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IBS Medication UK

Irritable Bowel Syndrome (IBS) affects countless people across the UK, and finding the right medication to manage its symptoms can be a challenge. Many people turn to medications such as Mebeverine or Buscopan for relief, yet not all treatments are suitable or effective for everyone. While medications can help manage certain symptoms, they often come with their own set of pros and cons. For some individuals, a more comprehensive, holistic approach may provide better long-term management of IBS. 

For those who are unsure whether IBS is the condition they are experiencing, we provide a range of IBS tests that can provide some insight into the root causes of gut health symptoms, which do vary significantly. For example, some sufferers of IBS experience changes in stool colour, which can be a source of concern. You can read more on this symptom in IBS Orange Poop. In this article, we’ll explore both conventional medications and alternative therapies, highlighting how a blend of treatments might offer the best path to relief.

What Medication is Used for IBS in the UK?

When it comes to managing IBS in the UK, there are several medications commonly prescribed by doctors, as well as over-the-counter options that many people find helpful. These medications are typically used to target specific symptoms, such as abdominal pain, bloating, diarrhoea, or constipation.

Prescription medications like Mebeverine are often used to relax the muscles of the bowel, easing spasms and cramping. Another frequently prescribed option is Buscopan, which also works by relieving muscle spasms. For those struggling with diarrhoea-predominant IBS, medications like loperamide are common, while constipation-dominant IBS may be treated with laxatives or fibre supplements.

Over-the-counter options include antispasmodics like Buscopan IBS Relief, which can be purchased without a prescription, as well as peppermint oil capsules, which have a natural soothing effect on the gut. Some individuals also turn to probiotics, which can help support digestive health.

However, it’s important to note that medications aren’t a one-size-fits-all solution. What works for one person may not be effective for another, and some medications can have side effects that make them less ideal for long-term use. That’s why many people are turning to a more holistic approach, combining conventional treatments with lifestyle changes and natural remedies to better manage their IBS symptoms.

Mebeverine: A Functional Medicine Perspective

IBS Medication UK

Mebeverine is commonly used to manage IBS symptoms, particularly abdominal pain and spasms. It works by relaxing the muscles in the gut, helping to reduce painful contractions without interfering with normal bowel function. This makes it a popular choice for those experiencing cramping, bloating, or discomfort associated with IBS.

From a functional medicine perspective, Mebeverine can offer short-term relief but is best used alongside a broader, holistic treatment plan. Functional medicine aims to address the root causes of IBS symptoms, focusing on factors such as diet, stress, and lifestyle changes. Mebeverine might be recommended as a supportive treatment while dietary adjustments, such as following a low FODMAP diet, and stress reduction techniques, like mindfulness or yoga, are implemented.

A study published in The Cochrane Database of Systematic Reviews highlights the effectiveness of antispasmodics like Mebeverine in providing symptom relief for patients with IBS [1]. The study found that these medications can reduce abdominal pain and improve overall symptoms in the short term, but they are most effective when combined with other interventions targeting the underlying causes of IBS .

In summary, while Mebeverine can play a useful role in managing IBS symptoms, its long-term effectiveness improves when it is part of a holistic approach that includes dietary and lifestyle changes tailored to the individual’s needs.

Mebeverine: Forms, Prescriptions, and Safety Considerations

Mebeverine is available in several forms, including tablets, capsules, and liquid suspensions, making it accessible for a variety of patient preferences. The most common form is 135 mg tablets. There are also modified-release capsules (200 mg), providing more consistent relief throughout the day.

Disclaimer: Always Consult a Healthcare Professional

The dosage and frequency of Mebeverine can vary based on individual circumstances, such as the severity of IBS symptoms, age, and overall health. It’s crucial to follow the instructions provided by your GP or pharmacist and never alter the prescribed dosage without consulting them first. Over-the-counter versions of Mebeverine may also come with specific dosing guidelines, which should be adhered to strictly. Always check with a healthcare professional before starting or changing your treatment to ensure Mebeverine is safe and effective for you.

Is a Prescription Needed for Mebeverine?

