Pace Hospitals | Best Hospitals in Hyderabad, Telangana, India
IBS TREATMENT

Best Irritable Bowel Syndrome (IBS) Treatment in Hyderabad, India

PACE Hospitals is recognized as the best hospital for Irritable Bowel Syndrome (IBS) treatment in Hyderabad, Telangana, India, offering comprehensive, evidence-based treatment to help patients regain control over their digestive health. Our team of highly experienced gastroenterologists go beyond symptom management – we focus on identifying triggers, improving gut health, and enhancing overall well-being. Whether you need specialized dietary guidance, probiotics, or medication-based treatment, our experts will ensure you receive the best possible care for long-term relief and a better quality of life.


We understand that every IBS case is unique, which is why we take a multidisciplinary approach, integrating advanced diagnostics, dietary modifications, stress management, and medical therapies to ensure long-term symptom relief. Our state-of-the-art facilities, cutting-edge technology, and compassionate patient care make us the preferred choice for IBS treatment in Hyderabad, India.

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Best Irritable bowel syndrome (IBS) Treatment in Hyderabad, India

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Irritable Bowel Syndrome (IBS) diagnosis in Hyderabad India

Irritable bowel syndrome diagnosis

Irritable bowel syndrome (IBS) diagnosis is a complex process that requires a thorough evaluation by a gastroenterologist. This approach usually involves thorough evaluation of the patient's symptoms, medical history, physical examination, and, if necessary, diagnostic tests. 


Initial consultation and symptom review

The diagnosis process starts with an initial visit, in which the gastroenterologist takes comprehensive information about the symptoms of the patient. The gastroenterologist will ask specific questions to determine the nature of the symptoms, which usually include: 

  • Abdominal pain: The doctor will inquire about the location, intensity, and duration of pain. They will also ask if the pain is related to bowel movements—whether it improves or worsens after defecation.
  • Bowel habits: Patients are questioned about changes in their bowel habits, including frequency (diarrhea or constipation), consistency of stools, and any noticeable patterns related to diet or stress.
  • Duration of the symptoms: The duration of IBS symptoms is important in determining the severity, presence of chronic illnesses and treatment of the disorder.


Medical and family history

In addition to symptom assessment, gastroenterologists will delve into the patient’s medical and family history. This includes:

  • Family history: The doctor will ask about any family history of gastrointestinal diseases such as celiac disease, inflammatory bowel disease (IBD), or colorectal cancer.
  • Personal medical history: The physician will review any previous gastrointestinal infections, surgeries, or other health issues that might influence current symptoms.
  • Medication review: Since some medications can impair bowel function, it is important to explain all medications being taken.


Physical examination

A thorough physical examination is a critical component of diagnosing irritable bowel syndrome. During this examination:

  • The gastroenterologist will palpate the abdomen to check for tenderness or bloating.
  • They may listen for bowel sounds using a stethoscope and check for any signs of abdominal distension.
  • The gastroenterologist may check for abnormalities or indications of bleeding through a rectal examination.


Identifying red flags

While assessing symptoms and conducting a physical exam, gastroenterologists watch for "red flags" that may indicate more serious underlying conditions. These red flags include:

  • Onset of symptoms after age 50.
  • Unexplained weight loss.
  • Rectal bleeding or iron deficiency anemia.
  • Symptoms that awaken the patient at night.


If any red flags are present, the gastroenterologist may recommend further investigation rather than diagnosing irritable bowel syndrome immediately.


Diagnostic testing

Irritable bowel syndrome may usually be diagnosed based only on a medical history and physical examination. However, when necessary, a gastroenterologist can request testing to rule out other conditions. Common diagnostic tests include:


Blood tests

Blood tests can help identify conditions like anemia or infections and screen for celiac disease. Specific tests may include a complete blood counts and inflammatory markers.


Stool tests

Stool samples may be analyzed for blood or pathogens that could explain gastrointestinal symptoms.


