Irritable Bowel Syndrome (IBS) Management Algorithm Step 1: Good communication, dietary and lifestyle advice Abdominal Pain: • 1st line: Antispasmodic eg hyoscine or peppermint oil • 2nd line: Central neuromodulator eg TCA or SSRI Constipation: • 1st line: Laxative • 2nd line: Secretagoge Diarrhea: • 1st line: Loperamide • 2nd line: 5-HT3 receptor antagonist, eluxadoline, rifaximin - Dr. Chris Black @DrCJBlack #IrritableBowel #Syndrome #IBS #Management #Algorithm #Treatment