In the UK, Mebeverine is available both over the counter (OTC) and by prescription, depending on the formulation and strength. For example, some lower-strength forms may be available without a prescription, while higher-strength versions generally require one. It’s always advisable to consult a GP or pharmacist before using Mebeverine to ensure it is appropriate for your specific symptoms and needs.

Who Should Not Take Mebeverine?

Mebeverine is generally well-tolerated, but it’s not suitable for everyone. The following groups should avoid using Mebeverine without consulting a healthcare professional:

  • Children under 18 years: Mebeverine is not recommended for use in children.
  • Pregnant or breastfeeding women: There is limited data on the safety of Mebeverine in pregnancy or breastfeeding. It’s essential to consult a doctor if you are pregnant or planning to breastfeed.
  • People with allergies to ingredients: As with any medication, individuals with known allergies to Mebeverine or any of its components should avoid it.

Possible Side Effects of Mebeverine

While Mebeverine is often well-tolerated, like any medication, it can cause side effects in some individuals [2]. These side effects are typically mild, but it’s important to be aware of them:

  1. Common side effects:
    • Nausea
    • Dizziness
    • Headaches
    • Skin rash or itching
  2. Serious side effects: Though rare, serious allergic reactions (anaphylaxis) can occur. Symptoms may include swelling of the face, lips, or throat, difficulty breathing, or a severe rash. In such cases, immediate medical attention is required.

Evidence supporting these side effects comes from several clinical studies and patient reviews. A study published in The British Journal of Clinical Pharmacology notes that gastrointestinal disturbances and headaches are among the most commonly reported side effects when using Mebeverine . Additionally, the NHS notes that serious allergic reactions are rare but possible, which highlights the importance of monitoring any new symptoms when starting treatment.

Precautions for Use

Mebeverine should be used with caution in those who have a history of gastrointestinal bleeding or other serious gut conditions. It’s also important for patients to communicate any pre-existing medical conditions with their doctor before beginning treatment, as this may influence the suitability of Mebeverine.

Buscopan for IBS Relief: Natural Support and Functional Medicine

IBS Medication UK

Buscopan (Hyoscine butylbromide) is another popular medication used to relieve IBS symptoms, particularly abdominal cramping and spasms. It works by relaxing the muscles of the bowel, helping to alleviate the pain caused by these spasms. Buscopan 10mg is commonly used in the UK, and it can be found both as a prescription and over-the-counter medication for managing IBS symptoms.

From a functional medicine standpoint, while Buscopan can provide effective short-term relief, it is not a solution for the underlying causes of IBS. Functional medicine aims to address these root causes by focusing on broader health aspects such as diet, stress management, and lifestyle changes. Buscopan may serve as a supportive tool in the overall treatment plan, helping to manage acute episodes of cramping while the individual works on implementing more sustainable, long-term strategies for IBS relief.

It’s also important to remember that Buscopan, like other medications, should be used responsibly and in conjunction with advice from a GP or pharmacist. Dosing and usage can vary depending on individual health needs, so always follow professional guidance to ensure safe and effective use.

Buscopan for IBS Relief: Forms, Prescriptions, and Safety Considerations

Buscopan is available in several forms, including 10 mg tablets and Buscopan IBS Relief, which is specifically marketed for the management of IBS symptoms. It works by relaxing the muscles in the gastrointestinal tract, helping to relieve the pain and discomfort caused by bowel spasms. Always consult with a GP or pharmacist for appropriate dosing.

Is a Prescription Needed for Buscopan?

Buscopan is available both over the counter (OTC) and by prescription in the UK, depending on the formulation. Buscopan IBS Relief, designed specifically for IBS, can be purchased without a prescription from pharmacies. However, Buscopan 10 mg may also be prescribed for more persistent or severe symptoms. It’s advisable to check with a healthcare professional to ensure it is the right choice for your symptoms.

Who Should Not Take Buscopan?

While Buscopan is generally well-tolerated, there are certain individuals who should avoid or use it with caution:

  • People with glaucoma: Buscopan can increase the pressure inside the eye, which could worsen glaucoma.
  • Those with a history of urinary retention: Because Buscopan relaxes smooth muscle, it may exacerbate problems with emptying the bladder.
  • Pregnant or breastfeeding women: The safety of Buscopan during pregnancy and breastfeeding hasn’t been fully established, so it’s important to consult a doctor before use.
  • Children under 12: Buscopan IBS Relief is not recommended for children under 12 years of age.

