Treating IBS-D often involves a bit of trial and error. You’ll likely need to try a mix of strategies, and it’s important to work closely with your doctor. Here are some common approaches:
- Diet Changes: Certain foods and drinks might trigger your symptoms, even though they don’t cause IBS-D directly. Alcohol, caffeine, carbonated drinks, chocolate, some sweeteners, fried foods, and dairy might worsen diarrhea. A low FODMAP diet, which limits hard-to-digest carbs, might also help.
- Stress Management: Stress doesn’t cause IBS-D, but it can make symptoms worse. Exercise, yoga, massage, and therapy can help manage stress and, in turn, your symptoms.
- Over-the-Counter Medications: Anti-diarrheal meds like loperamide (Imodium) can help, as can peppermint oil supplements. Some experts also recommend probiotics to balance the bacteria in your gut.
- Prescription Medications: Depending on your symptoms, your doctor might prescribe meds to slow down bowel movements, relieve pain, or manage anxiety. There are also specific medications for IBS-D, like alosetron (for women) or eluxadoline, but they come with potential side effects, so you’ll need to discuss these options with your doctor.