ADVERTISEMENT

Q. How to reduce the symptoms of IBS?

Answered by
Dr. Mukherjee Koushik
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 24, 2019

Hi doctor,

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

ADVERTISEMENT
#

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.

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.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
How to reduce the symptoms of IBS?

Irritable bowel syndrome has these symptoms such as decreased sleep at night, depression, musculoskeletal pain or fibromyalgia, decreased sexual performance, and ina...   Read full

Will my anxiety relapse if I stop SSRI?

Initially, I was prescribed Paxil 20 mg, which helped treat my anxiety and depression but I started having side effects of weight gain, fatigue, and sexual dysfunction ...   Read full

I am suffering from sleep apnea, anxiety, and depression. Can you help me?

They are as follows: Anxiety and worry about low probable situations and what-if kind of scenarios ... Sometimes anxiety causes brooding, which causes more anxiety ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Malaria Prevention Using Monoclonal Antibodies
A recent phase 1 study proved monoclonal antibodies effective in preventing malaria. Read the article to know more.  Read more»
Surgical Ostomy - Types, Causes, Procedure, and Complications
This article briefly discusses ostomy, a surgical procedure where an opening is created between the segment of the gastr...  Read more»
Rotavirus Infection - Symptoms, Diagnosis, and Treatment
Rotaviruses are among the most common causes of severe diarrhoeal disease in young children worldwide. Read the article ...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* 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.