Possible Side Effects of Buscopan

As with any medication, Buscopan can cause side effects, though not everyone will experience them. Common side effects are typically mild, but more serious reactions can occur in rare cases. A study published in the Journal of Gastroenterology and Hepatology supports the use of antispasmodics like Buscopan for relieving abdominal pain and cramping in IBS patients, while also noting the potential side effects listed below [3]. 

  1. Common side effects:
    • Dry mouth
    • Constipation
    • Drowsiness
    • Blurred vision
  2. Serious side effects (rare):
    • Increased heart rate (tachycardia)
    • Difficulty passing urine
    • Severe allergic reactions (anaphylaxis), which may include swelling of the face, lips, or throat, and difficulty breathing. Immediate medical attention is required for such reactions.

As always, it’s important to use the medication as directed and to be aware of any new symptoms that may arise.

Precautions for Use

Buscopan should be used cautiously in individuals with certain medical conditions, including heart problems or digestive obstructions. It is also important to avoid taking it with other medications that could potentially interact, such as certain antidepressants or anticholinergic drugs.

Best Over-the-Counter Medicine for IBS in the UK

IBS Medication UK

For those looking to manage their IBS symptoms without a prescription, there are several over-the-counter (OTC) options available in the UK. These non-prescription medications can help alleviate the discomfort caused by IBS, particularly when combined with lifestyle changes such as dietary adjustments, stress management, and regular exercise. While these medicines may offer relief, it is important to remember that they address symptoms rather than the root causes of IBS, which is why they are often most effective when used as part of a holistic treatment plan.

1. Buscopan IBS Relief

As previously mentioned, Buscopan IBS Relief is one of the most popular OTC medications for managing IBS symptoms in the UK. It works by relaxing the muscles in the digestive tract, reducing cramping and spasms that commonly occur with IBS. Since Buscopan targets spasms without affecting normal bowel function, it is particularly useful for those who experience cramping as a primary symptom.

2. Peppermint Oil Capsules

Peppermint oil capsules are a well-known natural remedy for IBS. The active ingredient, menthol, has antispasmodic properties that help relax the muscles in the gut. Studies have shown that peppermint oil can be effective in reducing bloating, gas, and abdominal pain associated with IBS. It is widely available without a prescription and is a preferred option for those seeking a natural approach. Always seek advice from your pharmacist about suitable dosages.

3. Loperamide

Loperamide (brand name: Imodium) is another OTC option, often used for IBS patients who suffer from diarrhoea. Loperamide works by slowing down bowel movements, allowing the body to absorb more water from the stool and thus reducing diarrhoea. It’s important to use this medication only when necessary, as long-term use without medical supervision may lead to other complications.

4. Simeticone

Simeticone (brand name: WindSetlers or Infacol) is a treatment for bloating and excessive gas, both common symptoms of IBS. It works by breaking down gas bubbles in the gut, making it easier for them to be passed naturally. This can relieve the discomfort caused by trapped wind and bloating, helping to manage IBS symptoms without the need for stronger medications.

5. Fibre Supplements

For IBS patients with constipation, fibre supplements such as ispaghula husk (brand name: Fybogel) are often recommended. These supplements work by increasing the bulk of the stool, making it easier to pass. However, it’s important to start with small doses and gradually increase intake, as too much fibre can sometimes worsen symptoms such as bloating or cramping.

Combining OTC Medicines with Lifestyle Changes

While OTC medicines can provide relief, they are often most effective when combined with lifestyle modifications tailored to managing IBS. Adopting a low-FODMAP diet, increasing physical activity, reducing stress, and staying hydrated are all key factors in managing IBS long term. As always, it is essential to consult with a GP or pharmacist before beginning any new medication to ensure it is appropriate for your specific symptoms and health needs.

By taking a combined approach—using OTC medications alongside diet and lifestyle changes—you can better manage your IBS symptoms while working towards a more holistic and long-term solution.

