Treatment for irritable bowel syndrome typically focuses on relieving symptoms so that people can live as normal a life as possible. This includes dietary changes, home remedies and medications.
Dietary adjustments, such as the low FODMAP diet, are recommended to reduce gas and bloating. These dietary modifications can be used alone or in combination with other treatments, depending on the needs of individual patients.
Laxatives and stool softeners are also often used to stimulate bowel movements and improve bowel habits in people with IBS-C. They are generally safe, inexpensive and widely available. 과민성대장증후군
Antidiarrheal drugs are also useful to treat loose stools in some cases of IBS. These include loperamide (Imodium), attapulgite (Kaopectate) and diphenoxylate and atropine (Lomotil).
Non-steroidal anti-inflammatory drugs such as ibuprofen (Advil, Motrin IB) and acetaminophen (Tylenol). These are sometimes prescribed to reduce abdominal pain and discomfort in people with IBS. They have some side effects, but are generally a good first line of treatment for reducing pain and discomfort in IBS.
These drugs can be taken in conjunction with a stool softener or laxative to increase the effectiveness of both. They can be purchased over the counter or by prescription, and can be used for short or long periods of time.
Other first-line medications for irritable bowel syndrome include anticholinergics, which help to relax the smooth muscle in the intestine. Hyoscyamine (Levsin, NuLev, Levbid), dicyclomine (Bentyl) and metoclopramide (Reglan) are commonly used to reduce bloating and abdominal pain in people with IBS.
Antispasmodics can also be effective in reducing the discomfort and cramping of IBS. These medicines are typically given by mouth, with each dose being taken 30-60 minutes before a meal.
The most common antispasmodics are hyoscyamine (Levsin), metoclopramide (Reglan) and dicyclomine (Bentyl). Other non-steroidal anti-inflammatory drugs are usually not used to treat IBS pain because they can exacerbate gastrointestinal symptoms, and antidepressants are rarely used in people with IBS because they have some side effects.
Stool tests may be needed if the initial dietary and lifestyle advice is not enough to reduce symptoms. These tests can check for infections and a disorder that affects the way your intestine absorbs nutrients, called malabsorption. They can also measure the amount of bile acid in your stools, which is produced in your liver.
For some people with IBS, avoiding foods that cause bloating or gas can be helpful. These include high-gas foods and carbonated drinks, as well as certain types of alcohol. 치료
If a person’s IBS symptoms do not improve with dietary and lifestyle changes, the doctor will usually refer them to a gastroenterologist, who can provide specialized treatment and testing for other conditions. They might also order a colonoscopy to look at the condition of your bowel, especially if you have chronic belly pain and a change in your bowel movements.
The best treatments for IBS involve a multidisciplinary approach, including lifestyle modification, dietary changes, psychosocial therapy and medication. These therapies can be provided in a variety of settings, such as outpatient clinics, hospital wards, private offices and community health centers.
The patient should be able to discuss their symptoms and concerns openly with the physician. The physician should also be able to recommend a suitable treatment for the patient based on their clinical expertise.