Irritable Bowel Syndrome

Irritable Bowel Syndrome

Irritable Bowel Syndrome (IBS) Treatment in Iran

Nearly all people with IBS can get help, but no single treatment works for everyone. You and your doctor will need to work together to find the right treatment plan to manage your symptoms.

Many things can trigger IBS symptoms, including certain foods, medicines, the presence of gas or stool, and emotional stress. You’ll need to learn what your triggers are. You may need to make some lifestyle changes and take medication.

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 Mild signs and symptoms can often be controlled by managing stress and by making changes in your diet and lifestyle. Try to:

  • Avoid foods that trigger your symptoms
  • Eat high-fiber foods
  • Drink plenty of fluids
  • Exercise regularly
  • Get enough sleep

Your doctor might suggest that you eliminate from your diet:

  • High-gas foods.If you experience bloating or gas, you might avoid items such as carbonated and alcoholic beverages, caffeine, raw fruit, and certain vegetables, such as cabbage, broccoli and cauliflower.
  • Research shows that some people with IBS report improvement in diarrhea symptoms if they stop eating gluten (wheat, barley and rye) even if they don't have celiac disease.
  • Some people are sensitive to certain carbohydrates such as fructose, fructans, lactose and others, known as FODMAPs — fermentable oligo-, di-, and monosaccharides and polyols. FODMAPs are found in certain grains, vegetables, fruits and dairy products. Your IBS symptoms might ease if you follow a strict low-FODMAP diet and then reintroduce foods one at a time.

A dietitian can help you with these diet changes.

If your problems are moderate or severe, your doctor might suggest counseling — especially if you have depression or if stress tends to worsen your symptoms.

In addition, based on your symptoms your doctor might suggest medications such as:

  • Fiber supplements.Taking a supplement such as psyllium (Metamucil) with fluids may help control constipation.
  • If fiber doesn't help symptoms, your doctor may prescribe magnesium hydroxide oral (Phillips' Milk of Magnesia) or polyethylene glycol (Miralax).
  • Anti-diarrheal medications.Over-the-counter medications, such as loperamide (Imodium), can help control diarrhea. Your doctor might also prescribe a bile acid binder, such as cholestyramine (Prevalite), colestipol (Colestid) or colesevelam (Welchol). Bile acid binders can cause bloating.
  • Anticholinergic medications.Medications such as dicyclomine (Bentyl) can help relieve painful bowel spasms. They are sometimes prescribed for people who have bouts of diarrhea. These medications are generally safe but can cause constipation, dry mouth and blurred vision.
  • Tricyclic antidepressants.This type of medication can help relieve depression as well as inhibit the activity of neurons that control the intestines to help reduce pain. If you have diarrhea and abdominal pain without depression, your doctor may suggest a lower than normal dose of imipramine (Tofranil), desipramine (Norpramine) or nortriptyline (Pamelor). Side effects — which might be reduced if you take the medication at bedtime — can include drowsiness, blurred vision, dizziness and dry mouth.
  • SSRI antidepressants.Selective serotonin reuptake inhibitor (SSRI) antidepressants, such as fluoxetine (Prozac, Sarafem) or paroxetine (Paxil), may help if you're depressed and have pain and constipation.
  • Pain medications.Pregabalin (Lyrica) or gabapentin (Neurontin) might ease severe pain or bloating.

Can IBS be cured permanently?

IBS symptoms can come and go, but it's a condition you'll have for the rest of your life. There is no cure for it, but you can use a few different strategies to manage how you feel. National Institute of Diabetes and Digestive and Kidney Diseases: “Lactose Intolerance,” “Irritable Bowel Syndrome.”

10 common questions about Irritable Bowel Syndrome

1How many years does IBS last?
A flare-up may last from 2 to 4 days, and then symptoms may either improve or go away completely. Signs and symptoms vary considerably between individuals. They often resemble those of other diseases and conditions. They can also affect different parts of the body.
2Can IBS last for weeks?
Irritable bowel syndrome (IBS) is a common condition that affects the digestive system. It causes symptoms like stomach cramps, bloating, diarrhoea and constipation. These tend to come and go over time, and can last for days, weeks or months at a time. It's usually a lifelong problem
3What does your stool look like if you have colon cancer?
Signs and symptoms of colon cancer include: A persistent change in your bowel habits, including diarrhea or constipation or a change in the consistency of your stool. Rectal bleeding or blood in your stool. Persistent abdominal discomfort, such as cramps, gas or pain
4Can drinking water help with IBS?
While drinking enough fluids each day helps IBS symptoms, not all fluids have the same effect on your stomach. Water soothes stomach distress, but several other beverages can cause problems, including: alcoholic drinks. coffee, tea, and other caffeinated drinks
5What bread is OK for IBS?
Bran fibre may aggravate some symptoms of IBS so be alert for any negative reactions to this food. Usually people with IBS can tolerate bread, pasta, rice, bagels, and crackers, in any variety including rye, whole wheat, white, gluten free, etc.
6Is Bananas good for IBS?
Some foods that trigger diarrhea do so because they are ingested in large quantities; for example, a bite of a banana may not cause diarrhea, but eating a whole banana may trigger diarrhea in some people with IBS. ... Probiotics may help reduce the symptoms of diarrhea and gas in some individuals.
7Why do I poop immediately after I eat?
Pooping after every meal The gastrocolic reflex is a normal reaction that the body has to eating food in varying intensities. When food hits your stomach, your body releases certain hormones. These hormones tell your colon to contract to move food through your colon and out of your body
8How do u know if u have IBS?
Symptoms of IBS Abdominal Pain - The most common complaint among people with IBS is abdominal pain or cramping. The discomfort frequently starts shortly after eating and may go away after a bowel movement. ... Bloating - IBS can cause stomach swelling to the point you can't fit into your normal clothes
9Is IBS a reason to be off work?
Patients with IBS report that symptoms often cause them to be late for work or to leave work early. Because of their IBS symptoms, many have made job decisions they would not otherwise have made, such as cutting back on days of work, working fewer hours, turning down promotions or advancements, and working from home.
10Can you suddenly develop IBS?
You can develop IBS at any age, but you usually have your first symptoms when you're between 20 and 30. ... Most people's symptoms fluctuate over time; some people's symptoms may improve over time, while others may get worse

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