Best Laxative for IBS in the UK: Holistic Choices

IBS Medication UK

For those with constipation-predominant Irritable Bowel Syndrome (IBS-C), finding the right laxative to provide relief can be challenging. While there is no single “best” laxative for everyone, different options suit different needs depending on factors like the severity of symptoms, lifestyle preferences, and the desire for predictability or gentleness. A holistic approach considers both medication and lifestyle changes, ensuring that whatever laxative is chosen works in harmony with diet, hydration, and stress management. Let’s explore the most suitable laxative options for IBS and how they fit into a balanced approach.

1. Fibre Supplements: Gentle and Natural Relief

For those looking for a natural, gentle option, fibre supplements such as ispaghula husk (commonly sold as Fybogel) are a popular choice. Fibre helps bulk up stools and make them easier to pass, providing a gradual and mild effect. Fibre supplements are ideal for people who want something gentle on the stomach and prefer a more natural remedy. However, it’s important to start with a small dose and increase it slowly to avoid bloating or gas.

Best for: Those seeking a gentle, natural solution and who are willing to wait a little longer for results.

2. Osmotic Laxatives: Predictable and Gradual

Osmotic laxatives like macrogol (found in products such as Movicol or Laxido) work by drawing water into the bowel, softening stools and making them easier to pass. These laxatives are predictable and usually provide relief within 12 to 48 hours, depending on the dosage. They’re a good option for those who want more control over when relief occurs and are often well tolerated by most people. However, osmotic laxatives require you to stay hydrated, as they pull water into the bowel.

Best for: Those seeking predictability and control over when relief occurs.

3. Stimulant Laxatives: Fast and Strong

For more immediate relief, stimulant laxatives like senna or bisacodyl (found in brands such as Senokot or Dulcolax) work by stimulating the muscles in the intestines to move the stool through more quickly. These are strong and fast-acting options, typically providing relief within 6 to 12 hours. However, they can cause cramping and may not be suitable for long-term use, as they can sometimes lead to dependency if used too frequently.

Best for: Those who need strong, quick relief on an occasional basis.

4. Lactulose: Gentle and Effective Over Time

Lactulose is a sugar-based osmotic laxative that works by drawing water into the bowel, softening stools, and making them easier to pass. It’s a gentle option but works more slowly, often taking up to 48 hours to have an effect. This makes it a good choice for those who want a milder option and have time to wait for results. It’s often recommended for those who need a long-term solution that is safe to use regularly.

Best for: Those who want something gentle and don’t mind waiting a little longer for results.

5. Magnesium Citrate: Natural and Fast-Acting

For those looking for a natural and fast-acting option, magnesium citrate can be effective. It works by drawing water into the intestines and stimulating bowel movements. Magnesium is a natural mineral and is often well-tolerated, though it can be too strong for some individuals and may lead to diarrhoea if taken in large quantities. It’s also a good option for occasional use when quick relief is needed.

Best for: Those who want a natural and fast-acting solution.

6. Prunes or Prune Juice: A Convenient Natural Option

Prunes and prune juice are natural laxatives due to their high sorbitol content, which helps draw water into the bowel. They are easy to incorporate into a daily diet and can be carried around as a snack or juice bottle. For those looking for a gentle, natural option that is easy to take and keeps well, prunes can be an effective choice, though their effects may take up to 24 hours to become noticeable.

Best for: Those looking for a natural, easy-to-carry option that doubles as a healthy snack.

The Role of Laxatives in a Holistic IBS Treatment Plan

While laxatives can provide much-needed relief for constipation-predominant IBS, they should not be relied on as the sole treatment. A holistic approach to IBS-C includes dietary changes, such as increasing soluble fibre intake (through foods like oats, carrots, and psyllium), staying well-hydrated, and managing stress through techniques like mindfulness or yoga. By combining the right laxative with these lifestyle changes, individuals with IBS-C can better manage their symptoms and work toward long-term relief.

Important Reminder: Always consult with a GP or pharmacist before starting any laxative, particularly if IBS symptoms are new or worsening. Dosages and types of laxatives should be tailored to individual needs and conditions to avoid side effects or complications.

