Question: What is your recommendation on how to treat IBS?
Dr. Hibberd’s answer:
Irritable bowel syndrome (IBS) is a common disorder that affects your large intestine (colon) causing cramping, abdominal pain, bloating gas, diarrhea and constipation. Despite these uncomfortable signs and symptoms, IBS doesn't cause permanent damage to your colon.
Mild signs and symptoms can be managed by reducing stress and making changes in your diet and lifestyle. With moderate or severe symptoms, your doctor may suggest fiber supplements. Psyllium (Metamucil) or methylcellulose (Citrucel), with fluids, may help control constipation. Over-the-counter anti-diarrheal medications such as loperamide (Imodium) can help control diarrhea. Pain and depression may need selective serotonin reuptake inhibitors (SSRIs). You could try to eliminating high-gas foods such as carbonated beverages, salads, raw fruits and vegetables — especially cabbage, broccoli and cauliflower.
Currently approved medications specifically for IBS include alosetron (Lotronex) in women with IBS, and lubiprostone (Amitiza) in adult women and men who have IBS with constipation