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A 42-year-old member asked:

Treatment for ibs?

9 doctor answers16 doctors weighed in
Dr. Swati Avashia
Internal Medicine and Pediatrics 23 years experience
Underlying Causes: For irritable bowel syndrome, an important part of treatment is finding and addressing triggers. The exact cause of ibs is unknown but sleep deprivation, anxiety, stress, hormonal fluctuations, or certain foods may be triggers. Keep a diary to determine your triggers. Also talk with your doctor, there are several medications that can help with the symptoms.
Dr. Pedro Hernandez
Geriatrics 40 years experience
None: There is no cure for irritable bowel syndrome. If the predominance is colic pain or diarrhea some drs prescribe anticholinergics like bentyl, (dicyclomine) opiates or atropinics ( donnatal) in pts above 65 they are risky. Check this x details :http://www.Mayoclinic.Com/health/irritable-bowel-syndrome/ds00106/dsection=treatments-and-drugs.
Dr. Michio Abe
Internal Medicine 26 years experience
Depends: There are different types of ibs, and there are different ways you can treat them. Some have diarrhea-predominant ibs, some constipation-predominant, some pain-predominant, some mixed. Should see a doctor 1st. Many meds can help, like Amitriptyline for diarrhea and Levsin (hyoscyamine) for pain. Avoid your triggers such as dairy products, caffeine, alcohol, and fatty foods. Increase fiber and try probiotics.
Dr. Kenneth Cheng
Family Medicine 31 years experience
Many: The treatments for irritable bowel syndrome (ibs) are many. They can include prescription anti-spasmotics, dietary changes, biofeedback, etc. Many treatments are directed at the symptoms one experiences: anti-diarrheal medications for diarrhea, stool softeners for constipation, etc. Best to discuss these treatments with your family doctor or internist to see what is best for your ibs.
Dr. Colton Bradshaw
Specializes in Pediatrics
New answers arising: Ibs (irritable bowel syndrome) is a common malady. While no absolute cure is available, new evidence suggests that more can be done now for symptom relief and control than ever before. Many sufferers of ibs find the use of certain "probiotics" an effective resource in combating & managing the symptoms. A gastroenterologist can discuss these new findings & advise you on newer developments. Call now.
Dr. Eric Kaplan
Colon and Rectal Surgery 42 years experience
Diet and fluids: I rarely prescribe meds for ibs. In my experience teaching people to eat and drink properly resolves most if not all symptoms when the patient is compliant and follows through. Hi fiber, 80-100 ounces non caffeine, non alcoholic beverages each day, regular meal times, excercise. Consistency is the key to being symptom free.
Dr. Nikhil Karanth
Gastroenterology 23 years experience
Numerous: Fiber, dietary and lifestyle discretion, and certain medications based on type of ibs
Dr. Alvin Lin
Geriatrics 30 years experience
Irritable bowel synd: Answer depends upon whether you have constipation-predominant or diarrhea-predominant or mixed. Check out http://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/basics/definition/con-20024578, http://www.webmd.com/ibs/ & http://emedicine.medscape.com/article/180389-overview for more info & treatment options.
Dr.
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Various ...: Once a diagnosis of IBS has been made with your Dr there is a range of treatment options. General advice includes regular meals, plenty of fluid, consider 'mindful eating' - taking time to stop, prepare for meals, to eat, chew, notice, enjoy. You can modify your fibre intake. You may consider exploring the option of low FODMAP foods. Medication can be used to manage severe symptoms. http://patient.info/health/irritable-bowel-syndrome-leaflet

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Similar questions

A 38-year-old member asked:

What can other IBS sufferers use as treatment?

1 doctor answer1 doctor weighed in
Dr. Daniel Kessler
Family Medicine 15 years experience
Individualized : Approach. There are many causes that may include: stress, hormones, infections, inflammation, structural to name a few. Best is to work together with a gastroenterologist to arrive at the correct answer for you. Everyone is different and there is not one straight approach. You may start with as simple as an elimination diet and record which foods may aggravate you. Best wishes!
A 46-year-old member asked:

What is the cause of IBS and what's the treatment?

2 doctor answers3 doctors weighed in
Dr. Mark Rasak
Cardiology 33 years experience
Symptom based diag: Its characterized by chronic cramping, abdominal pain, bloating and alternating constipation and diarrhea.Diagnosis of exclusion. It may occur after an infection , stressful event, or onset of maturity.No cure. Diet execise, hydration, avoid sleep deprivation.Psych meds with stress reduction education. A full work up should be done before making this dx.
Dr. Laurence Badgley
General Practice 53 years experience
Irritable bowel syndrome is a functional disorder without a known cause.  Empirically it is known that useful medications modify autonomic neural function.  My clinical research has discovered a group (N=20) of male extreme sport enthusiasts who suffer from IBS.  The unifying clinical finding was that they all had sacroiliac joint (SIJ) injury and hypermobility (subluxation) disorder (diagnosed via criteria published in the Occupational Disabilities Guidelines).  I speculate that SIJ hypermobility stimulates the pelvic presacral plexus & contained parasympathetic nerves that innervate the colon, inducing colon spasm and evacuation.  IBS highly correlates with fibromyalgia, which is likewise common in persons with SIJ subluxation disorder. The reason for a "spectrum of disorder" for fibromyalgia is that the cause, pelvic girdle instability due to pelvic ligament laxity, manifests differently in individuals & genders.  The body musculoskeletal tower is constantly stressed by gravity & a body tilted above an unstable pelvis incurs widely ranging chronic muscle spasm leading to varying densities of painful trigger points. The delicate female pelvis is more easily injured & women have an higher incidence of Joint Hypermobility Syndrome (inherited trait) that contributes to pelvis instability.  Female pelvices are subject to varying intensities of permanent injury related to frequency of childbirth.  In both sexes, severity of fibromyalgia symptoms is a function of musculoskeletal deconditioning & upper body mass borne by an unstable pelvis.  On a Pain Board at Quora.com I discusses these dynamics, which are the true cause of fibromyalgia.  I also discuss my study of male extreme sport enthusiasts who have IBS. 
Jun 10, 2013
Iraq
A 27-year-old male asked:

What is the best treatment for IBS?

1 doctor answer2 doctors weighed in
Dr. Dean Giannone
Internal Medicine 25 years experience
Keep it simple.: Medical treatment of IBS can get complicated and is never wholly successful. Start simply with plenty of water, 50 grams of fiber daily, small more frequent meals and OTC remedies for bloating and such. Keep your fiber intake divided equally among 5-6 meals/snacks daily.
A 43-year-old member asked:

What is a good treatment for ibs?

2 doctor answers4 doctors weighed in
Dr. Eric Kaplan
Colon and Rectal Surgery 42 years experience
Diet and fluids: I rarely prescribe meds for ibs. In my experience teaching people to eat and drink properly resolves most if not all symptoms when the patient is compliant and follows through. Hi fiber, 80-100 ounces non caffeine, non alcoholic beverages each day, regular meal times, excercise. Consistency is the key to being symptom free.
Dr. Antonino Mannone
Internal Medicine 49 years experience
I fully agree. In some circumstances I prescribe also anticholinergics to reduce the cramping pains when they interfere with daily life. Some benefit also frm a combination of anticholinergics and mil d sedative before dinner time.
Feb 22, 2015

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