Suggest Treatment For IBS

Posted on Sat, 7 May 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 7 May 2016 Answered on

Tue, 21 Jun 2016 Last reviewed on

Question : Been trying get help for my IBS. Dealt with Dr Shoaib XXXXXXX for a week with suggestions, which I followed. Then trying to continue, couldn't reach him????????. Now tried Dr XXXXXXX XXXX,, working on all the suggestions and the diet, See EM asking if his directions were helping, but says "end of contact"?????????? So disappointing!!! Giving up on you guys, hope meds from XXXXXXX do the job. XXXXXXX

Answered by Dr. Tushar Kanti Biswas (7 hours later)

Brief Answer:
IBS

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

Earlier I have advised you regarding diet and drugs like antispasmodic and antidepressants as relevant to IBS. Hope these are helpful to you. Kindly feel free to ask further queries on specific problems and difficulties you are facing.I will try my best on behalf of HCM.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Tushar Kanti Biswas (5 days later)

Feeling better, still waiting for the IBS pills from XXXXXXX chlordiazepoxide benevedine?????????? Ordered on 4/26.... XXXXXXX

Answered by Dr. Tushar Kanti Biswas (2 hours later)

Brief Answer:
IBS

Detailed Answer:
Chlordiazepoxide is used for treatment of irritable bowel syndrome (Unlabeled use ):
Chlordiazepoxide (antidepressant) and Mebeverine (muscle relaxant) combination often works well in IBS.
Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Tushar Kanti Biswas (1 hour later)

Hi Dr. The pills arrived. I am feeling so well, so much less IBS pain. I don't think I want to start taking these Medevinines. Also I have stopped taking the Librax as found it ineffective. If I do get a return of the IBS abdominal pain, what do you recommend as daily dosage? And will these ease the constipation I experience from the IBS? Thankyou......... XXXXXXX

Answered by Dr. Tushar Kanti Biswas (15 minutes later)

Brief Answer:
IBS

Detailed Answer:
For abdominal pain,I recommend dicyclomine that has less effect on mucous membrane secretions and produce fewer undesirable side effects.You can be have it as and when required basis ( standard - PO 80 mg/day in 4 equally divided doses).

For constipation either you use Psyllium husk also known as ispaghula 3–4 g bid with meals, then adjust or Linaclotide 290 μg qd.
However Linaclotide is a prescription drug.

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Tushar Kanti Biswas (2 hours later)

Have had no pain relief from dicyclomine, and psylium doesnt help the IBS constipation. What relieves me is the Linzess, which I take on an as needed basis, when I'm quite stopped up, don't use it every day. So now finally want your recommendation on what Dr Shoaib XXXXXXX strongly recommended, the chlordiazepoxide mebeverine capsules, that I finally received today. All I care about is relief of pain and constipation, which now seems to be under control thru diet. But if the abdominal pain returns, how should I use the c/m pills received from XXXXXXX today? Thanks..

Answered by Dr. Tushar Kanti Biswas (5 hours later)

Brief Answer:
IBS

Detailed Answer:
Since your pain and constipation is now under relief with diet , you need not take medicine for that. In case abdominal pain etc returns, start with the combination of Chlordiazepoxide 5 mg and Mebeverine 135 mg e.g capsule Meva-C. one capsule twice daily for a month, and then slowly wean off the medication.

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Arnab Banerjee