Nice | Irritable Bowel Syndrome (IBS)

23rd May 2015 by Louise Hudman

Nice | Irritable Bowel Syndrome (IBS)

This is an update to the 2008 guideline on IBS from NICE. Most of it is same; I have listed the changes.

Diet

Most advice is the same. However, for people with symptoms not responding to other treatments, NICE advises that single item dietary exclusion could be tried. This includes the FODMAP diet (fermentable oligosaccharides, disaccharides, monosaccharides and polyols). This latter should be initiated by a dietician. This advice has been included because of the popularity of the diet. There is very low quality evidence of benefit to abdominal symptoms, pain and bloating. There is some very low quality evidence of benefit for flatulence (but some showing no benefit). There is no evidence of benefit to diarrhoea or constipation.

Laxatives

Linaclotide can be tried if

  • laxatives from other classes at maximum tolerated or optimal doses have been tried AND
  • they’ve had constipation for at least 12 months.

Join

Join to view the rest of this content, as well as access all the benefits of joining NASGP.

Join

Login

Already a member? Login to view this content.

Login

"I don’t normally do this, but just to say that I thought your article at the front of the latest NASGP magazine about clinical errors was really excellent. Great, and very thoughtful writing. NASGP member."

‘Great, and very thoughtful writing’

‘Great, and very thoughtful writing’

See the full list of features within our NASGP membership plans

Membership