Good evening Customer (name blocked for privacy), welcome to JA! There is a survey in progress, regarding Pepto Bismol's use in IBS. The American College of Gastroenterology,states that OTC are effective for slowing diarrhea, but did not relieve IBS symptoms such as stomach pain or swelling. The constipation/diarreah cycles experienced in IBS may also make anti-diarreal treatments risky
Side effects are rare with PB, but stomach cramping, bloating, dry mouth,and constipation have been reported. There is a survey in progress, regarding Pepto Bismol's safe use in IBS. Many who suffer with the disorder, or study IBS, have suggested that the incindence of side effects is much greater within the IBS population. That remains to be seen, but if it is ineffective, or you experience side effects or worsening symptoms, discontinue it.
The survey is being completed on:
http://www.irritable-bowel-syndrome.ws/pepto-bismol.htm
This site is an excellent resource for the treatments available, and evaluation of their effectiveness. The truth (and your answer) is this: There is no simple treatment for control of IBS and it's symptoms. Pain relief may be acheived only through persistent, vigilent lifestyle changes with complementary with medication and supplements.
The IBS diet, can be a complex exclusion diet or a basic plan for avoiding triggers. the diets mentioned and links to pertinent nutritional needs may be found at:
http://www.irritable-bowel-syndrome.ws/eating-for-ibs-diet.htm
Clinical Gastroenterology and Hepatology published a study report linking exercise directly to dimished GI symptoms.
Because of the direct effect of stress and emotion on IBS, therpy, hypnosis, meditation, yoga, and support networking have taken an important part in recent improved IBS treatment success rates.
Prescription medications may include:
Antispasmodics
Hyoscyamine, Tincture of Belladonna, Bentyl
Antidiarrheals
Codeine, Lomotil
Antidepressants:
Nortriptyline, Amitriptyline, Prozac, Paxil, Wellbutrin, Effexor
Medications to encourage bowel motility:
Metoclopramide (Reglan,) Domperidone, Propulsid
Serotonin Agents:
Alosetron hydrochloride (Lotronex)Tegaserod maleate (Zelnorm)
Anxiolytics:
Diazepam (Valium) Chlordiazepoxide (Librium) Chlorazepate (Tranxene) Alprazolam (Xanax) Lorazepam (Ativan) Oxazepam (Serax)
OTC: The Immodium may prove effective if used as part of a total treatment plan, and when taken with an Antiflatulent like: Simethicone, Maalox, Gas-X, Mylanta, Phazyme, or Mylicon Drops.
A supplement made for IBS symptom prevention (including digestive amino acids), Calcium supplement, and natural digestive enzyme tablets may be found at your local health food store. Peppermint oil is a natural anti-spasmodic, and a fiber supplement may improve diarreah with regular use.
You should employ a proactive approach to your treatment. Keep a symptom/treatment journal, and list of questions, while initiating the lifestyle changes. Contact your Doctor to schedule a consultation. Use this time to lay out your plan and get his input, ask questions and discuss prescription interventions that may address your needs. A prescription for Bentyl and/or Lomotil, should be considered to have available for future bouts of diarreah. Find and join a support group, even if it is online. When choosing exercise programs look at those including basic yoga technique. Other alternative treatments may be found on the above links as well.
I realize this may seem overwhelming. When you are in dire pain/crisis, the idea of planning for future concerns seems absurd. Start with the Doctor. OTC meds will be more effective later, when prevention techniques are in place. For now, you may require one or more prescription medications to normalize enough for the planning phase.
I hope this information helps you re-discover health. Thank you for allowing me to help with your question. Please reply if I can add to, or clarify this answer in any way.
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I hope my information is helpful. If you have more questions, just ask! I will gladly help, otherwise please click "accept".
Positive feedback and any bonus would be appreciated. Thank you, Christy
