The best way to keep track is to keep a diary for a few weeks. If you notice any patterns, try to avoid or modify any factors that may make the symptoms worse. It is important to treat the symptoms as well. These same antispasmodic drugs can be taken for abdominal pain. Heating pads, hot baths, or hot drinks may help to slow the spasms and provide relief from abdominal pain.
Constipation improves with a high-fiber diet.
Stimulant laxatives, when taken over a period of time, tend to harm the bowel and should be avoided. If a laxative is needed, osmotic laxatives like sorbitol or lactulose are preferred over stimulant laxatives. As we discussed in the section on stress and IBS, it is common for patients' IBS symptoms to be related to stress, anxiety, or other psychological factors. If the symptoms are severe or difficult to manage, it may help to see a therapist for stress management, relaxation training, cognitive-behavioral therapy, or other coping strategies. Sometimes psychological treatments are successful even in cases where stress and anxiety factors are not apparent.