What Do GPs Prescribe for IBS in the UK?

IBS Medication UK

In the UK, GPs typically prescribe medications to manage the specific symptoms of Irritable Bowel Syndrome (IBS), as there is no single cure for the condition. IBS is a multifaceted disorder, with symptoms ranging from abdominal pain and bloating to diarrhoea and constipation. Therefore, treatment often requires a personalised approach that combines medications with lifestyle changes, dietary adjustments, and stress management.

Here are some of the most common types of medications that GPs may prescribe for IBS and how they fit into a broader treatment plan:

1. Antispasmodics

Medications like Mebeverine and Hyoscine butylbromide (Buscopan) are frequently prescribed to relieve abdominal pain and cramping. These antispasmodics work by relaxing the muscles in the gut, helping to ease the discomfort caused by bowel spasms. They are typically prescribed for patients who suffer from cramps and spasms without altering bowel movements.

Broader plan: Antispasmodics are often used in combination with dietary adjustments (such as following a low-FODMAP diet) and stress management techniques, as emotional stress can trigger or worsen IBS symptoms.

2. Laxatives for Constipation-Predominant IBS (IBS-C)

For patients with constipation-dominant IBS, GPs may prescribe osmotic laxatives such as macrogol (Movicol) or lactulose. These help to soften stools and make them easier to pass by drawing water into the intestines. For some patients, fibre supplements like ispaghula husk (Fybogel) may also be recommended to increase stool bulk.

Broader plan: Laxatives are most effective when used alongside lifestyle changes such as increasing dietary fibre intake, staying hydrated, and incorporating regular physical activity into daily routines.

3. Anti-Diarrhoeal Medications for Diarrhoea-Predominant IBS (IBS-D)

For patients with diarrhoea-dominant IBS, GPs often prescribe loperamide (Imodium), which slows down bowel movements and helps to reduce the frequency of diarrhoea. Loperamide is typically used on an as-needed basis and provides quick relief from sudden diarrhoeal episodes.

Broader plan: In addition to anti-diarrhoeal medications, patients are encouraged to monitor their diet carefully, avoiding trigger foods that can exacerbate diarrhoea, such as caffeine, fatty foods, and spicy dishes.

4. Antidepressants for Pain and Overall IBS Symptom Management

Low doses of tricyclic antidepressants (TCAs) like amitriptyline or selective serotonin reuptake inhibitors (SSRIs) such as citalopram may be prescribed for patients who experience persistent pain and discomfort that doesn’t respond to other treatments. These medications help modulate pain signals in the brain and can also reduce anxiety or stress, which are common triggers for IBS flare-ups.

Broader plan: Antidepressants are often part of a broader treatment plan that includes psychological therapies such as cognitive behavioural therapy (CBT) to address the mind-gut connection in IBS.

5. Peppermint Oil Capsules

Peppermint oil is a natural remedy sometimes prescribed or recommended by GPs for its antispasmodic properties. It helps relax the muscles in the intestines and can be particularly effective in relieving bloating, gas, and abdominal pain.

Broader plan: As peppermint oil is a natural option, it often fits well into a holistic treatment plan that includes dietary and lifestyle changes. Many patients use it in conjunction with a low-FODMAP diet and stress-reduction practices like mindfulness.

The Role of Medications in a Holistic IBS Treatment Plan

While medications can provide valuable relief from IBS symptoms, they are most effective when used alongside a holistic approach. Lifestyle changes, such as following a low-FODMAP diet, staying hydrated, managing stress, and getting regular exercise, are key elements in managing IBS. In some cases, psychological therapies such as CBT or gut-directed hypnotherapy may also be recommended to help manage the emotional and mental aspects of the condition.

It’s essential to work closely with a GP to determine which medications and strategies are best suited to your individual needs. IBS is a complex condition, and finding the right combination of treatments often involves a process of trial and error.

Reminder: Always consult with your GP or a healthcare professional before starting any new medication or treatment for IBS, as they can help guide you towards the safest and most effective options.

