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I have IBS I take probiotic plus is their any other medicine which helps more? th
Mar 16, 2013
2nd opinion

Dr. Thierry Yazbek Surgery
Irritable bowel syndrome (IBS) is a chronic condition with no known cure. As a result, the focus of treatment should be on relief of symptoms.
1- establishment of a therapeutic physician-patient relationship.
2-Dietary modification :
Lactose empiric trial of a lactose free diet
Exclusion of gas-producing foods — Exclusion of foods that increase flatulence (beans, onions, celery, carrots, raisins, bananas, apricots, prunes, brussel sprouts, wheat germ, pretzels, and bagels) should be considered if you complain of gas
Food allergies evaluating food allergies
Gluten sensitivity must be cleared
Fiber — An increase in the intake of fiber is recommended
3- Physical activity : Increased physical activity
4-Psychosocial therapies
5-MEDICATIONS — Pharmacologic agents are only an adjunct to treatment in irritable bowel syndrome (IBS).
Antispasmodic agents
Antidepressants
Antidiarrheal agents
Lubiprostone — Lubiprostone enhances intestinal fluid secretion. Lubiprostone has been approved for treatment of irritable bowel syndrome with constipation
Guanylate cyclase agonists — Linaclotide stimulates intestinal fluid secretion and transit
Antibiotics — Some patients with IBS have shown improvement when treated with antibiotics
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6- Multiple alternative forms of therapy for IBS have been suggested, such as herbs, probiotics, acupuncture, and enzyme supplementation .Their role remains uncertain.
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