Managing IBS: A Whole-Person Approach to Feeling Better

Daksesh Patel, D.O.

Living with irritable bowel syndrome (IBS) can feel like a daily balancing act. Between abdominal pain, unpredictable bowel habits and the emotional toll it takes, it’s no wonder so many people feel frustrated or overwhelmed. While there’s no single test or one-size-fits-all cure, there is a way forward — and it starts with understanding your body and building a care plan that’s tailored to you.

Start with Lifestyle Changes

One of the first — and most effective — steps in managing IBS is taking a closer look at your diet. Many people find relief with a low FODMAP diet, which temporarily removes certain hard-to-digest carbohydrates, then reintroduces them slowly to identify triggers. But doing this without guidance can be tricky. That’s why working with a gastrointestinal (GI)-trained dietitian is so important. They can help you stay nourished while figuring out what foods work best for you.

Fiber is another key player. If you struggle with constipation (IBS-C), adding soluble fiber like psyllium might help. On the flip side, if diarrhea (IBS-D) is more your issue, certain fibers — especially insoluble ones like bran — could make things worse. A little expert advice goes a long way here.

Exercise can also make a big difference. Gentle, consistent movement like walking, cycling, yoga or swimming can improve digestion and help calm the nervous system. It’s not about intensity — it’s about consistency and finding activities you enjoy.

Calming the Gut-Brain Connection

IBS isn’t just about what’s happening in your gut — it’s also closely tied to how your brain processes stress. That’s why emotional well-being is such a big part of symptom management.

Therapies like cognitive behavioral therapy and gut-directed hypnotherapy have been shown to significantly reduce symptoms, especially when stress is a major trigger. Even simple mindfulness practices, breathing exercises or improving your sleep routine can help you feel more in control.

When Medications Can Help

Sometimes, lifestyle changes alone aren’t enough. If that’s the case, medications can offer targeted relief based on your symptoms. For constipation, options include fiber supplements, laxatives or prescription meds that help the bowels move. For diarrhea, treatments might include antidiarrheals or medications that calm the gut.

If your symptoms tend to shift between the two (IBS-M), your treatment plan may need to change over time. And for those dealing with significant pain, low-dose antidepressants — used not for mood but for their effect on gut sensitivity — can help ease discomfort.

What About Probiotics or the Microbiome?

You’ve probably heard a lot about probiotics and gut health. Some people do see improvement with specific probiotic strains, but results can vary. The science is still evolving, and not all products are created equal — so it’s best to talk to your doctor before starting anything new.

Your Care Team Matters

Managing IBS is truly a team effort. Gastroenterologists, dietitians, mental health providers and even your primary care doctor all play a role in helping you feel your best. Regular check-ins, symptom tracking and open communication help ensure your care stays on track.

The good news? While IBS can be complex, it can be managed. With the right support and a personalized approach, you can take meaningful steps toward comfort, confidence and a better quality of life.

Patel is board-certified in internal medicine by the American Board of Internal Medicine and in gastroenterology by the Subspecialty Board of the American Board of Internal Medicine and provides gastroenterology services at several locations in the Chicago area for GI Alliance of Illinois.