Treatment FAQ

which medication is used for the treatment of irritable bowel syndrome?

by Izabella Barton Published 2 years ago Updated 1 year ago
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Anti-diarrheal medications.
Over-the-counter medications, such as loperamide (Imodium A-D), can help control diarrhea. Your doctor might also prescribe a bile acid binder, such as cholestyramine (Prevalite), colestipol (Colestid) or colesevelam (Welchol).
Dec 1, 2021

Medication

There are several medications that can be used to treat IBS. Smooth muscle relaxants: These are best for relieving or preventing intestinal cramping. Antidiarrheal medications: Medications for those with diarrhea slow intestinal transit and reduce the frequency of bowel movements while improving the consistency of the stool.

Self-care

Irritable bowel syndrome 1 Diagnosis. There's no test to definitively diagnose IBS. ... 2 Treatment. Treatment of IBS focuses on relieving symptoms so that you can live as normally as possible. ... 3 Clinical trials. ... 4 Lifestyle and home remedies. ... 5 Alternative medicine. ... 6 Preparing for your appointment. ...

Nutrition

Other names: IBS; Spastic colon. About Irritable Bowel Syndrome: A functional bowel disorder characterised by recurrent crampy abdominal pain and diarrhea. Invasive gastrointestinal diagnostics are often unrevealing.

What medications are used to treat irritable bowel syndrome?

To treat IBS with constipation, your doctor may recommend fiber supplements, when increasing fiber in your diet doesn’t help laxatives lubiprostone (Amitiza) linaclotide (Linzess) plecanatide (Trulance)

How to diagnose and treat irritable bowel syndrome?

What is another name for irritable bowel syndrome?

What is the best laxative for irritable bowel syndrome?

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How to treat IBS?

Treatment of IBS focuses on relieving symptoms so that you can live as normally as possible. Mild signs and symptoms can often be controlled by managing stress and by making changes in your diet and lifestyle. Try to: Avoid foods that trigger your symptoms.

How to get rid of diarrhea?

Eliminate foods that trigger your symptoms. Eat at regular times. Don't skip meals, and try to eat at about the same time each day to help regulate bowel function. If you have diarrhea, you may find that eating small, frequent meals makes you feel better.

What is the procedure to check for abdominal pain?

Diagnostic procedures can include: Colonoscopy. Your doctor uses a small, flexible tube to examine the entire length of the colon. X-ray or CT scan. These tests produce images of your abdomen and pelvis that might allow your doctor to rule out other causes of your symptoms, especially if you have abdominal pain.

What tests are done to check for malabsorption?

Your doctor may recommend several tests, including stool studies to check for infection or problems with your intestine's ability to take in the nutrients from food (malabsorption). You may also have a number of other tests to rule out other causes for your symptoms. Diagnostic procedures can include: Colonoscopy.

Does peppermint oil help with diarrhea?

Peppermint. Studies show that, in people who have IBS with diarrhea, a specially coated tablet that slowly releases peppermint oil in the small intestine (enteric-coated peppermint oil) eases bloating, urgency, abdominal pain and pain while passing stool. Probiotics.

Can IBS be diagnosed with a physical exam?

Diagnosis. There's no test to definitively diagnose IBS. Your doctor is likely to start with a complete medical history, physical exam and tests to rule out other conditions, such as celiac disease.

Does fiber help with constipation?

Fiber helps reduce constipation but also can worsen gas and cramping. Try slowly increasing the amount of fiber in your diet over a period of weeks with foods such as whole grains, fruits, vegetables and beans. A fiber supplement might cause less gas and bloating than fiber-rich foods. Avoid problem foods.

What are the different types of IBS?

IBS symptoms can be similar to other GI conditions, ranging from a bad case of food poisoning to inflammatory bowel conditions like ulcerative colitis. For this reason, your healthcare provider may perform a physical exam or some blood tests to make sure you have IBS.

What medications are used to treat IBS-D?

Medications for IBS-D focus on lowering the amount and frequency of loose stools you experience. These include both over-the-counter (OTC) and prescription medications.

What medications are used to treat IBS-C?

Medications for IBS-C work to soften hard stools and relieve constipation. As with the previous list, some of these are available OTC and others are prescription-only.

Are there ways to treat IBS without medications?

As mentioned earlier, your healthcare provider may suggest non-medicinal treatments for you before using medications. Adding fiber to your diet, cognitive behavioral therapy (a form of psychotherapy ), and relaxation techniques are all potential treatments your provider may have you try.

What are some signs that you need a different treatment for IBS?

For many people, IBS symptoms change over time. This means you can change from one subtype to another. If you start to experience opposite symptoms (diarrhea instead of constipation or vice versa), you should speak with your healthcare provider. Your treatment regimen may need to be adjusted.

The bottom line

IBS is a condition that causes abdominal pain, bloating, and a change in bowel movements. While there are four different types of IBS, the most well-known are IBS-C and IBS-D. Thankfully, several medications — as well as a few non-medicinal treatments — are available to help manage or relieve these symptoms.

What are the treatments for IBS?

Treatment of IBS and associated symptoms may include: Dietary changes. Medications. Psychotherapy. Alternative therapies.

What is the goal of IBS treatment?

The goal of IBS treatment is to provide relief from your symptoms. Your exact course of treatment will depend on the type and severity of your symptoms. The success of the treatment often depends on having a good understanding of what IBS is and how it is treated. Fortunately, there are dietary, pharmacologic and behavioral approaches ...

What are some ways to help with IBS?

Alternative Therapies. Certain probiotics have been shown to be helpful in managing some symptoms of IBS. Acupuncture may be helpful in managing anxiety, fibromyalgia, migraines and insomnia associated with IBS. Acupuncture also can have a direct gastrointestinal effect by altering GI motility and pain perception.

Does stress cause IBS?

There is a strong connection between the nervous system and colonic function. Stress plays an important role in the frequency and severity of symptoms in IBS patients. A history of stressful life events or a current stressful situation can often precede IBS. Some patients who lost loved ones report the onset of symptoms shortly after the loss. Others with a history of depression notice that when the depression returns their symptoms worsen. Sometimes anxiety or depression occur with the onset of IBS symptoms.

How do doctors treat irritable bowel syndrome?

Doctors may treat irritable bowel syndrome (IBS) by recommending changes in what you eat and other lifestyle changes, medicines, probiotics, and mental health therapies. You may have to try a few treatments to see what works best for you.

How to treat IBS symptoms?

Your doctor may recommend trying one of the following changes: eat more fiber. avoid gluten. follow a special eating plan called the low FODMAP diet. Read more about eating, diet, and nutrition for IBS.

What is the drug class for irritable bowel syndrome?

Drug class: Anticholinergics. Dicyclomine (Bentyl) is a moderately priced drug used to treat bowel problems including irritable bowel syndrome. It is more popular than comparable drugs. It is available in generic and brand versions. Generic dicyclomine is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be ...

What is hyoscyamine used for?

HYOSCYAMINE is used to treat stomach and bladder problems. This medicine is also used for rhinitis, to reduce some problems caused by Parkinson's disease, and for the treatment of poisoning with drugs that are usually used to treat myasthenia gravis.

What is Symax Duotab used for?

Symax Duotab. Drug class: Anticholinergics. HYOSCYAMINE is used to treat stomach and bladder problems. This medicine is also used for rhinitis, to reduce some problems caused by Parkinson's disease, and for the treatment of poisoning with drugs that are usually used to treat myasthenia gravis.

What is levbid used for?

Levbid (hyoscyamine ER) Drug class: Anticholinergics. HYOSCYAMINE is used to treat stomach and bladder problems. This medicine is also used for rhinitis, to reduce some problems caused by Parkinson's disease, and for the treatment of poisoning with drugs that are usually used to treat myasthenia gravis.

What is rifaximin used for?

Price based on 24mcg, 60 capsules (generic if available). Rifaximin (Xifaxan) is used to treat traveler's diarrhea and irritable bowel syndrome with diarrhea. It is also used to prevent hepatic encephalopathy, a brain disorder that can occur due to severe liver disease. This drug is more popular than comparable drugs.

What is the drug class for cllordialepoxide?

Drug class: Anticholinergic / Benzodiazepine Combinations. CHLORDIAZEPOXIDE; CLIDINIUM is a stomach relaxant and a benzodiazepine. It is used to lower stomach acid in peptic ulcer disease. It is also used to treat problems of the intestines, like irritable bowel syndrome and enterocolitis.

What antispasmodics are prescribed for IBS?

6. Antispasmodics commonly prescribed for IBS include: 7. Bentyl (dicyclomine) Anaspaz, Cystospaz, Levbid, Levsin (hyoscyamine)

What is the condition called when bile acids accumulate in the colon?

Based on pooled data from six studies, about 28% of people with IBS-D meet the criteria for a condition known as bile acid diarrhea (BAD) or bile acid malabsorption ( BAM). When excess bile acids accumulate in the colon, it leads to an increase in colonic fluid secretions, which cause diarrhea. 6.

How does imodium work?

It works against diarrhea by decreasing the speed of intestinal contractions and the amount of fluid in the large intestine. 1  This results in less urgency and firmer stool.

Can Megacolon cause bowel obstruction?

According to the manufacturer, it can cause severe constipation, bowel obstruction (blockage of the intestines) due to hard stools, toxic megacolon (life-threatening widening of the colon), and ischemic colitis (death of the colon due to a lack of blood supply). 5. These At-Home Strategies Can Help You Feel Better.

Does Pepto Bismol help with diarrhea?

Pepto-Bismol, Kaopectate (Bismuth Subsalicylate) Medications containing bismuth subsalicylate relieve diarrhea, stomach upset, and indigestion. This ingredient prevents diarrhea by reducing the amount of fluid and inflammation in the intestines.

Does Xifaxan help with diarrhea?

Xifaxan (rifaximin) reduces abdominal pain, episodes of diarrhea, and bloating with IBS-D. This antibiotic is not absorbed in the stomach, and its actions are thought to occur locally in the small intestine.

Is Lotrinex safe for IBS?

Lotrinex (alosetron HCL) is approved for females with IBS-D who have not improved with conventional therapy. According to the manufacturer, it can cause severe constipation, bowel obstruction (blockage of the intestines) due to hard stools, toxic megacolon (life-threatening widening of the colon), and ischemic colitis (death of the colon due to a lack of blood supply). 5

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment is aimed at relieving the symptoms, it cannot be cured.
Medication

Anti-diarrheal drugs: To relieve diarrhea.

Loperamide . Cholestyramine . Colestipol


Anticholinergics: To relieve spasms.

Dicyclomine


Tricyclic antidepressants: To relieve depression and severe pain.

Imipramine . Desipramine


Selective serotonin reuptake inhibitors (SSRIs): To relieve depression, pain and constipation.

Fluoxetine . Paroxetine


Anticonvulsants: For pain and bloating.

Pregabalin . Gabapentin

Self-care

Always talk to your provider before starting anything.

  • Manage stress
  • Exercise regularly
  • Get enough sleep
  • Consume diet high in fiber

Nutrition

Foods to eat:

  • Eat high-fiber foods such as broccoli, lentils and beans.
  • Drink plenty of fluids

Foods to avoid:

  • Avoid foods that trigger the symptoms.
  • Carbonated and alcoholic beverages
  • Gluten (wheat, barley and rye)
  • Fructose, fructans, lactose and other fermentable mono and disaccharides.

Specialist to consult

Gastroenterologist
Specializes in the digestive system and its disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Alternative Medicine

Changes to What You Eat and Other Lifestyle Changes

  • Treatment of IBSfocuses on relieving symptoms so that you can live as normally as possible. Mild signs and symptoms can often be controlled by managing stress and by making changes in your diet and lifestyle. Try to: 1. Avoid foods that trigger your symptoms 2. Eat high-fiber foods 3. Drink plenty of fluids 4. Exercise regularly 5. Get enough sleep Your doctor might suggest that you eli…
See more on mayoclinic.org

Medicines

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Probiotics

  • Simple changes in your diet and lifestyle often provide relief from IBS. Your body will need time to respond to these changes. Try to: 1. Experiment with fiber.Fiber helps reduce constipation but also can worsen gas and cramping. Try slowly increasing the amount of fiber in your diet over a period of weeks with foods such as whole grains, fruits, vegetables and beans. A fiber suppleme…
See more on mayoclinic.org

Mental Health Therapies

  • The role of alternative therapies in relieving IBSsymptoms is unclear. Ask your doctor before starting any of these treatments. Alternative therapies include: 1. Hypnosis. A trained professional teaches you how to enter a relaxed state and then guides you in relaxing your abdominal muscles. Hypnosis may reduce abdominal pain and bloating. Several s...
See more on mayoclinic.org

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