What is the Most Effective Medication for IBS? Integrating Medication with Holistic Treatments

IBS Medication UK

When managing Irritable Bowel Syndrome (IBS), medications can provide symptom relief, but they are most effective when used as part of a broader, holistic treatment plan. Instead of focusing solely on medication, the goal in functional medicine is to address the root causes of IBS, such as dietary triggers, stress, and lifestyle factors. Below, we discuss how common IBS medications can complement functional treatments to create a more balanced and effective approach to managing the condition.

Using Medications in Conjunction with Functional Treatments

  1. Antispasmodics and Stress Management
    Medications like Mebeverine and Buscopan are frequently prescribed to manage abdominal cramps and spasms in IBS. These antispasmodics work by relaxing the muscles of the gut, providing quick relief from pain. However, spasms are often triggered by stress or anxiety, so integrating stress-reduction techniques, such as mindfulness, yoga, or deep breathing exercises, can help reduce the frequency and intensity of flare-ups. Studies have shown that reducing stress directly influences the gut-brain axis, making the medications more effective [4].
  2. Laxatives and Dietary Adjustments
    For constipation-predominant IBS (IBS-C), osmotic laxatives like macrogol or lactulose can provide relief by softening stools. However, long-term reliance on laxatives alone can sometimes worsen symptoms like bloating. A more holistic approach involves incorporating dietary changes, particularly increasing soluble fibre from foods like oats, flaxseeds, and vegetables, which can help regulate bowel movements naturally. The low-FODMAP diet, designed to reduce gut irritation, can be especially helpful for managing constipation without over-reliance on medications [5].
  3. Anti-Diarrhoeal Medications and Gut Health
    For patients with diarrhoea-predominant IBS (IBS-D), medications such as loperamide are often prescribed to slow bowel movements and reduce diarrhoea. However, diarrhoea can be triggered by certain dietary factors, so it’s essential to pair medication with dietary management, such as identifying and eliminating trigger foods like caffeine, alcohol, and high-fat meals. Additionally, probiotics can be useful for restoring gut flora, improving digestion, and reducing the severity of diarrhoea episodes [6].
  4. Antidepressants and Psychological Therapies
    Low doses of tricyclic antidepressants (TCAs) or SSRIs are sometimes used to manage pain and discomfort in IBS, particularly when symptoms are influenced by stress or anxiety. These medications work by regulating the gut-brain axis, but their effects are enhanced when combined with psychological therapies such as Cognitive Behavioural Therapy (CBT) or gut-directed hypnotherapy. These therapies address the emotional and psychological factors that often exacerbate IBS symptoms, making medications more effective by reducing the overall stress burden on the digestive system [7].
  5. Peppermint Oil and Natural Remedies
    As a natural antispasmodic, peppermint oil is often recommended for IBS patients seeking a non-pharmaceutical option. The menthol in peppermint oil helps relax the muscles of the intestines, reducing bloating and cramping. However, peppermint oil can be most effective when paired with other natural remedies such as herbal teas, acupuncture, or mindful eating practices, which help support overall digestive health. Incorporating these practices can enhance the relief provided by peppermint oil, creating a more comprehensive approach to symptom management [8].

Creating a Balanced Treatment Plan

Incorporating medications as part of a holistic treatment plan allows for greater flexibility in managing IBS symptoms. While medications like antispasmodics, laxatives, and antidepressants can provide immediate relief, addressing the underlying causes of IBS through diet, stress management, and psychological therapies offers a long-term solution. The key to success is personalisation—working with healthcare professionals to create a treatment plan that integrates both pharmaceutical and natural approaches tailored to individual needs.

Reminder: Always consult with a GP or healthcare professional before starting or changing any medication or treatment for IBS, especially when integrating with functional therapies.

Can IBS Be Cured Permanently?

A Holistic Perspective on Long-Term Management

Irritable Bowel Syndrome (IBS) is a chronic condition that affects the digestive system, causing symptoms like abdominal pain, bloating, diarrhoea, and constipation. While there is no permanent cure for IBS, it is possible to manage the condition effectively over the long term through a holistic approach that combines lifestyle changes, dietary adjustments, and, when necessary, medications. By addressing the root causes of symptoms and implementing long-term management strategies, many individuals can experience significant improvement and achieve a better quality of life.

