iCliniq logo

Ask a Doctor Online Now

HomeAnswersInternal Medicineirritable bowel syndromeWhat are the specific ways to bring down the symptoms of IBS?

How to reduce the symptoms of IBS?

How to reduce the symptoms of IBS?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At March 16, 2018
Reviewed AtOctober 11, 2023

Patient's Query

Hi doctor,

Please suggest about the specific ways to reduce the IBS symptoms.

Hi,

Welcome to icliniq.com.

Irritable bowel syndrome has these symptoms such as decreased sleep at night, depression, musculoskeletal pain or fibromyalgia, decreased sexual performance, and inadequate attention. IBS can be diarrhea-predominant or constipation predominant or mixed.

In the case of diarrhea-predominant IBS, it is better to avoid eating vegetables, flour containing products and other foods containing FODMAP (Fermented foods containing oligosaccharides, monosaccharides, and polyols). It is helpful for some patients. After having repeated counseling, they need pharmacotherapy. I advise taking Chlordiazepoxide with Clidinium bromide and a probiotic combination trial. It helps for some persons.

In the case of constipation-predominant IBS, I advise stool bulking agents like psyllium husk or lactulose to the patient. For the depression and musculoskeletal pain, I usually prescribe Duloxetine which works better than SSRI (selective serotonin reuptake inhibitors). But in cases when the musculoskeletal pain is not severe, I advise SSRI. If any further doubts consult a gastroenterologist.

Hyperacidity is a common problem seen in these type of patients. Treat with a short course of PPI (proton pump inhibitors) first and then downgrade to Ranitidine after the symptoms get controlled. In some patients, counseling plays an essential role in the treatment of IBS.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mukherjee Koushik
Dr. Mukherjee Koushik

General Practitioner

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Internal Medicine

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy