Treatment of Irritable Bowel Syndrome
Treatment of irritable bowel syndrome usually involves making changes to the foods you eat, how often you eat and other lifestyle habits. Medications can also help relieve some symptoms. Treatment may take time to work, but patients report improvement over the long term.과민성대장증후군증상원인
IBS isn’t a life-threatening condition, but it can cause significant distress and interfere with daily activities. It is important to seek medical care if you have a symptom that lasts more than six months or causes your quality of life to significantly decline. In some cases, a doctor will recommend tests to rule out other possible causes of your pain and discomfort. These include stool tests, bloodwork and X-rays.
A successful treatment plan depends on a good relationship between you and your doctor. Your doctor should explain the nature of IBS to you and answer your questions. He or she should also teach you coping skills to deal with your discomfort. Your doctor should also help you develop a diet and eating pattern that suits your particular symptoms.
Dietary therapy can reduce or eliminate symptoms in many people with IBS. Your doctor may recommend trying a low FODMAP diet (fODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides and polyols). This diet limits food with added sugar and can help reduce bloating and gas. Your doctor will also likely encourage you to eat more fiber-rich foods. Fiber can be found in foods like beans, brussels sprouts and fruits.
You should record your symptoms in a journal. This can help you see patterns, such as whether your symptoms are triggered by certain foods or are linked to your mood. Keeping a diary can also help you identify any other symptoms that might be related to IBS, such as fatigue or acid reflux. You might also want to note whether your symptoms improve after you have eaten something or after exercise.
Your doctor may also suggest a medication to ease your symptoms. Typical medications include laxatives and antidepressants. Antidepressants, such as amitriptyline or citalopram, can help with both depression and anxiety, which may also be causing your GI symptoms. Some antidepressants, such as mirtazapine and fluoxetine, can also help with bloating, abdominal pain and diarrhea.
Behavioral therapy can help you learn to cope with stress and find better ways to handle your symptoms. This type of therapy can include relaxation techniques, biofeedback, hypnotherapy and psychotherapy.
If your symptoms don’t respond to these treatments, you might need other medications, such as narcotics or an opioid. These drugs can be used to control your pain and symptoms, but they won’t cure IBS. Over-the-counter (OTC) diarrhea medicines, such as bismuth subsalicylate (Kaopectate and Pepto-Bismol) and loperamide (Imodium), can help slow your diarrhea.
Don’t ignore any symptoms that might be related to IBS. Red flags include pain that is in your lower abdomen, is steady or cramping and related to defecation. Also, any discomfort that is accompanied by fever, weight loss, rectal bleeding or new onset diarrhea should be evaluated by your doctor right away.해우소한의원