Diarrhoea, abdominal pain, flatulence or constipation? If these symptoms occur regularly, they could be caused by irritable bowel syndrome. In the UK alone, around 6.5 million people suffer from it.1 But many people don't realise this: How such an "irritable bowel" manifests itself varies greatly.

Not all irritable bowel syndrome is the same! Learn about the different types of IBS and why a specific strain of bacteria could help.

Causes of irritable bowel syndrome

For many centuries, the cause of irritable bowel syndrome was a mystery. It was not until the new technological possibilities of the 21st century, such as the use of confocal laser endomicroscopy (CLE), that a breakthrough was made.

Today, scientists assume that one of the most common causes of recurring bowel complaints is a damaged intestinal barrier - even the smallest damage (so-called microlesions) can allow pathogens and harmful substances to penetrate the intestinal wall, irritate the intestine and cause inflammation.

The unpleasant consequences: Recurrent intestinal complaints such as diarrhoea, abdominal pain, flatulence and constipation.2 These can occur individually or in combination and can also vary in intensity and duration. For those affected, this represents a considerable burden in everyday life, which can have a very negative impact on their quality of life.

For example, irritable bowel syndrome sufferer Graham M. reports on his stressful restrictions:

'Just the thought of the toilet being occupied at home made my forehead sweat. But even attending appointments, shopping or simply going for a stroll in the city made my thoughts revolve around where I could find a toilet.'

Different types of irritable bowel syndrome

Graham M. is just one of millions of IBS sufferers whose daily lives are determined by their bowels. Despite its prevalence and significant impact on quality of life, irritable bowel syndrome is often misunderstood and under-diagnosed. A study from Germany shows that it takes up to 8 years on average for sufferers to be diagnosed with irritable bowel syndrome.3

An important facet when considering irritable bowel syndrome is the distinction between the different types of irritable bowel syndrome, each of which is characterised by specific symptoms and patterns.

Diarrhoea-dominant irritable bowel syndrome

Mann Lila Schmerz

'I have been suffering from diarrhoea for about 4 years. Visits to restaurants or longer trips were no longer possible, at least not in conjunction with meals.' (Adrian R.)

People with IBS-D suffer from frequent liquid stools, which are often accompanied by abdominal pain, cramps and a feeling of urgency. People with IBS-D may also experience increased gas and bloating.

The constipation-dominant irritable bowel syndrome

Mann Blau Schmerz

'For 40 years I have suffered from severe chronic constipation for which I have never been able to find a remedy.' (Helen P.)

In contrast to the diarrhoea type, the irritable bowel syndrome type IBS-C is characterised by predominant constipation or infrequent bowel movements (a maximum of three times a week). Those affected often struggle with sluggish bowel movements and hard stools. In addition to constipation, they may also suffer from abdominal pain, bloating and discomfort.

Mixed irritable bowel syndrome

Frau Braun Schmerz

'I suffered from diarrhoea, flatulence and constipation. Nothing helped. When I had to leave the house, I didn't eat or drink to stop my bowels from moving.' (Nicholas F.)

The irritable bowel syndrome types RDS-M and RDS-A describe sufferers who suffer from both diarrhoea and constipation. This form of irritable bowel syndrome can be particularly distressing as the symptoms are unpredictable and sufferers often find it difficult to predict how their bowel will react.

With an irritable bowel syndrome of type IBS-M, these two symptoms can sometimes occur within the same day, while sufferers of type IBS-A go through longer phases of diarrhoea or constipation.

Irritable bowel syndrome without subtype

Frau Gruen Schmerz

'For almost three years I was plagued by indefinable abdominal pain. No doctor knew what to do.' (Louise M.)

Sometimes the symptoms of irritable bowel syndrome do not clearly fit into one of the above categories - and irritable bowel syndrome sufferers cannot be categorised as having IBS-D, IBS-C, IBS-M or IBS-A. However, this does not mean that the symptoms are less stressful for those affected. In this case, some doctors also speak of the "pain type" and "bloating type".

But what can really help irritable bowel syndrome sufferers?

Many people who repeatedly suffer from intestinal complaints opt to take preparations that provide short-term relief, e.g. for diarrhoea. The problem with this is that preparations that target individual symptoms are often inadequate!

