Type of IBS | Symptoms | ||
---|---|---|---|
* XG+PPT+XOS = combination product with xyloglucan, pea protein and xylooligosaccharides | |||
IBS-D (diarrhoea-predominant IBS) | Diarrhoea | Bloating | Pain |
Primary | Loperamide, psyllium, cholestyramine | FODMAP avoidance, probiotics | Antispasmodics, peppermint oil capsules, probiotics |
Secondary | XG+PPT+XOS* , rifaximin | Rifaximin | Tricyclic antidepressants (TCA) and tetracyclic antidepressants, SNRI, psychotherapy |
IBS-C (constipation-predominant IBS) | Constipation | Bloating | Pain |
Primary | Psyllium, macrogol | FODMAP avoidance, probiotics | Antispasmodics, peppermint oil capsules, probiotics, linaclotide |
Secondary | Linaclotide, prucalopride | Tetracyclic antidepressants, SNRI, psychotherapy | |
IBS-M (mixed type IBS) | Diarrhoea/constipation | Constipation/bloating | Pain |
Primary | Psyllium | FODMAP avoidance, probiotics | Antispasmodics, peppermint oil capsules, probiotics |
Secondary | Diarrhoea: withdrawal of laxative Constipation: withdrawal of loperamide | TCA, tetracyclic antidepressants, SNRI or psychotherapy |