Imaging studies

If indicated by red flag symptoms or atypical presentations, imaging studies such as colonoscopy or upper GI endoscopy may be performed to visualize the gastrointestinal tract directly.


Specialized tests

Small intestine bacterial overgrowth (SIBO) and lactose intolerance can be diagnosed with the use of tests such as hydrogen breath tests.

✅Irritable bowel syndrome differential diagnosis

Because people with irritable bowel syndrome may develop organic conditions, testing for other conditions may need to be performed in patients who exhibit red flags or develop significantly different symptoms during the course of their illness. Some common conditions that can be confused with irritable bowel syndrome are:



  • Lactose intolerance
  • Medication-induced diarrhoea
  • Post cholecystectomy syndrome
  • Laxative abuse
  • Parasitic diseases (eg, giardiasis)
  • Eosinophilic gastritis or enteritis
  • Microscopic colitis
  • Small intestinal bacterial overgrowth
  • Celiac disease
  • Bile acid diarrhoea
  • Early inflammatory bowel disease


Uninflamed colonic diverticula do not induce symptoms; hence their presence should not be interpreted as explanatory.


Because patients with inflammatory bowel disease have a age distribution, it is important to screen both younger and older individuals in order to diagnose inflammatory bowel disease as a cause of their symptoms. 


Patients over the age of 60 with acute symptoms are evaluated for ischaemic colitis. Patients with constipation but no anatomical abnormalities are checked for hypothyroidism and hypercalcemia. If the patient's symptoms indicate malabsorption or coeliac disease, additional testing is performed. Defecatory issues are examined as a cause of constipation in patients who report difficulty to pass stools.

✅ Irritable bowel syndrome grades

Using the Irritable Bowel Severity Scoring System (IBS-SSS), irritable bowel syndrome (IBS) is classified as:


  • Mild 
  • Moderate
  • Severe



The highest achievable score was 500. Mild, moderate, and severe cases were identified using scores of 75 to 175, 175 to 300, and > 300, respectively.

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Irritable Bowel Syndrome (IBS) treatment in Hyderabad India

Irritable bowel syndrome treatment

The treatment of irritable bowel syndrome (IBS) begins with a thorough assessment of symptoms, followed by personalized dietary, lifestyle, and medication strategies. Treatment aims to alleviate discomfort, improve bowel function, and enhance quality of life, with continuous monitoring for optimal results.

Treatment strategies often depend on the type of IBS (IBS-D, IBS-C, or IBS-M), the severity of symptoms, and the individual patient's health needs.


Factors influencing IBS treatment

The treatment options for IBS may vary based on several factors:

  • Type of IBS: Whether the patient experiences more diarrhea (IBS-D), constipation (IBS-C), or alternating symptoms (IBS-M).
  • Severity of symptoms: The degree to which symptoms affect daily life and the patient’s overall wellbeing.
  • General health of the patient: Any pre-existing conditions that could affect treatment options.
  • Patient’s lifestyle and diet: Dietary habits and stress levels may need to be adjusted as part of the treatment plan.
  • Patient’s preferences and future family planning: Some patients may have specific preferences for treatment approaches, especially when considering long-term management.


Treatment options for IBS

IBS treatment is personalized, and multiple approaches may be combined to provide the most effective symptom relief. The main categories of treatment for IBS include:


  • Dietary and lifestyle modifications
  • Medications
  • Psychological therapies
  • Alternative treatments


Dietary and lifestyle modifications

Diet plays an essential role in managing IBS symptoms. Patients may need to adjust their food intake to alleviate discomfort.