A research team from the German company SYNformulas therefore wanted to find a way to help irritable bowel syndrome sufferers - and ideally develop a preparation that would be effective for all irritable bowel syndrome symptoms and types. Together with an Italian scientist, they therefore set out to find a solution more than 10 years ago.

The idea was to utilise the findings on the damaged intestinal barrier mentioned at the beginning and to start directly there. Over the course of time, they came across a very special strain of bifido bacteria called B. bifidum MIMBb75.

What’s special:

This bacterial strain has the unique ability to physically attach itself to the intestinal epithelial cells - similar to a plaster over a wound.

The researchers' idea:

Could the intestinal barrier regenerate under this "plaster" - and consequently also alleviate the intestinal complaints?

To put their theory to the test, the researchers conducted two gold standard studies (studies according to the highest scientific standard) in which they tested the efficacy of the bacterial strain B. bifidum MIMBb75 in both live and heat-inactivated form. The results were remarkable: in both studies, the efficacy against irritable bowel syndrome was impressively demonstrated.4,5

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A milestone in irritable bowel syndrome research

Inspired by these results, the researchers developed the product Kijimea IBS PRO, which contains the bacterial strain B. bifidum MIMBb75 in heat-inactivated form. The success speaks for itself: SYNformulas, the company behind Kijimea, recently reported more than 4 million packs of the irritable bowel syndrome preparation sold.

Consumers also appreciate the careful composition and high quality standards that the company applies to its products. Numerous enthusiastic online reviews can be found.

Helen W.

'Since taking the product, my quality of life has improved.'

Andrew C.

'Kijimea IBS Pro is very well tolerated. My irritable bowel symptoms have improved significantly. Abdominal cramps, nausea, sometimes diarrhoea, sometimes constipation. All these symptoms are at a tolerable level thanks to Kijimea IBS Pro. I've been taking it for three months now and will continue for a while longer. I would advise anyone with irritable bowel problems to try Kijimea.'

Rachel S.

'After just three days of consistently taking Kijimea, I noticed a significant improvement in my bowel problems. The symptoms continued to improve over the following days and now (after ten days) I am almost free of the very troublesome bowel problems. I am thrilled with the positive effect!'

The product can be ordered directly from the manufacturer at Kijimea.co.uk. In the Kijimea online shop, customers also benefit from a money-back guarantee: the manufacturer is so convinced of the quality of its products that it will refund the purchase price within the first 30 days to customers who, contrary to expectations, are not satisfied.

In addition, Kijimea.co.uk offers free shipping on all purchases over £25.

Good to know: All Kijimea products are manufactured in Germany without the use of genetic engineering and are not tested on animals. Both the manufacturing process and the equipment used are certified according to the strict GMP pharmaceutical grade standard. In addition, each batch is tested in an independent laboratory before it goes on sale.

Buy Kijimea IBS PRO online

Scientific sources

1 Black CJ, Ford AC. Global burden of irritable bowel syndrome: trends, predictions and risk factors. Nat Rev Gastroenterol Hepatol. 2020;17(8):473-486. doi:10.1038/s41575-020-0286-8

2 Wood JD. Effects of bacteria on the enteric nervous system: implications for the irritable bowel syndrome. J Clin Gastroenterol. 2007;41 Suppl 1:S7-S19. doi:10.1097/MCG.0b013e31802f1331.

3 Straub C et al. Physician Report 2019 - Press kit. 2019.

4 Guglielmetti S, Mora D, Gschwender M, Popp K. Randomised clinical trial: Bifidobacterium bifidum MIMBb75 significantly alleviates irritable bowel syndrome and improves quality of life - a double-blind, placebo-controlled study. Alimentary pharmacology & therapeutics. 2011;33(10):1123-1132. doi: org/10.1111/j.1365-2036.2011.04633.x

5 Andresen V, Gschossmann J, Layer P. Heat-inactivated Bifidobacterium bifidum MIMBb75 (SYN-HI-001) in the treatment of irritable bowel syndrome: a multicentre, randomised, double-blind, placebo-controlled clinical trial. Lancet Gastroenterol Hepatol. 2020;5(7):658-666. doi:10.1016/S2468-1253(20)30056-X.

The information on this page does not constitute medical advice and should not be considered as such. Consult your doctor before changing your regular medical care. This product is not intended to diagnose, treat, cure or prevent any disease. The effect depends on individual factors. The images of those affected are based on real people whose names have been changed.