TREATMENT OF PATIENT WITH IRRITABLE BOWEL SYNDROME WITH DIET MODIFICATION – A CASE REPORT

Irritable Bowel Syndrome (IBS) is characterized by chronic relapsing abdominal pain, bloating and changes in bowel habits. Despite very real symptoms, the gross and microscopy evaluation is normal in most IBS patients Due to difficulty in diagnosis, incidence is not clearly known. Prevalence in developed countries is between 5% and 10 percent. Throughout the world about 10-20 percent of adults and adolescents have symptoms consistent with IBS.IBS is a disorder that effect all ages although most patients have their first symptom before age 45.Older individuals have a lover reporting frequency. Women are diagnosed with IBS 2-3 times as often as men and makeup 80 percent of population with severe IBS. IBS is a bio-psychosocial disorder in which 3 major mechanicals interact: psychosocial factors, altered motility and heightened sensory function of intestine. Due to multifactorial etiology there is no single therapeutic option available with satisfactory efficiency. Therefore, patients with high frequency of symptoms express high levels of frustration with their frequent hospital visits, decreased work & social life and food sensitivity. If treatment is carried out to improve symptoms, some people can control their symptoms by managing diet, lifestyle and stress. Others need medication and counselling. In our case the patient wasn’t satisfied with the pharmacotherapy alone. He used diet modification and lifestyle modification as a main treatment strategy. Satisfactory results were observed with such changes. Keywords: IBS, psychosocial, bio-psychosocial, lifestyle modification, diet modification, low FODMAP diet, high fiber diet, yoga, stress