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Irritable bowel syndrome (IBS) is a chronic psycho-physiological disorder. It is considered to be the most common functional gastrointestinal disorder, and about 50-90% of IBS patients have associated psychiatric co-morbidity.
About 50-90% of IBS patients also have associated psychiatric ailments; most commonly anxiety disorders and depression.
The chronic and recurrent character of this disease may predispose patients to additional psychiatric disorders.
Management should be a holistic one-
1- Consult a Psychiatrist after Medical causes have been ruled out by the gastroenterologist or the medical specialist.
2-Detailed history and evaluation for underlying personality issues like anxiety,Ocd and depression.
3-Religiously follow the medicines as advised by the Psychiatrist and always visit at regular follow ups.
4-Non Pharmacological advises are as follows
#Breakfast ,lunch and dinner should be at a regular Time with proper spacing between the three meals.
#Avoid binges while eating and avoid fatty food.
#Take plenty of salads and fruits for fiber intake inbetween meals.
#Drink plenty of water in a day amounting to about 4 liters in summer and 2-3 liters in winters.
#Eat plenty of curd.
#Sleep hygiene to be followed well.
#Brisk walking for a total duration of 60 minutes a day in 2 divided sessions.
#Avoid any alcohol consumption or any substance of addiction.
#Follow FODMAP named diet that means to avoid fermentable oligo,Di ,mono sacharrides and poly ol. This includes avoiding white bread,garlic,onion,cabbage,cauliflower,milk from cow,sheep or goat ,honey,artificial sweetners and fruits like apples,apricots,mangoes,watermelon,peaches and plums.
#Avoid irrational and overuse of antibiotics especially ornidazole and ofloxacin.