Perhaps it is not surprising that urgency is the symptom that has the most impact, fear of having an accident and not being able to access a toilet, is a huge barrier to people being able to lead a “normal” life. Evidence of this comes from a 2009 study which found that for people with IBS, the four main perceptions of daily activities were: not being in control, not being able to trust their bodies, invasion of privacy and loss of dignity.
Similarly, a more recent 2015 survey of over 3000 people with IBS, found that 47% of people with IBS-D had little or no ability to predict their daily symptoms and 81% stated that they avoided situations where there was no nearby bathroom. As well as experiencing frustration, the most common emotions felt were self-consciousness and embarrassment.