Advise patients to manage their symptoms by eating a healthy, balanced diet that includes whole grains, fruits (especially high in sorbitol such as apples, pears, and prunes), and vegetables, with fibre intake gradually increased to about 30 g per day to minimize bloating and flatulence NICE CKS.
Encourage adequate fluid intake, especially if there is a risk of dehydration, to help soften stools NICE CKS.
Advise increasing physical activity and exercise levels if these are below the recommended levels, as this may help improve bowel function NICE CKS.
Recommend establishing a regular, unhurried toilet routine, responding immediately to the sensation of needing to defecate, and ensuring access to appropriate toilet facilities with privacy and support if mobility is limited NICE CKS.