Symptoms of Irritable Bowel Syndrome (IBS)

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The most common symptoms include:

Standing person with abdominal pain

Abdominal pain. This is the main symptom of irritable bowel syndrome (IBS). It is often described as a cramping or colicky pain, which can vary in intensity and tends to recur. The pain may be associated with changes in bowel movements, such as urgency or difficulty passing stools, and may improve or worsen after a bowel movement. 

Blood in the stool

Changes in bowel habits or in stool frequency or consistency are another key symptom of IBS. A predominance of hard, separate stools or lumpy, sausage-shaped stools (Bristol Stool Scale types 1 and 2) is characteristic of IBS with constipation (IBS-C). Conversely, when watery or fluffy stools predominate (Bristol Stool Scale types 6 and 7) is characteristic of IBS with diarrhoea (IBS-D). 

  • Bowel urgency.
  • Excessive straining when passing stools.
  • Feeling of incomplete evacuation.
  • Presence of mucus in the stools. 
  • Abdominal distension and/or bloating.  In women, symptoms may be more severe during menstruation.

Bristol Scale

Substantiated information by:

Published: 25 September 2026
Updated: 25 September 2026

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