Dr. Rigobert Kefferputz

Patient Library / Digestion / Irritable Bowel Syndrome (IBS)

Irritable Bowel Syndrome (IBS)

IBS is a diagnosis of exclusion that too often becomes a destination — the real question is what's driving it.

IBS affects up to 15% of the population and is one of the most common reasons for GP visits. Most patients are told it's stress or functional and sent away with fibre advice and antispasmodics. In almost every case, a proper investigation reveals specific, treatable drivers — SIBO, food intolerances, gut dysbiosis, or gut-brain axis dysregulation — that explain the symptoms precisely.

SIBO Is Often the Cause

Post-infectious IBS — the most common subtype — frequently involves SIBO as an ongoing driver. Breath testing identifies this directly, and treatment produces durable relief that symptom management never achieves.

The Gut-Brain Axis

Bidirectional communication between the gut and brain means anxiety worsens IBS and IBS worsens anxiety. Both need to be addressed simultaneously for lasting improvement.

Specific Triggers Exist

Most IBS patients have identifiable food triggers — usually high-FODMAP foods — that can be systematically identified and managed without permanent restriction.

What You Need to Know

Frequently Asked Questions

How I Treat This

These are the services I most commonly draw on when working with irritable bowel syndrome (ibs).

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