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What is the treatment for irritable bowel syndrome?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 32-year-old male. I am currently trying to quit drinking alcohol. I have also been suffering from irritable bowel syndrome lately.

Kindly help.

Hello,

Welcome to icliniq.com.

I understand your concern.

  1. What GI (gastrointestinal) symptoms are you having at present?
  2. Also, please specify what symptoms related to GI you had in the past.
  3. Are you taking any medications for it?
  4. Why did you get a colonoscopy and endoscopy test done?

Please reply to each question to guide you better.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

My bowel movements are always different, a mix from soft to normal. I have always had an easily upset stomach and similar symptoms. There are no medications right now and none in the past besides Omeprazole. My doctor advised me to have the procedures done to rule out anything like Crohn's.

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

So basically, you have symptoms resembling IBS (irritable bowel syndrome). To my knowledge, alcohol aggravates the IBS symptoms. Alcohol and IBS are not a good combination. Alcohol is an irritant to the gastrointestinal (GI) system, meaning it can worsen IBS symptoms. Alcohol is a toxin that disrupts the bowels and intestinal system, which is why it aggravates symptoms. In your case, you are trying to quit alcohol, which means your symptoms at least should not get worse, but rather, they should improve. So, I think the present increased irritable bowel symptoms are not related to quitting alcohol. There must be some other reason for the flare-up of the symptoms. Crohn's has already been ruled out.

Based on your history, you have predominant diarrhea symptoms rather than constipation.

  1. Try a FODMAPS (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) diet.
  2. If diarrhea symptoms are predominant, take a tablet of Loperamide 2 mg twice daily.

There are other medications also to control symptoms of IBS, but first of all, IBS has to be diagnosed by your physician. I will analyze and guide you accordingly.

I hope this information will help you.

Thanks.

Medically reviewed byiCliniq medical review team

Published At April 10, 2024
Reviewed AtApril 10, 2024

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