top of page


Irritable Bowel syndrome




Irritable bowel syndrome (IBS) is a functional GI disorder characterized by abdominal pain and altered bowel habits in the absence of specific and unique organic pathology.

Diagnostic Criteria

Recurrent abdominal pains or discomfort at least 3 days per month in the last 3 months associated with two or more of the following

  • Improvement with defecation

  • Onset associated with a change in frequency of stools

  • Onset associated with a change in form of stool

  • Bloating or feeling of  abdominal fullness 


Non-Pharmacological Treatment

  • Counseling on compelling psycho –social factors, life style modification, avoidance of trigger factors, and reassurance are corner stone of long term management strategy. Plus supportive therapies such as:  

  • High fibre diet and eating a healthy diet. 


Pharmacological Treatment

  • Hyoscine butyl bromide (PO) 10mg 6hourly per day as needed 


  • Mebeverine (PO) 135mg 8 hourly per day as needed 


  • Diazepam (PO) 5–10 mg 8 hourly (as needed for relief of anxiety) 


  • Lactulose (PO) 20mls 12 hourly (as needed for constipation) 


  • Loperamide (PO) 4mg stat, for diarrhoea followed by 2mg 8 hourly or after each unformed stool until diarrhoea is controlled.

Updated on, 2.11.2020


1. STG

bottom of page