Having irritable bowel syndrome can be frustrating, but most people can find treatments that help them manage their symptoms. Treatment options include changing the foods you eat, medicine and behavioral health therapy. Your doctor may also recommend a combination of these treatments. These changes and medicines typically take time to work, so don’t give up if you don’t see immediate improvement.과민성대장증후군원인
The exact cause of IBS isn’t known, but it is linked to food moving too quickly or too slowly through your gut, oversensitive nerves in your digestive tract and stress. It can affect men and women of any age, but is more common in adults 30 to 50 years old.
Many people with IBS report elevated levels of stress, and that can aggravate symptoms. Getting enough sleep and exercising regularly can help. You can also try a relaxation technique, like daily yoga or meditation. Some patients find relief from IBS by cutting back on caffeine, alcohol and fatty foods that trigger colonic contractions.
Your doctor will review your history and symptoms to diagnose IBS. You may be asked to keep a food diary to identify which foods trigger your IBS symptoms. You can then eat less of these foods or cut out other types of food that irritate your stomach and intestines, such as beans, broccoli, Brussels sprouts and cabbage. Some patients benefit from taking probiotics (bacteria that live in your digestive tract) to help reduce the inflammation that can make IBS worse.
Doctors can prescribe medicine to treat IBS symptoms of diarrhea, constipation or cramping. Antibiotics can decrease bacterial overgrowth in your intestines that can lead to diarrhea, while alosetron (Lotronex) slows movement of waste through the lower part of your bowel, which can relieve constipation.
You can also take fiber supplements to improve your symptoms of constipation. The type of fiber your doctor recommends will depend on your symptom. You can choose from a variety of over-the-counter products, such as Metamucil or Citrucel. Your doctor might also prescribe a bowel stimulant, such as laxatives, such as enemas or stool softeners, such as aloe vera juice or mineral oil. A muscle relaxant, such as loperamide (Benemid), might be used to treat diarrhea and cramps.
If other treatments don’t help your symptoms, you can get a colonoscopy to check for underlying problems that might be causing them, such as polyps or inflammatory bowel disease. You can also have a flexible sigmoidoscopy, where your provider inserts a scope to view the lining of your colon and upper rectum. If you have diarrhea-predominant IBS, your doctor might recommend a drug that increases fluid secretion in the small intestine to speed up the passage of stool. These include eluxadoline (Viberzi), rifaximin (Xifaxan) and lubiprostone (Amitiza). These drugs can increase your chances of having a normal bowel movement, but they don’t prevent diarrhea from returning. You can also use a prescription antidepressant that can ease IBS-related pain and anxiety. This medication is usually only prescribed for women with severe IBS who don’t respond to other treatments.해우소한의원