evacuation

How Dr. Scott Diagnoses Irritable Bowel Syndrome (IBS)?

Dr. Scott uses a step-by-step approach:

Medical History and Symptom Evaluation

He reviews your pattern of abdominal and epigastric pain, bowel habits (diarrhea, constipation or both), diet, stress levels and family history of GI disorders.

Laboratory and Stool Tests

  • Blood work (CBC, metabolic panel, inflammatory markers) to rule out anemia, infection or systemic inflammation.
  • Stool analysis for pathogens, calprotectin or lactoferrin to exclude infections and inflammatory bowel disease.

Imaging and Endoscopic Evaluation

  • Abdominal ultrasound or CT scan to identify structural abnormalities or inflammation.
  • Upper endoscopy (EGD) to examine the esophagus, stomach and duodenum when epigastric pain is prominent.
  • Colonoscopy if there's persistent diarrhea, bleeding or to rule out colonic pathology.

Functional and Motility Testing

Breath tests for small intestinal bacterial overgrowth or carbohydrate malabsorption, and specialized motility studies when gut dysmotility is suspected.

Dr. Scott
Treatment

Our Team offers a full range of care for Irritable Bowel Syndrome (IBS).

1. Lifestyle and Diet Modifications

  • Gradually increase soluble fiber intake (oats, bananas)
  • Avoid known dietary triggers like dairy, fried foods, gluten, and caffeine
  • Short-term elimination diet with expert guidance
  • Stay hydrated and eat smaller, more frequent meals

2. Medications

  • Antispasmodics to relieve abdominal cramps
  • Laxatives or antidiarrheal agents as needed
  • Low-dose antidepressants for chronic pain management and gut balance
  • Targeted antibiotics that act within the gut in specific cases

3. Minimally Invasive or Advanced Procedures

  • Biofeedback therapy to help you gain control over bowel function
  • Nerve modulation treatments to improve gut-brain signaling
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

What is the ICD-10 code for IBS?

Codes range from K58.0 for IBS with diarrhea to K58.9 for IBS without details.

Can I use over-the-counter remedies?

Yes. Many patients use fiber supplements or gas-relief medicines. Talk to Dr. Scott before starting anything new.

What are good foods for an IBS-friendly diet?

Try oats, bananas, sweet potatoes, rice, and cooked vegetables. Avoid greasy or spicy foods.

When should I see a specialist?

If symptoms last more than a few weeks or affect your daily life, make an appointment with Dr. Scott.

Will I have IBS forever?

IBS can last for many years, but most people manage it well with the right treatment and lifestyle changes.

How long does it take to feel better?

Some patients notice relief in a few days with diet changes; medications often take a few weeks to work.

Are the advanced procedures safe?

Yes. Dr. Scott uses gentle, minimally invasive methods with proven safety and high success rates.

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