Irritable bowel syndrome (IBS) is a long-term (chronic) but manageable condition. Treatment will depend on the types of symptoms you have and their severity, as well as how they affect your daily life, and will likely involve changes to your lifestyle. It is important that you work closely with your health professional to create a treatment plan that will meet your needs. Learn all you can about your condition so you can effectively communicate concerns and questions to your health professional.

Initial treatment

No single type of treatment for irritable bowel syndrome works best for everyone. You and your health professional will need to work together to determine what may be triggering your symptoms. It will be necessary for you to adapt your lifestyle to best deal with your symptoms and still carry on with your daily activities. Let your health professional know if parts of your treatment are not helping your symptoms.

For some people who have IBS, certain foods may trigger symptoms. The following suggestions may help prevent or relieve some IBS symptoms:

• Avoid caffeine and alcohol.
• Limit your intake of fatty foods.
• If diarrhea is your main symptom, limit dairy products, fruit, and artificial sweeteners such as sorbitol or xylitol.
• Increasing fiber in your diet may help relieve constipation.
• Avoiding foods such as beans, cabbage, or uncooked cauliflower or broccoli can help relieve bloating or gas.

Irritable bowel syndrome: Controlling symptoms with diet

Getting regular, vigorous exercise (such as swimming, jogging, or brisk walking) may help reduce tension and make your bowels more regular.

Medications may be used along with lifestyle changes to manage symptoms of IBS. Medications for IBS may include anticholinergics for cramping, loperamide (Imodium) for diarrhea, antidepressants such as amitriptyline, or antianxiety agents such as paroxetine (Paxil).

If stress triggers your symptoms, some form of psychological therapy or stress management may help you deal more positively with stress and help prevent or reduce stress-related IBS episodes.

Should I have testing done for irritable bowel syndrome?

Ongoing treatment

Treatment for irritable bowel syndrome (IBS) usually involves long-term management of your symptoms. It is important that you have a good working relationship with your health professional to monitor your symptoms and identify changes in your diet and lifestyle that can help relieve the symptoms. Keeping a journal of your symptoms can help you identify triggers that make symptoms worse.

Be especially aware of significant changes in symptoms, such as the appearance of blood in your stools, increased pain, severe fever, or unexplained weight loss. If any of these occur, your health professional may want to conduct additional tests to determine whether there is another cause for your symptoms.

In treating chronic IBS, it is important that you maintain the changes to lifestyle and diet that relieve symptoms. Quitting smoking, avoiding caffeine and foods that make symptoms worse, and getting regular exercise should all be permanent parts of your daily routine.

Irritable bowel syndrome: Controlling symptoms with diet