Treatment Overview

Irritable bowel syndrome (IBS) is a long-term (chronic) but manageable condition. Treatment will depend on the types of symptoms you have and their severity, as well as how they affect your daily life, and will likely involve changes to your lifestyle. It is important that you work closely with your doctor to create a treatment plan that will meet your needs. Learn all you can about your condition so you can effectively communicate concerns and questions to your doctor.

Initial treatment

No single type of treatment for irritable bowel syndrome works best for everyone. You and your doctor will need to work together to determine what may be triggering your symptoms. It will be necessary for you to adapt your lifestyle to best deal with your symptoms and still carry on with your daily activities. Let your doctor know if parts of your treatment are not helping your symptoms.

For some people who have IBS, certain foods may trigger symptoms. The following suggestions may help prevent or relieve some IBS symptoms:

• Avoid caffeine and alcohol.
• Limit your intake of fatty foods.
• If diarrhea is your main symptom, limit dairy products, fruit, and artificial sweeteners such as sorbitol or xylitol.
• Increasing fiber in your diet may help relieve constipation.
• Avoiding foods such as beans, cabbage, or uncooked cauliflower or broccoli can help relieve bloating or gas.

Irritable Bowel Syndrome: Controlling Symptoms With Diet

Getting regular, vigorous exercise (such as swimming, jogging, or brisk walking) may help reduce tension and make your bowels more regular.

Medicines may be used along with lifestyle changes to manage symptoms of IBS. Medicines for IBS may include anticholinergics for cramping, medicines for diarrhea or constipation, antidepressants, or antianxiety drugs.

If stress triggers your symptoms, some form of psychological therapy or stress management may help you deal more positively with stress and help prevent or reduce stress-related IBS episodes.

Ongoing treatment

Treatment for irritable bowel syndrome (IBS) usually involves long-term management of your symptoms. It is important that you have a good working relationship with your doctor to monitor your symptoms and identify changes in your diet and lifestyle that can help relieve the symptoms. Keeping a journal of your symptoms can help you identify triggers that make symptoms worse.

Be especially aware of significant changes in symptoms, such as the appearance of blood in your stools, increased pain, severe fever, or unexplained weight loss. If any of these occur, your doctor may want to conduct additional tests to determine whether there is another cause for your symptoms.