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Doctors cannot clearly say that acid reflux causes irritable bowel syndrome as the causes of IBS are unknown. Irritable bowel syndrome is a functional disorder. It means the symptoms are real but is hard to identify the psychological causes. Although the causes for the occurrence of irritable bowel syndrome are unknown, doctors often point it towards stress. As irritable bowel syndrome accompanies gastroesophageal reflux disease, many physicians consider the two conditions in sharing a common mechanism.