Question

A 34-year-old woman presents with chronic abdominal pain and altered bowel habits (diarrhoea and constipation intermittently). No red flag signs are found. According to NICE, which of the following is recommended first-line to manage IBS symptoms?

Accepted Answer

Psyllium (ispaghula) as a soluble fibre supplement

Answer

High-dose loperamide

Answer

Elimination diet supervised by a dietitian

Answer

Trial of a low FODMAP diet

Answer

Tricyclic antidepressants immediately

Practice question

A 34-year-old woman presents with chronic abdominal pain and altered bowel habits (diarrhoea and constipation intermittently). No red flag signs are found. According to NICE, which of the following is recommended first-line to manage IBS symptoms?