Irritable Bowel Syndrome Treatments | GI Society

Irritable Bowel Syndrome Treatments | GI Society


This video is part two in our Irritable Bowel Syndrome series. Please watch our IBS Overview first. To treat IBS, it is important to understand,
if possible, the nature of your unique symptoms and their triggers. How, what, and when we eat can have a huge
effect on the bowel. It is important to eat regular, well-balanced, moderately sized meals rather than erratic, variable meals. By keeping a food intake diary and noting
any adverse reactions, you may quickly identify and remove problematic food from your diet
and determine an approach that works best for you. Fibre intake is especially important, which
benefits both constipation and diarrhea, depending on the type of fibre. Insoluble fibres, such as cellulose or psyllium,
can help ease constipation. Soluble fibres, such as pectin, can help reduce
diarrhea. Learn more about how to get enough fibre at
badgut.org. Avoiding foods that you know worsen your disease
state can greatly decrease symptoms. Some common triggers are dietary fats, MSG
(monosodium glutamate), or consuming large quantities of liquids with meals. Gastrointestinal stimulants, such as caffeine,
nicotine, and alcohol, often increase diarrhea. Some individuals find cooked vegetables and
fruits cause fewer symptoms than raw ones. Your intestines might be extra sensitive to
gas. Reducing ingestion of swallowed air, which
is one of the major source of intestinal gas, and avoiding large quantities of gas-producing
foods, can help decrease gas. To decrease swallowed air, avoid gum chewing,
gulping food, washing food down with liquids, and sipping on hot drinks. One proposed dietary therapy for IBS, called
the low FODMAP diet, is increasing in popularity. FODMAP is an abbreviation for Fermentable
Oligosaccharides, Disaccharides, Monosaccharides, and Polyols. If you can’t digest these carbohydrates
properly, they travel into the large intestine where bacteria ferment them and produce gas. For most individuals, these foods do not cause
any problems, but some who have IBS find that these foods worsen their symptoms. Emotions can also have a large impact on symptoms. IBS is not a psychological disorder, but stress,
depression, panic, or anxiety, might aggravate bowel symptoms. Proper exercise and rest can help reduce stress
and positively influence IBS symptoms. Psychological treatments, including relaxation
training, time management, lifestyle changes, and cognitive restructuring can augment medical
treatment. Attention to good quality sleep is also very
important. Physiotherapy can also be beneficial if there
is pelvic floor dysfunction or imbalances, and has the goal of developing the ability
to relax the pelvic floor completely while simultaneously allowing gentle propulsive
forces from deep abdominal muscles to evacuate the bowel fully. The gut microbiome is the friendly, living microorganisms (bacteria and yeasts) in the human gut that are essential for maintaining normal gastrointestinal function. Probiotics might be a very effective treatment for gut dysfunction. However, some products don’t contain the
quantity of probiotic needed, or the right type that is required, or they are destroyed by stomach acid before reaching the colon, where they need to be alive to do their job. This is why many foods claiming to contain
probiotics are ineffective. Unfortunately, there is not enough research
to know the correct and effective probiotic for each individual at this time. However, a few products have proven useful in reducing some symptoms in IBS, but a process of trial is required. There are medications that help
restore the normal contraction process of the bowel, thereby reducing constipation and
diarrhea. A few types of anti-diarrheal medications
include those that work by altering the muscle activity of the intestine, thereby slowing
transit time; narcotic agents; and anti-spasmodic agents that block the transmission of nerve
impulses. There are many medications available to treat
occasional constipation, such as over-the-counter laxatives, as well as more effective ones
available by prescription There are many other pharmaceutical and herbal
medicines available to help reduce each IBS symptom. With the variety available, you can have a
treatment regimen tailored to your specific experience, but it does require patience and time. The effectiveness of each treatment varies
between patients, so it is important that you communicate well with your physician or practitioner and together you can find your ideal treatment. I’m Dr. James Gray. On behalf of the Medical Advisory Council
of the Gastrointestinal Society, thanks for watching. For more information on treating IBS, please search for these topics on www.badgut.org.

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