Treatment of irritable bowel syndrome relies on changes to your diet, medicines and learning to control stress. You and your provider will decide which options are best for you. Your provider will start by reviewing your symptoms and history. You’ll likely have a physical exam, and you might get tests to rule out other conditions. These might include a stool test to check for bacteria, parasites or the presence of bile acid, and blood work to check your cholesterol levels and for anemia.과민성대장증후군치료
The main goal is to relieve your symptoms so you can live as symptom-free as possible. You may need to avoid foods that are high in gas (such as carbonated beverages, fatty foods and beans) or those that cause bloating. You might also need to make sure you eat enough fiber and drink plenty of water. Some people with IBS find relief from eliminating gluten (wheat, barley and rye) from their diets. This is because research has shown that for some people, eating gluten triggers IBS symptoms.
If you have IBS with diarrhea, your doctor might recommend an antidiarrheal medicine such as loperamide. This medicine slows gut transit, decreases intestinal secretion and increases the amount of fluid that is reabsorbed by the bowel. Your provider might also suggest trying a low FODMAP diet, which can help reduce bloating and abdominal pain in some people with IBS-D.
For people with IBS-C, your provider might prescribe a laxative such as a stool softener or magnesium citrate. These medications can help ease constipation, and you might need to use them for a long time. Other drugs that might help with IBS-C are lubricants or stool osmotic agents that draw in water, and antibiotics such as rifaximin, which reduces bacteria in the intestines.
In some people, anticholinergics (such as hyoscyamine or dicyclomine) may help relieve pain and cramping. They work by reducing spasms in the intestines. They might be prescribed in a pill or given to you as a liquid.
If you have IBS-D, your provider might give you an antidepressant to treat depression and anxiety if these are contributing to your symptoms. If these aren’t helping, your provider might suggest probiotics, which are good bacteria that can help improve your condition.
IBS doesn’t increase your risk of colon problems such as Crohn’s disease or ulcerative colitis, but it can make it harder for you to perform at work or school. It can even affect your mental health and social life. Managing your symptoms can help you keep working and enjoy the things you like to do. If you don’t have a job, look into getting one that allows you to work from home or on the go, so you can better manage your symptoms. You can also get a portable toilet key from The IBS Network shop or Disability Rights UK shop to help you locate public restrooms when needed.해우소한의원