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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Irritable Bowel Syndrome

I have had colonoscopy done and the diagnosis was irritable bowel syndrome (IBS) and the doctor prescribed me Capsule Meva-C and Tablet Providac. Also, I have OCD and problem of anxiety. So along with these medicines, do I need psychological treatment as well?
Mon, 29 Jun 2015
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General & Family Physician,  's  Response
Hi,
Welcome to health care magic

Irritable Bowel is a very long term issue and needs constant therapy.

Unfortunately to date, there is no permanent cure for the problem and it's management relies on diet and lifestyle modifications along with certain medications.

Diet and Lifestyle Modifications in IBS like avoiding Pulses and Beans, food with high amounts of refined sugars will help.

Good stress managment, Yoga and Acupuncture have all been used to help manage the symptoms of IBS with good results.

Medications in IBS like Loperamide (Brand Name: Eldoper) has been used in the management of IBS with diarrhea.

But it must be used with caution because the more you use it, the higher risk of getting an infection in your bowels.

If you must use it. Use only 1 or 2 tablets in a day and don't use more than Once or twice a month.

Antispasmodics like Mebeverine (Brand Name: COLOSPA) has also been used to regulate the bowel in IBS.

Lastly, Tricyclic Antidepressants (TCA's) like Amitryptalline have been shown in studies to help with IBS.

But those drugs can have many many side effects so they are not commonly used except when all else fails.

Consult gastroenterologist for further advice.

Regards,

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Suggest Treatment For Irritable Bowel Syndrome

Hi, Welcome to health care magic Irritable Bowel is a very long term issue and needs constant therapy. Unfortunately to date, there is no permanent cure for the problem and it s management relies on diet and lifestyle modifications along with certain medications. Diet and Lifestyle Modifications in IBS like avoiding Pulses and Beans, food with high amounts of refined sugars will help. Good stress managment, Yoga and Acupuncture have all been used to help manage the symptoms of IBS with good results. Medications in IBS like Loperamide (Brand Name: Eldoper) has been used in the management of IBS with diarrhea. But it must be used with caution because the more you use it, the higher risk of getting an infection in your bowels. If you must use it. Use only 1 or 2 tablets in a day and don t use more than Once or twice a month. Antispasmodics like Mebeverine (Brand Name: COLOSPA) has also been used to regulate the bowel in IBS. Lastly, Tricyclic Antidepressants (TCA s) like Amitryptalline have been shown in studies to help with IBS. But those drugs can have many many side effects so they are not commonly used except when all else fails. Consult gastroenterologist for further advice. Regards,