Treatment
Table 5. Treatment Options for IBS Mild – Severe
IBS - all forms
ÎEducation ÎReassurance
ÎDietary modification
Severe
ÎMultidisciplinary approach ÎReferral to a pain treatment center
Moderate – Severe ÎPsychological treatments
• Cognitive behavioral therapy • Dynamic psychotherapy • Hypnotherapy
IBS-C ÎPharmacotherapy
• Bulking agents • Laxatives ▶ Osmotic ▶ Stimulant ▶ Emollient
IBS-D
• Chloride channel activator • 5-HT4
ÎPharmacotherapy
• Antidiarrheals • 5-HT3
Pain/ Bloating
• Tricyclic antidepressants • Gut-selective antibiotics
antagonist ÎPharmacotherapy
• Antispasmodics • Tricyclic antidepressants • Selective serotonin reuptake inhibitors • Gut-selective antibiotics • Probiotics
agonist (emergency use only in the USA)
