I am suffering from IBS with diarrhoea from last 25 years & need quick successful treatment. Now from last 1 year I feel more stomach pain, bloating, gas, frequent diarrhoea even if after controlling the diet.

Dr. Surbhi AgrawalGeneral Physician12yrs exp

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I have gone through your query and can understand your concern. It's not clear what causes irritable bowel syndrome, treatment focuses on the relief of symptoms. Following steps should be taken 1. Eliminating high-gas foods such items as carbonated beverages, vegetables ? especially cabbage, broccoli and cauliflower ? and raw fruits. 2.Some people are sensitive to types of carbohydrates such as fructose, fructans & lactose, called FODMAPs .FODMAPs are found in certain grains, vegetables, fruits and dairy products such as wheat, rye, barley, onion, garlic, apples, apricots, avocados, blackberries, cherries, etc 3.Taking fiber supplements, such as psyllium or methylcellulose, with fluids may help control constipation. Fiber obtained from food may cause much more bloating compared with a fiber supplement. 4.Anti-diarrheal medications such as loperamide, can help control diarrhea. 5.Anticholinergic and antispasmodic medications. These medications, such as hyoscyamine and dicyclomine, can help relieve painful bowel spasms. They should not be used if you have constipation. 6.Counseling. You may benefit from counseling if you have depression or if stress tends to worsen your symptoms. 7. In some people improvement in diarrhea symptoms occurs, if they stop eating gluten (wheat, barley and rye) Don't worry you would be fine Hoping your query is solved. 

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