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Prokinetic Agents such as Cisapride or Propulsid help in gastroesophageal reflux disease
Prokinetic Agents such as Cisapride or Propulsid help in gastroesophageal reflux disease and dyspepsia related to delayed gastric emptying. Its effectiveness in constipation predominant IBS, however has not been well established.
Tricyclic anti-depressants such as amitriptyline, imipramine, and despramine or selective serotonin reuptake inhibitors such as fluoxetine, sertraline, and paroxetine are frequently used to relieve the symptoms of IBS. But their efficiency is constantly being debated. Antidepressants block the brain’s perception of pain in the gut. Some side effects of tricyclic antidepressants are: dry mouth, drowsiness, and blurred vision.
Over-the-counter drugs, laxatives and fiber supplements, are also used to treat IBS. Your physician’s instructions should be followed as laxatives can be addictive. Other OTC products such as Pepto-Bismol and antacids are generally safe. Fiber supplements may increase bowel movement, but they do not occur to help with other symptoms. Actually, additional doses of fiber may worsen abdominal pain, bloating, and discomfort in some patients with IBS.
It sometimes happens that a simple change in diet works perfectly. People feel much better after eliminating fat foods from their meals, or limiting caffeine and alcohol consumption. In some people symptoms get better as they eliminate dairy products.
Dietary fiber may also alleviate IBS symptoms. Whole grain breads and cereals, beans, fruits, and vegetables are great sources of fiber. High-fiber diets help prevent colon muscle spasms from developing. Physicians often suggest that you should eat just enough fiber to have soft, easily passed, and painless bowel movements. High-fiber diets may bring about gas or bloating.