Following a complete medical history that includes a careful description of symptoms, a physical examination and laboratory tests will be done. Stool samples will be tested for evidence of bleeding, and x-rays and endoscopy will be done to rule out other disorders. Although IBS causes a great deal of discomfort and distress, it is not associated with serious complications or cancer. For some people, IBS can be a major disruption in their daily life. Fortunately, most symptoms can be controlled through dietary modification, stress management , and occasionally prescription medications .
Most dietitians suggest keeping a journal to note which foods cause the most problems.
Once completed, they will review this list and help you select a satisfying and nutritionally adequate meal plan that eliminates these foods. In addition, smaller, more frequent meals tend to be tolerated better than large meals. Continuous monitoring and dietary modification can help those with IBS limit symptoms. Not all exercises or diets are suitable for everyone. Before you begin this program, you should have permission from your doctor to participate in vigorous exercise and change of diet.