1. Dietary Modifications: A Key to Long-Term Symptom Control

Diet plays a significant role in managing IBS symptoms. One of the most well-researched and effective dietary approaches is the low-FODMAP diet, which involves reducing the intake of fermentable carbohydrates that can trigger IBS symptoms. Studies have shown that this diet can help alleviate symptoms in a large percentage of IBS sufferers [9]. However, it’s important to follow the low-FODMAP diet under the guidance of a nutritionist, as it can be restrictive and needs careful reintroduction phases to identify personal triggers.

In addition to the low-FODMAP approach, maintaining regular eating patterns, staying hydrated, and avoiding common triggers like caffeine, alcohol, and processed foods are all crucial elements of long-term IBS management.

2. Lifestyle Changes: Reducing Stress and Enhancing Gut Health

Stress is a well-known trigger for IBS symptoms, due to the complex interaction between the gut and the brain. Therefore, incorporating stress-reduction techniques is essential for long-term IBS management. Practices such as mindfulness meditation, yoga, deep breathing exercises, and progressive muscle relaxation have been shown to reduce stress and, in turn, alleviate IBS symptoms [10].

Regular physical activity is also an important part of managing IBS, as it helps regulate digestion and reduces stress. Moderate, consistent exercise like walking, swimming, or cycling can support better gut health and overall well-being.

3. Medications: A Supportive Role in Symptom Management

Although IBS cannot be cured by medication, certain medications can help manage the symptoms. For example, antispasmodics like Mebeverine or Buscopan can relieve cramping, while laxatives and anti-diarrhoeals like loperamide can manage constipation or diarrhoea, respectively. In some cases, antidepressants may be prescribed to modulate the gut-brain axis and reduce the sensation of pain in IBS [11].

However, medications should be viewed as part of a broader strategy rather than a standalone solution. They can provide short-term relief, but lasting symptom control is more likely to be achieved by addressing the underlying lifestyle and dietary factors that contribute to IBS.

4. Psychological Therapies: The Mind-Gut Connection

Given the strong connection between the mind and gut, psychological therapies can be highly effective in managing IBS long-term. Cognitive Behavioural Therapy (CBT) and gut-directed hypnotherapy have both been shown to significantly reduce IBS symptoms by addressing the psychological aspects of the condition. These therapies can help individuals reframe their responses to stress and anxiety, which in turn reduces the severity and frequency of IBS flare-ups [12].

5. Probiotics and Gut Health

Probiotics have gained attention for their potential role in improving gut health and reducing IBS symptoms. Certain strains of probiotics, such as Bifidobacterium infantis and Lactobacillus acidophilus, have been shown to help balance gut bacteria and reduce bloating, gas, and discomfort in IBS patients [10]. Including probiotics, whether through supplements or naturally fermented foods, can be a valuable component of a long-term management strategy for maintaining a healthy gut microbiome.

The Holistic Path to Long-Term Relief

While IBS cannot be permanently cured, a holistic approach that includes dietary changes, stress management, psychological therapies, and appropriate medications can provide long-term relief from symptoms. The key is to personalise the treatment plan to suit the individual’s specific triggers and lifestyle. By combining these elements into a consistent, manageable routine, many people with IBS can lead symptom-free lives for extended periods.

Reminder: Always consult with a GP or healthcare professional to develop a tailored, long-term management plan for IBS. Each person’s experience with IBS is unique, and a multi-faceted approach is often required to achieve the best results.

Conclusion

While Irritable Bowel Syndrome (IBS)is a challenging condition, it is possible to manage or resolve it through a holistic approach that includes lifestyle changes, dietary adjustments, stress management, pertinent supplements and, when needed, medications. By addressing the root causes of symptoms, many individuals with IBS can experience significant relief and improve their quality of life over the long term. Personalising a treatment plan that includes a balance of these elements is essential for achieving lasting symptom control.

At IBS Clinics, we understand that IBS affects everyone differently, and that’s why we offer a tailored approach to treatment. Our team of specialists combines functional medicine with the latest medical insights to develop personalised treatment plans. Whether it’s through dietary advice, stress management techniques, or identifying the right combination of natural and medical therapies, we work closely with you to manage your symptoms effectively.