  • Fiber intake: For those with IBS-C (constipation-predominant), increasing fiber intake, particularly soluble fiber (found in foods like oats, psyllium, and fruits), can help relieve constipation. However, for those with IBS-D (diarrhea-predominant), too much fiber—especially insoluble fiber (found in foods like wheat and bran)—can worsen diarrhea, so it should be limited.
  • Low FODMAP Diet: The Low FODMAP diet is widely recommended for IBS. It involves reducing the intake of fermentable carbohydrates (FODMAPs), which are found in certain fruits, vegetables, dairy, wheat, and legumes. This diet has shown significant effectiveness in reducing IBS symptoms and improving quality of life.
  • Probiotics: These are beneficial bacteria that may help restore gut balance and reduce IBS symptoms. Some studies suggest that probiotics can improve symptoms like bloating and diarrhea in people with IBS.
  • Hydration and regular exercise: Staying hydrated and engaging in regular physical activity can help maintain normal bowel function and alleviate symptoms like bloating and constipation.
  • Avoiding trigger foods: Many IBS patients have food triggers such as caffeine, alcohol, spicy foods, or fatty foods. Identifying and avoiding these triggers can help reduce flare-ups.


Medications

For more severe or persistent symptoms, medications may be necessary to manage IBS.


  • For IBS-C: Constipation predominant irritable bowel syndrome treatment
  • Fiber supplements: Soluble fiber supplements (e.g., psyllium) can help soften stool and promote regular bowel movements.
  • Laxatives: For short-term relief of constipation, osmotic laxatives (such as polyethylene glycol) or stimulant laxatives may be prescribed.
  • Guanylate cyclase-c agonists: These medications increase intestinal fluid secretion and promote bowel movements, offering relief from constipation in IBS-C patients.


  • For IBS-D: Diarrhea predominant irritable bowel syndrome treatment
  • Antidiarrheal medications: Opioid receptor antagonists and non-prescription antidiarrheal are often used to reduce diarrhea by slowing intestinal transit.
  • Bile acid sequestrants: Medications from this class may be used to treat diarrhea, especially if it's caused by bile acid malabsorption.
  • Antibiotics: Antibiotics may be used in patients with IBS-D associated with small intestinal bacterial overgrowth (SIBO).


  • For abdominal pain and discomfort:
  • Antispasmodic medications: Anticholinergics and muscle relaxants help alleviate cramping and intestinal spasms, providing relief from abdominal pain.
  • Tricyclic antidepressants (TCAs) and SSRIs: Low-dose antidepressants can also be used to help alleviate pain and improve mood, especially for patients whose IBS symptoms have a psychological component.


  • For IBS-M (Mixed Type)
  • A combination of treatments may be necessary, such as medications for both constipation and diarrhea, along with pain relief.


Psychological therapies

Since stress and mental health factors can exacerbate IBS symptoms, addressing psychological well-being is an essential part of managing the disorder.

  • Cognitive behavioral therapy (CBT): CBT helps individuals manage stress, anxiety, and other emotional factors that may trigger or worsen IBS symptoms. Studies show that CBT can significantly improve quality of life for IBS patients.
  • Mindfulness and relaxation techniques: Practices such as meditation, yoga, and deep breathing exercises help to reduce stress and manage pain. These methods are particularly useful in reducing abdominal discomfort and improving overall emotional well-being.
  • Hypnotherapy: Gut-directed hypnotherapy has shown positive results in some IBS patients by improving gut-brain communication and reducing symptoms.


Alternative treatments

Some patients may benefit from alternative treatments, though evidence for their effectiveness is still emerging.


Acupuncture

Some studies have suggested that acupuncture may help alleviate symptoms of IBS, especially abdominal pain and bloating.


Irritable bowel syndrome herbal treatment

Certain herbs, such as peppermint oil, have been found to relieve IBS symptoms like abdominal pain and bloating. However, it's essential to consult with a healthcare care professional before using herbal supplements.

Frequently Asked Questions (FAQs) on Irritable Bowel Syndrome (IBS)

  • What initial treatments are recommended for IBS?

    Initial treatments for IBS typically include patient education, reassurance, and dietary modifications such as increased fibre intake or osmotic laxatives for constipation. For diarrhoea, antidiarrheal medications may be prescribed, while antispasmodics can help alleviate abdominal pain.

  • What is the significance of probiotics in treating IBS?

    Probiotics may improve certain IBS symptoms by balancing the gut flora and increasing gut barrier function. Research demonstrates that certain probiotic strains can help with bloating and stomach discomfort. 

