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rritable bowel syndrome (IBS) is a common disorder characterized by chronic abdominal discomfort associated either with constipation or diarrhea, or alternating constipation and diarrhea. IBS is diagnosed only when symptoms occur for at least six months, and pain is present for at least three days a month for at least three months; and if discomfort improves with a change in bowel movement frequency or stool form. Patients also complain of bloating and may notice mucous with their bowel movements.
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Treatment goals include both symptom relief and improving the quality of life of those who suffer from this functional disorder.
Dietary management will depend on whether or not the predominant symptoms are loose stools or constipation. Many who have diarrhea as the main complaint sometimes notice their symptoms improve by avoiding lactose or fructose. Lactose is present in milk and milk products and may also be found in biscuits, peanut butter and even chocolate. Fructose includes fruits, fruit juices and sodas. Become a label reader! It’s surprising where lactose is used. It's a matter of trial and error to see if changing diet makes a difference to symptoms. If constipation is the major symptom, lifestyle modifications to fluid intake, exercise and diet are important. Fibre and bran can be useful in keeping stools softer.
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Medications
A host of medications have been used to treat IBS. Pain and discomfort can often be relieved with antispasmodics and various antidepressants such as tricyclic and SSRIs.
Complementary approaches
Peppermint and lavender oils may relax and soothe muscle spasms. Acupuncture has been used for pain although some studies suggest it is no better than a placebo. There’s limited information on the use of hypnotherapy while cognitive behavioural therapy has helped in coping with distressing symptoms.
Work with your health care provider to find the best approach to diet, lifestyle and medication to alleviate symptoms. H&L |
