Treatment of Irritable Bowel Syndrome

NewsGuard 100/100 Score

There is no specific cure for Irritable Bowel syndrome. However lifestyle and diet changes are important in reduction of symptoms in most patients.

When the patient presents with symptoms, care should be taken to exclude other diagnoses like bowel cancer and inflammatory bowel diseases.

Once this is done the patient is reassured and primary advice is given to the patient on diet, relaxation, medication, probiotics, alternative approaches and counselling and behavioural therapies. (1, 2, 3, 4)


The patient is asked to make a concomitant food and diet diary along with his or her symptom diary. Sometimes it gives clues into the foods that trigger aggravation of symptoms of IBS.

Normally the intestines contract in response to a particular diet. This response may be high in response to fat and low in response to dietary fibers. Persons with IBS may need to cut down on fats in diet and increase fibers.

Those with intolerance to milk and milk products may also avoid such foods in their diet.

Persons with IBS are often advised to avoid large meals that promote pain and bloating. They are asked to eat small meals in short spans of time instead.

Soluble fiber in diet may help persons with diarrhea. They raise the bulk of the food while reducing spasms. However, persons with constipation may often develop worsen symptoms.

In most persons soluble fibers help soften hard stools and bulk up loose watery stools to normalize bowel movements. Psyllium derivatives, or polycarbophil (20–30 grams/day) may be prescribed to IBS patients.

Soluble fibers are found in fruits like apples and citrus fruits, vegetables like potatoes, oats, barley and dried beans.

Insoluble fibers are prescribed in individuals with constipation. Good sources of these include whole grains, cereals, peels of fruits and vegetables and wheat bran or seeds.

Patients are advised to eat slowly, avoid food triggers, caffeine, sweeteners, alcohol and gum.

They are advised to consult a diet expert or nutritionist to draw up a healthy eating list for themselves. Diet should include plenty of liquids and water. This prevents constipation and prevents dehydration from diarrhea.


Since stress, anxiety, depression and lack of sleep often trigger worsening of symptoms of IBS relaxation therapies may help patients of IBS.

Regular exercise and deep breathing is one of the best ways for stress relief.


Some drugs that relieve the spasm may be prescribed in patients of IBS. Drugs include those that stop diarrhea (antidiarrheals), smooth muscle relaxants that relieve pain, psychotropic agents for pain and stress relief.

There are newer agents like Alosetron which has a Serotonin like action. It is effective in women with diarrhoea.

In women with more constipation another Serotonin related agent called Tegaserod Maleate may be tried effectively.

Smooth muscle relaxants like Dicyclomine have been shown to be effective in relieving cramps and pain. However, they must be used on an “as-needed” basis since they tend to lose their efficacy on long term use.

Antidiarrhoeal agents like Loperamide along with adequate fluids may stop diarrhoea. They also reduce abdominal pain and reduce urgency.

Some patients benefit from antidepressant agents that reduce symptoms of depression. These include tricyclic antidepressants like Amitriptyline. They help patients with anxiety and panic attacks as well who also suffer from IBS.


Probiotics are preparations that contain natural bacteria that are present normally in the gut.

These are helpful bacteria that help in digestive functions. A good probiotic is yoghurt. Probiotic preparations are often prescribed to IBS patients where they may provide relief.

Alternative approaches

Herbal preparations like peppermint oils, chamomile, ginger have been tried in relief of abdominal pain and cramps.

Hypnotism in another alternative approach that has been tried in IBS.

Counselling and behavioural therapy

Patient reassurance, education, relief of fears can aid in therapy of IBS.

Patients need to be relieved of their symptoms in order to provide a better quality of life.

Some patients may need psychotropic or psychiatric counselling and behavioural therapy to deal with the stress that triggers symptoms of IBS.

Further Reading

Last Updated: Jun 12, 2023

Dr. Ananya Mandal

Written by

Dr. Ananya Mandal

Dr. Ananya Mandal is a doctor by profession, lecturer by vocation and a medical writer by passion. She specialized in Clinical Pharmacology after her bachelor's (MBBS). For her, health communication is not just writing complicated reviews for professionals but making medical knowledge understandable and available to the general public as well.


Please use one of the following formats to cite this article in your essay, paper or report:

  • APA

    Mandal, Ananya. (2023, June 12). Treatment of Irritable Bowel Syndrome. News-Medical. Retrieved on May 30, 2024 from

  • MLA

    Mandal, Ananya. "Treatment of Irritable Bowel Syndrome". News-Medical. 30 May 2024. <>.

  • Chicago

    Mandal, Ananya. "Treatment of Irritable Bowel Syndrome". News-Medical. (accessed May 30, 2024).

  • Harvard

    Mandal, Ananya. 2023. Treatment of Irritable Bowel Syndrome. News-Medical, viewed 30 May 2024,


The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment

While we only use edited and approved content for Azthena answers, it may on occasions provide incorrect responses. Please confirm any data provided with the related suppliers or authors. We do not provide medical advice, if you search for medical information you must always consult a medical professional before acting on any information provided.

Your questions, but not your email details will be shared with OpenAI and retained for 30 days in accordance with their privacy principles.

Please do not ask questions that use sensitive or confidential information.

Read the full Terms & Conditions.

You might also like...
Low FODMAP diet shows promise in IBS management, study finds nuanced benefits and challenges