  • What lifestyle changes can benefit patients with IBS?

    Lifestyle changes that may benefit patients with IBS include regular physical exercise, stress management methods (such as yoga or meditation), and following a constant eating schedule may help to control bowel function in IBS patients.

  • What is the gold standard treatment for IBS?

    IBS has no definite cure; however, it can be managed by removing some exacerbating factors such as specific medicines, stressors, and dietary modifications. Traditionally, IBS is controlled symptomatically.

  • What is the best treatment for irritable bowel syndrome?

    The best treatment for IBS usually involves tailored approaches including dietary adjustments such as the low-FODMAP diet, drugs such as antispasmodics and low-dose antidepressants, and therapies like cognitive behavioral therapy, which have demonstrated success in lowering symptoms.

What are the primary diagnostic criteria for irritable bowel syndrome (IBS)?

The primary diagnostic criteria for IBS are based on the Rome IV criteria, which require patients to have recurrent abdominal pain for at least one day per week for the previous three months, along with two or more of the following: changes in stool frequency, changes in stool form, or pain relief with defecation.

How effective are dietary modifications in managing IBS symptoms?

Dietary modifications can significantly improve IBS symptoms. A low-FODMAP diet has been shown to reduce bloating and abdominal pain in many patients. Additionally, increasing fibre intake can help manage constipation-predominant IBS.

How does psychological therapy contribute to IBS management?

Cognitive-behavioural therapy (CBT) and gut-directed hypnotherapy have been demonstrated to relieve symptoms in IBS patients by addressing psychological factors that can cause gastrointestinal problems.

Are there any emerging therapies for IBS?

Emerging therapies for IBS include medications targeting specific symptoms, such as rifaximin for bloating and novel agents aimed at modulating gut motility and pain perception. Research is ongoing to evaluate their effectiveness.

Is there any irritable bowel syndrome blood test for diagnosis?

There is no specific blood test for Irritable Bowel Syndrome. However, blood tests may be used to rule out other health conditions that cause symptoms similar to IBS, such as celiac disease, inflammatory bowel disease (IBD), or infections.

How important is patient education in managing IBS?

Patient education is essential in controlling IBS because it enables patients to understand their condition, identify triggers, and follow treatment recommendations. A strong patient-physician relationship promotes greater compliance and satisfaction with care.

How often should patients with IBS be followed up after treatment initiation?

Patients with IBS should be followed up on a frequent basis after treatment begins to assess symptom progress and make any required adjustments to their management plan. A six-week follow-up period is frequently advised for assessing treatment efficacy.

What diagnostic tests might be considered if alarm symptoms are present?

If alarm symptoms are present, diagnostic tests may include complete blood counts, inflammatory markers (like C-reactive protein), celiac serology tests, and imaging studies if indicated to rule out organic causes of gastrointestinal symptoms.

What is severe irritable bowel syndrome treatment?

Severe IBS treatment involves a comprehensive approach. For diarrhea-predominant IBS, medications such as antidiarrheals, antibiotics, and serotonin antagonists are used. For constipation-predominant IBS, laxatives and intestinal secretagogues are effective. Additionally, cognitive behavioral therapy and gut-directed hypnotherapy can help manage symptoms. Low-dose antidepressants may be prescribed for pain management. Dietary changes, such as a low FODMAP diet, and stress management techniques are also recommended.

Is there any surgical treatment for irritable bowel syndrome?

No, surgery is not recommended for irritable bowel syndrome (IBS), which is a functional gastrointestinal condition with no structural defects that surgery can fix. The disorder is treated with dietary changes, medicines, stress management, and lifestyle changes.

What is the treatment for post infectious irritable bowel syndrome?

Lifestyle changes, dietary modifications such as a low FODMAP diet, drugs such as anti-diarrheals, and probiotics are used to treat post-infectious IBS and restore gut balance. Symptoms usually go away on their own, but interventions can help the patient to manage them effectively.

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