Irritable Bowel Syndrome | Treatment

How is IBS treated?

There is no cure for IBS. The best way to handle your symptoms is to eat a healthy diet, avoid foods that seem to make you feel worse and find ways to handle your stress.

Why may fiber be helpful?

Fiber can be helpful because it improves how the intestines work. There are 2 types of fiber:

• Soluble fiber helps both diarrhea and constipation. It dissolves in water and forms a gel-like material. Many foods, such as apples, beans and citrus fruits, contain soluble fiber. Psyllium, a natural vegetable fiber, is a also a soluble fiber. You can buy psyllium supplements (some brand names: Fiberall, Metamucil, Perdiem) to drink and you can add it to other foods.
• Insoluble fiber helps constipation by moving material through your digestive system and adding bulk to your stool. Insoluble fiber is in whole grain breads, wheat bran and many vegetables.

Increase the fiber in your diet slowly. Some people feel bloated and have gas if they increase their fiber intake too quickly. Gas and bloating usually improve as you get used to eating more fiber. The best way to increase your fiber intake is eat a wide variety of high fiber foods. For more information, read the handout, "Fiber: How to Increase the Amount in Your Diet."

Can my doctor prescribe medicine for IBS?

If your symptoms are severe, your doctor may prescribe medicine to help you manage or lessen your symptoms. For example, if your main symptom is pain, your doctor may prescribe antispasmodic medicines such as hyoscyamine or dicyclomine to reduce cramping. Heating pads and hot baths can also be comforting.

If diarrhea is a frequent problem, medicine such as loperamide (brand name: Imodium) may help.

Your doctor may give you tranquilizers or sedatives for short periods to treat anxiety that may be making your symptoms worse. Your doctor may prescribe an antidepressant for you if your symptoms are severe and you are feeling depressed.

Will IBS get worse over time?

No. While IBS will probably recur throughout your life, it won't get worse. It doesn't cause cancer or require surgery, and it won't shorten your life.

What if IBS interferes with my daily activities?

IBS may have caused you to avoid doing certain things, like going out or going to work or school. While it may take some time for your efforts to pay off, you may find new freedom by following a plan that includes a healthy diet, learning new ways to deal with your stress and avoiding foods that may make your symptoms worse.