IBS Treatment: 9 Effective Ways to Relieve Symptoms

IBS treatment usually involves dietary changes and/or medication to help manage symptoms such as diarrhea, constipation, gas, and abdominal pain.

Irritable bowel syndrome is linked to changes in bowel function and often worsens during times of stress or anxiety. Because of this, stress management is also an important part of treatment.

Treatment should always be guided by a gastroenterologist, who can recommend an individualized approach based on the type and intensity of symptoms.

9 treatment options for IBS

The main IBS treatments include:

1. Dietary changes

Treatment often begins with dietary adjustments, such as:

• Eating regular meals at consistent times, such as every 3 hours

• Avoiding alcohol and stimulant drinks like coffee or energy drinks

• Limiting high-fat and sugary foods, including butter, cheese, processed meats, cakes, and cookies

• Choosing white meats and vegetables

• Opting for boiled, grilled, or sautéed foods

These changes can help reduce symptoms such as diarrhea, abdominal pain, constipation, and excess gas.

2. Increasing fiber intake

A diet rich in soluble fiber, such as oats, legumes, peeled potatoes, and flaxseeds, helps regulate bowel movements and ease constipation caused by IBS.

It is generally recommended to consume about 2 to 3 grams of soluble fiber per day, along with plenty of water, to soften stools and make them easier to pass. Soluble fiber can also help with diarrhea by adding bulk to the stool.

Because too much fiber may cause gas and bloating, intake should ideally be guided by a dietitian. In some cases, fiber supplements such as psyllium may also be recommended.

3. Staying hydrated

Drinking at least 2 liters (about 8 cups) of water a day supports digestion and proper bowel function.

Adequate hydration also helps soften stools to relieve constipation and prevents dehydration during episodes of diarrhea. Read more about IBS symptoms and how they can present.

4. Using probiotic supplements

Probiotic supplements can help balance gut bacteria and reduce episodes of diarrhea or constipation in IBS. 

Probiotics such as Bifidobacterium infantis are naturally present in the intestines and may be recommended by a doctor or dietitian due to their benefits for gut and overall health.

5. Following a low-FODMAP diet

A low-FODMAP diet may help relieve IBS symptoms.

This approach involves eliminating foods that are poorly absorbed and fermented in the gut, which can worsen symptoms. Examples include carrots, beets, apples, mangoes, pasta, and honey.

Some people may also need to avoid milk and dairy products if lactose intolerance triggers or worsens their symptoms.

6. Exercising regularly

Physical activity is an important part of IBS treatment because it improves digestion and bowel function.

Exercise also stimulates the release of endorphins, chemicals linked to well-being, which help reduce stress and anxiety—common triggers for IBS flare-ups.

7. Taking medications

Medications are usually prescribed during symptom flare-ups to provide relief. A gastroenterologist may recommend:

In some cases, IBS symptoms may be linked to bacterial overgrowth in the intestines. When this happens, a doctor may prescribe a short course of antibiotics such as rifaximin to reduce bacterial levels and ease symptoms.

8. Psychotherapy

Psychotherapy may be recommended to help identify psychological factors that contribute to IBS symptoms and to support healthier emotional and physical responses.

Approaches may include traditional psychotherapy or cognitive behavioral therapy.

9. Practicing relaxation techniques

In addition to dietary changes and medication, alternative therapies may complement IBS treatment by helping reduce stress, a major trigger of symptoms.

Examples include meditation, relaxation exercises, reflexology, and acupuncture.

Herbal remedies such as peppermint may also help relieve abdominal cramps due to its natural antispasmodic properties. However, these options should never replace medical treatment.