How to cure IBS-Mixed ? I am 19 y/o male - #10627
I have IBS-Mixed, I have tried rifagut and econorm, it improved formation alotand brought down frequencyfrom 6/day to 2-3/day but still there is a feeling of uneasiness and a feeling of something left and unclear. It causes lot of mental discomfort.
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RX 1) Rifagut 550 mg
1 tablet twice daily after meals for 14 days (if not completed earlier). 2) Econorm sachet (Saccharomyces boulardii) 1 sachet once daily with water or curd for 30 days Continue even after stopping Rifagut. 3) Mebeverine 135 mg 1 tablet before meals, twice daily for 7 days
When to Consult Gastroenterologist Again If symptoms persist beyond 8 weeks despite compliance If red flag signs appear: weight loss, blood in stool, night-time diarrhea, anemia, severe pain
Please follow up soon Thank you
Hello Mr. Nekhil Kumar. To some extent, using fibre rich diet and probiotics help for IBS. Most of the times, IBS is also associated with anxiety disorders associated with excessive worrying and physical symptoms like palpitations, chest tightness and excessive sweating. In that case, it also requires treatment of anxiety condition by using combination of medications and therapy. Please seek psychiatric consultation either in-person or online for further evaluation. Regards, Dr.Charan Kumar Pottem, MD Psychiatry (NIMHANS)
Continue rifagut
Targeted Medical Add-ons (Safe & Non-habit forming): Isabgol (Psyllium husk) – 1–2 tsp with warm water at bedtime Helps bulk stools & reduce urgency Colospa Retard (Mebeverine) – 1 capsule twice daily before meals for t days Smooth muscle relaxant – relieves cramps, bloating, and uneasiness
2 tsp ghee in warm water at bedtime – mild laxative and gut soother
Triphala churna (½ tsp at night in warm water) – only 2–3x/week
Can take tab sporlac for good gut
Hello dear Follow below instructions Do dietary modification with fibres Regular exercise and avoid junk food Include fruits with pulpy content Avoid medicines In case of no improvement in 1 month consult general physician Regards
Managing IBS-Mixed (IBS-M) can be challenging, but there are several strategies you can explore to further alleviate your symptoms and improve your quality of life. Since you’re experiencing a persistent sensation of incompleteness after bowel movements, attention to both dietary and lifestyle factors can play a key role. For diet, consider maintaining a food diary to identify and avoid any specific triggers that might worsen your symptoms. Foods high in FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) are generally known to exacerbate IBS symptoms, so a low-FODMAP diet might be beneficial. Consulting with a registered dietitian can offer personalized dietary adjustments. Moderating caffeine and alcohol intake is also recommended, as they may irritate the digestive tract. It’s crucial to maintain regular eating patterns and stay well-hydrated. For lifestyle modifications, engaging in regular physical activity can help regulate bowel movements and reduce stress, which often exacerbates IBS symptoms. Practices like yoga, tai chi, and mindfulness relaxation techniques may help lessen the mental discomfort associated with your symptoms. Psychotherapy, particularly cognitive-behavioral therapy, can be effective for managing the psychological impact of IBS. Probiotics are known to help some people with IBS, though the choice of strain and dose varies. It’s wise to have a conversation with your doctor about trying a different type of probiotic that might suit your symptoms better. It’s worth discussing further pharmacological options with a healthcare provider too. Antispasmodics, such as peppermint oil capsules, can help relieve abdominal discomfort, while tricyclic antidepressants (in low doses) can reduce pain and potentially modify bowel habits. Before making any adjustments, it’s important to consult your healthcare provider to ensure these interventions are suitable given your specific circumstances. If your symptoms persist or worsen, a more detailed assessment might be necessary to rule out other conditions and refine your management plan.
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