What are the main signs and symptoms of IBS-D?

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    Last Updated: May 16, 2025

    The main signs and symptoms of IBS-D (diarrhea-predominant IBS) include abdominal pain, bloating, gas, and diarrhea as the predominant bowel habit, and abdominal pain is more pronounced than in other IBS subtypes. Symptoms may improve after a bowel movement but can worsen due to triggers like caffeine, psychological stress, and certain high-FODMAP foods.

    IBS-D shares most symptoms — including abdominal pain, bloating, and gas — with the other IBS subtypes, but in IBS-D, diarrhea is the predominant bowel habit. People with IBS-D also report more abdominal pain compared to the other subtypes.[1]

    Symptoms often subside after a bowel movement, but will sometimes worsen after certain triggers such as caffeine, psychological stress, and foods high in certain fermentable carbohydrates (e.g., beans and wheat products; see Low-Fodmap Diet).[2]

    What are the main signs and symptoms of IBS-D? - Examine