IBS, IBD and Grahani Roga: Evidence-Informed Management

Irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and Grahani Roga present overlapping gastrointestinal symptoms but differ in underlying mechanisms, diagnostic requirements, and treatment approaches. Accurate differentiation is essential, particularly when patients experience abdominal pain, altered bowel habits, bloating, or persistent diarrhea. Clinical assessment may include identifying alarm features, targeted laboratory testing, stool studies, and endoscopic evaluation when indicated. IBS management emphasizes dietary modification, symptom-directed treatment, and psychological support, whereas IBD requires disease-specific anti-inflammatory or immunomodulatory therapy and monitoring for complications. Ayurvedic concepts of Grahani Roga may offer a traditional framework for digestive health, but interventions require careful evaluation of efficacy, safety, and interactions. Evidence-informed, individualized care can improve symptom control and quality of life.