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Irritable bowel syndrome - Treatment

Alternative Names

Nervous indigestion; Spastic colon; Intestinal neurosis; Functional colitis; Irritable colon; Mucous colitis; Laxative colitis; IBS

Treatment:

The goal of treatment is to relieve symptoms.

Lifestyle changes can be helpful in some cases of IBS. For example, regular exercise and improved sleep habits may reduce anxiety and help relieve bowel symptoms.

Dietary changes can be helpful, but no specific diet can be recommended for IBS in general because the condition differs from one person to another. Increasing dietary fiber and avoiding items that stimulate the intestines such as caffeine may help.

Other possible treatments may include:

  • Counseling in cases of severe anxiety or depression
  • Antidiarrheal medications for those whose main symptom is diarrhea
  • Low-dose antidepressants to help relieve intestinal pain
  • Medications to stimulate bowel movements for those with constipation

Expectations (prognosis):

Irritable bowel syndrome may be a life-long condition, but symptoms can often be improved or relieved through treatment.

Complications:

Calling your health care provider:

Call your health care provider if you have symptoms of irritable bowel syndrome or if you notice a persistent change in your bowel habits.

  • Reviewed last on: 8/22/2008
  • Christian Stone, M.D., Division of Gastroenterology, Washington University in St. Louis School of Medicine, St. Louis, MO. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Spiller R, Aziz Q, Creed F, Emmanuel A, et al. Guidelines on the irritable bowel syndrome: mechanisms and practical management. Gut. 2007 Dec;56(12):1770-98. Epub 2007 May 8.

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