Our comprehensive services include:

  • Detailed assessments to uncover the root causes of your IBS.
  • Personalised nutrition and lifestyle plans, including low-FODMAP diet support.
  • Stress management strategies, such as mindfulness and gut-directed hypnotherapy.
  • Access to cutting-edge treatments, including probiotics and other natural supplements.

If you’re ready to take control of your IBS and work towards long-term relief, IBS Clinics is here to help. Contact us today to learn more about how our holistic and personalised approach can make a difference in your life.

References

[1] Ford, A. C., Talley, N. J., Spiegel, B. M. R., Foxx-Orenstein, A. E., Schiller, L., Quigley, E. M., & Moayyedi, P. (2008). “Effect of fibre, antispasmodics, and peppermint oil in the treatment of irritable bowel syndrome: systematic review and meta-analysis”. BMJ, 337, a2313. https://www.bmj.com/content/337/bmj.a2313 

[2] NHS. (n.d.). “Mebeverine: Side effects.” Retrieved from https://www.nhs.uk/medicines/mebeverine/

[3] Tack J., & Camilleri, M. (2012). “Antispasmodics in the treatment of irritable bowel syndrome.” Journal of Gastroenterology and Hepatology, 27(4), 588–592. https://onlinelibrary.wiley.com/doi/full/10.1111/j.1440-1746.2011.07027.x

[4]. Staudacher, H. M., et al. “Mechanisms and efficacy of dietary FODMAP restriction in IBS.” Nature Reviews Gastroenterology & Hepatology, 11(4), 2014. 

[5]. Moayyedi, P., et al. “The efficacy of probiotics in the treatment of irritable bowel syndrome: a systematic review.” Gut, 2010. 

[6]. Ford, A. C., et al. “Systematic review: the effectiveness of laxatives in adult chronic constipation.” Alimentary Pharmacology & Therapeutics, 28(7), 2008. 

[7]. Ford, A. C., et al. “Cognitive-behavioural therapy and gut-directed hypnotherapy for IBS: systematic review and meta-analysis.” The American Journal of Gastroenterology, 104(7), 2009. 

[8]. Khanna, R., MacDonald, J. K., & Levesque, B. G. “Peppermint oil for the treatment of irritable bowel syndrome: a systematic review and meta-analysis.” BMJ Open, 2014.

[9]. Simrén, M., et al. “The role of the gut-brain axis in the pathophysiology of irritable bowel syndrome (IBS).” Nature Reviews Gastroenterology & Hepatology, 10(8), 2013. 

[10]. Chey, W. D., et al. “A comprehensive review of current and emerging therapies for irritable bowel syndrome.” Journal of Gastroenterology, 53(2), 2018. 

[11]. Sood, R., et al. “Mindfulness-based stress reduction for the treatment of irritable bowel syndrome: a randomized control trial.” Gastroenterology, 152(4), 2017. 

[12]. Spiller, R., et al. “Post-infectious irritable bowel syndrome.” Gastroenterology, 136(5), 2009.

 

Author – Tracey Randell

At IBS Clinics, Tracey Randell, a renowned Nutritional Therapist and one of the few IFM Certified Practitioners in the UK, extends her specialised knowledge and unique approach to managing and treating IBS and other gut-related conditions effectively.

Tracey’s profound understanding of Functional Medicine allows her to connect the dots for complex health conditions, identifying and addressing the root causes to curate personalised and comprehensive health plans for her patients. Her holistic approach focuses on resolving underlying imbalances and optimising gut health, enabling the body to correct other issues and attain overall well-being.

At IBS Clinics, we are dedicated to being your partner in navigating your gut-related health concerns, offering expert care and individualised treatment plans to alleviate your IBS symptoms and enhance your quality of life.

You can read more about Tracey on our About page here.

 

DISCLAIMER: The information provided in this article is intended for general informational purposes only and should not be construed as medical advice, diagnosis, or treatment. The products and methods mentioned are not a substitute for professional medical advice from a trained healthcare specialist. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. Use of the information and products discussed is at your own risk.