Question

A 30-year-old woman presents with abdominal discomfort, bloating, and altered bowel habits (constipation alternating with diarrhea) for 6 months. Investigations are normal, and she meets Rome IV criteria. Which is the best initial management step for IBS, according to NICE?

Accepted Answer

Lifestyle advice including regular meals, adequate fluid, and consideration of soluble fibre supplementation

Answer

Empirical trial of a low FODMAP diet

Answer

High-fibre diet with bran supplements

Answer

Long-term loperamide use

Answer

Colonoscopy for all patients

Practice question

A 30-year-old woman presents with abdominal discomfort, bloating, and altered bowel habits (constipation alternating with diarrhea) for 6 months. Investigations are normal, and she meets Rome IV criteria. Which is the best initial management step for IBS, according to NICE?