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The cause is unknown, but it is believed to be related to a few different factors, including (2,3) Abdominal hypersensitivity the gut is extra sensitive to reactions and sensations Abnormal intestinal motility the digestive system is moving too fast (diarrhea) or too slow (constipation) Gut dysbiosis an imbalance of the gut bacteria Genetics Psychosocial factors including stress Why should dietitians know about IBS