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It can help relieve stomach pain and diarrhea, but there are potentially serious side effects.Įluxadoline (Viberzi) may help reduce bowel contractions, belly cramps, and diarrhea. Alosetron hydrochloride (Lotronex) is specifically for women with IBS who are not having success with other treatments. Your doctor may suggest medicines like clonazepam (Klonopin), diazepam (Valium), and lorazepam (Ativan)to calm you down.They’re usually only given for a short time since they have a higher risk of addiction. Anti-anxiety drugs may work if you feel anxious right before your symptoms come on. Low doses of antidepressants may block pain signals to the brain. An antidepressant may be an option if your IBS-D causes a lot of pain or if you’re feeling depression or anxiety. Anticholinergic dicyclomine (Bentyl) slows bowel contractions that lead to diarrhea.Hyoscyamine (Levsin) acts in much the same way. Prescription medications: There are several options your doctor can prescribe. Some experts believe probiotics (“good” bacteria, which you can get in supplement form or from foods like pickles and sauerkraut) can help relieve IBS symptoms, including diarrhea. Peppermint oil supplements may reduce cramping. Over-the-counter medications:Anti-diarrhea medications like loperamide (Imodium) may help. Massage, yoga, hypnotherapy, and forms of talk therapy can help with stress, which may lessen your symptoms. Exercise can help you feel better and improve the way your bowel functions, too. That’s why it’s important to try to find effective ways to manage your mood. But they can make symptoms like diarrhea worse. Stress and related issues like anxiety and depression don’t cause IBS. Stress relief: The link between stress and IBS is complicated. Be sure to drink at least six to eight glasses of water a day because diarrhea can cause dehydration. You may need to experiment to figure out which types of whole grains, beans, fruits, and vegetables agree with your gut. But if you have IBSD, too much fiber can make your symptoms worse. Fiber can be helpful for people who suffer from IBS with constipation (IBS-C). Alcohol, drinks with caffeine (like coffee and soda), carbonated drinks, chocolate, sorbitol (an artificial sweetener used in some gums and mints), fried food, and milk products may make IBSrelated diarrhea worse. Diet changes: Foods and beverages don’t cause IBS-D, but some may trigger your symptoms or make them worse. She can work with you to find an effective plan. You’ll probably need to try several strategies and use many different techniques at a time. (During a colonoscopy, doctors use medication to sedate you, then insert a tube with a tiny camera into your rectum and your large intestine to see if it’s healthy.) How Is IBS-D Treated? Getting relief from your IBS-D may take some detective work. These can include a blood test to check for celiac disease and a colonoscopy to check for abnormal growths and signs of cancer. If you have other symptoms, like rectal bleeding, weight loss, or a family history of gastrointestinal cancer, your doctor may want you to have tests to rule out other possibilities. If you’ve had abdominal pain and other signs of IBS for at least 3 months, you may have it. Instead, your doctor will look at your health history and symptoms. How Is IBS-D Diagnosed? There isn’t a test that tells you if you have IBS-D (or any kind of IBS). That can cause pain, diarrhea, and other problems like gas. The result: Your intestines squeeze too hard, making food move too quickly through your system. Your brain also plays a role and may respond too much to signals that control your colon. It can react to things like stress, bacteria, and even certain foods. With IBS, your colon is more sensitive than normal. If you have a family member with IBS, your odds of getting IBS or IBS-D go up. We do know that women are more likely to have it than men, and it’s more common in adults under 50. What Causes IBS-D? Researchers don’t know what causes IBS or IBS-D.