Lun Jangir

During an IBS flare-up (sometimes known as “IBS attack”) you may experience more gut symptoms, such as stomach cramps, bloating, diarrhea, and constipation. An IBS flare-up can last anywhere from a few hours to a few months at a time.

So, what causes an IBS flare-up? An increase in symptoms can sometimes be triggered by eating certain foods or from anxiety or stress. However, even if you're doing all the 'right' things, an IBS flare-up can still happen with no obvious cause.

There's no cure for IBS but there are things you can do to help relieve symptoms and reduce the chance of future episodes.

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IBS is a common gastrointestinal condition that affects around 1 in 7 people worldwide and is almost twice as common in women as it is in men. While IBS can occur at any age, most people start to notice their symptoms between 20 and 30 years old.

A healthcare professional can diagnose whether you have IBS based on your symptoms. You might have IBS if you have recurrent abdominal pain for at least one day per week in the past three months, and two or more of the following:

Some people will experience IBS on a daily basis, while others can go long periods of time without symptoms. An IBS flare up means that you are experiencing a sudden increase in IBS symptoms over a period of time. So what does an IBS flare up feel like? Common symptoms of an IBS attack can include:

Some people also experience some less common symptoms, such as:

IBS flare up duration is different for everyone. Most people's IBS symptoms will flare-up for 2-4 days, after which your symptoms may lower in severity or disappear completely. Many people experience IBS in waves, in which symptoms may come and go over several days or weeks.IBS attacks can be managed to reduce symptoms or shorten duration using several management techniques (which we discuss below).

It's unclear what causes episodes of IBS symptoms, but several studies have shown the following factors may play a part in IBS flare-ups:

There is no cure for IBS, but a range of strategies may help manage a flare-up. Many approaches may also be used to prevent or reduce the chance of an episode of IBS.

It's difficult to know what foods to eat with an IBS flare up, with foods that are high in ‘FODMAPS’ (small carbohydrate molecules that cause bacteria in the gut to release gas) often triggering IBS symptoms. A diet low in FODMAPs reduces symptoms of IBS in most people.

To calm an IBS flare-up, avoid high-FODMAP foods such as:

So what foods should you eat during an IBS flare up?

A low FODMAP diet involves eliminating high FODMAP foods, then slowly reintroducing them, one at a time, and noting any changes in symptoms. This two-step approach should help identify foods that trigger a flare-up.

You might not have heard of hypnotherapy as a treatment for health conditions, but it’s been proven to help IBS symptoms and can even treat other conditions such as chronic pain or smoking addiction. In hypnotherapy, you are gently brought into a relaxed and focused state, where you then use visualizations and suggestions to improve your gut-brain connection. It's one of the best natural remedies for IBS flare ups and requires no drugs or diets to see results.

A recent study showed that gut-directed hypnotherapy is equally effective as the low-FODMAP diet in reducing IBS symptoms—which is good news for people wanting to improve their symptoms without overhauling their diet and lifestyle. Gut-directed hypnotherapy has been shown to significantly reduce symptoms of IBS in over 50% of people.  You can try gut-directed hypnotherapy by visiting a gut-directed hypnotherapist or using a mobile app like Nerva (based on this recent study).

How hypnotherapy exactly works is still unclear to researchers, but it is thought to work by helping you:

For this reason, there is an increasing need for enterprises to put in place mechanics to ensure that the business can successfully ride the wave of these complexities. GRC—Governance, Risk, and Compliance—is one of the most important elements any organization must put in place to achieve its strategic objectives and meet the needs of stakeholders.

GRC as an acronym stands for governance, risk, and compliance, but the term GRC means much more than that. The OCEG (formerly known as “Open Compliance and Ethics Group”) states that the term GRC was first referenced as early as 2003, but was mentioned in a peer reviewed paper by their co-founder in 2007.

The OCEG views GRC as a well-coordinated and integrated collection of all the capabilities necessary to support principled performance at every level of the organization. These capabilities include:

Principled Performance refers to a point of view and approach to business that helps organizations reliably achieve objectives while addressing uncertainty and acting with integrity.

When broken down, the constituent elements can be defined from ITIL® 4 and explained as follows:

The means by which an organization is directed and controlled. In GRC, governance is necessary for setting direction (through strategy and policy), monitoring performance and controls, and evaluating outcomes.

A possible event that could cause harm or loss or make it more difficult to achieve objectives. In GRC, risk management ensures that the organization identifies, analyses, and controls risk that can derail the achievement of strategic objectives.

The act of ensuring that a standard or set of guidelines is followed, or that proper, consistent accounting or other practices are being employed. In GRC, compliance ensures that depending on the context, the organization takes measures and implements controls to assure that compliance requirements are met consistently.

Without a doubt, the biggest driver for GRC is regulation. While traditional industries such as banking, insurance, healthcare, and telecoms have borne the brunt of regulation in the past, today’s digital age is fueling a risk in regulation that touches all entities, large or small.

Use of data, particularly personally identifiable information, has huge business potential as well as risk of abuse. Therefore, governments and international agencies are paying a closer eye to how digital businesses manage data. The rise in cyber-attacks, which expose personal data, as well as growing awareness by individuals and civil rights organizations have shed new light into how companies manage information and technology through processes, people, and culture.

According to CIO.com, benefits of GRC include:

A collective approach is the best bet for any organization seeking to get to grips with the ever-changing regulatory landscape. When GRC is done right across the whole organization, and the right people get the right information at the right time, and the right objectives and controls are established, then OCEG states that we can expect reduction in costs, duplication, and impacted operations.

The organization can also benefit through better decision-making agility and confidence, as well as sustained, reliable performance, and delivery of value.

As has been stated before, GRC is best implemented in a holistic manner that encompasses the entire organization. This does not necessarily mean that an umbrella unit is required for coordination, even though that might work for certain types of entities. The OCEG has defined an open source approach called the GRC Capability Model (also called the Red Book) that integrates the various sub-disciplines of governance, risk, audit, compliance, ethics/culture and IT into a unified approach. The Capability Model is made up of four components:

These components outline an iterative continuous improvement process to achieve principled performance and are further decomposed into elements which are then supported by practices, actions and controls. The actions and controls are classified in three types, which organizations can select a mix dependent on their context:

In order to address the needs of GRC, a lot of organizations are turning to technology solutions. These solutions enable the leadership to monitor GRC across the enterprise by ensuring business processes and information technology continue to align to the governance, risk and compliance requirements of the organization. Capabilities include:

However, having a tool alone isn’t enough to guarantee effective GRC. Technology doesn’t have ethics—people do. Hence GRC must be addressed from a people and process perspective, even before technology is considered.

However, technology is a very good enabler in reducing the “compliance” overheard that comes with gathering and managing records required to prove that the organization is meeting GRC requirements, without overburdening employees who should be focused on generating value instead.

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