Irritable Bowel Syndrome (IBS) (cont.)
John P. Cunha, DO, FACOEP
John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
Bhupinder S. Anand, MBBS, MD, DPHIL (OXON)
Dr. Anand received MBBS degree from Medical College Amritsar, University of Punjab. He completed his Internal Medicine residency at the Postgraduate Institute of medical Education and Research, Chandigarh, India. He was trained in the field of Gastroenterology and obtained the DPhil degree. Dr. Anand is board-certified in Internal Medicine and Gastroenterology.
In this Article
- Irritable bowel syndrome (IBS) facts
- Irritable bowel syndrome (IBS) definition
- What causes irritable bowel syndrome (IBS)?
- What are irritable bowel syndrome (IBS) symptoms and signs?
- How do physicians make the diagnosis of irritable bowel syndrome (IBS)?
- What are irritable bowel syndrome (IBS) treatments and medications?
- Is there an irritable bowel syndrome (IBS) diet? Are there IBS home remedies?
- Is irritable bowel syndrome (IBS) related to small intestinal bacterial overgrowth (SIBO)?
- What is the prognosis for irritable bowel syndrome (IBS)?
- Find a local Gastroenterologist in your town
What are irritable bowel syndrome (IBS) treatments and medications?
Dietary modifications are the first treatment that should be tried to treat IBS. There are several types of foods in particular that often trigger IBS symptoms and signs (read IBS diet).
If dietary modifications and lifestyle changes do not adequately treat IBS symptoms and signs, a doctor may recommend medical therapies.
- Over-the-counter laxatives help relieve constipation and keep bowel movements regular.
- Antidiarrheal medications such as loperamide (Imodium), attapulgite (Kaopectate), and diphenoxylate and atropine (Lomotil) can be helpful if loose stool is one of the main symptoms.
- Antispasmodics, such as metoclopramide (Reglan), dicyclomine (Bentyl) and hyoscyamine (Levsin), decrease symptoms of pain and cramping.
- Antidepressants in low doses, such as tricyclic antidepressants (TCAs) and selective serotonin reuptake inhibitors (SSRIs), may help relieve symptoms associated with IBS.
- Two drugs specifically used to treat IBS are lubiprostone (Amitiza), a laxative, and linaclotide (Linzess), a constipation medication.
- For females with IBS who experience severe diarrhea, alosetron (Lotronex) has been used.
- Antibiotics may be used when small intestinal bacterial overgrowth (SIBO) is suspected.
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