
Managing an IBS Flare

If you’re in the middle of an IBS (irritable bowel syndrome) flare, first things first: An IBS flare can feel endless, but it will pass. Additionally, many therapies are available to lessen its impact on your life.
Dr. Prem Chattoo and his team at Hudson River Gastroenterology offer these expert tips for managing your current symptoms and preventing frequent IBS flare-ups.
Managing an IBS flare
Here’s a practical guide to managing an IBS flare, step-by-step:
1. Go easy on your gut
When your belly’s throwing a tantrum, the goal is to not provoke it further. Instead, we recommend sticking to bland, low-FODMAP foods.
Think plain rice, oatmeal, bananas, chicken, eggs, or broth-based soups. The low-FODMAP diet can help reduce gas and bloating by limiting fermentable carbs that feed gut bacteria.
Notably, low-FODMAP diets are only temporary, meant to give your gut a break as it recovers from an IBS attack.
Dr. Chattoo also recommends small meals and slow bites. Large meals can overwhelm your gut. Eating slowly aids digestion and helps prevent you from swallowing extra air (and gas).
Remember that water is your friend, especially if diarrhea is part of the flare. Sip herbal teas like peppermint, fennel, or ginger for extra hydration with soothing effects.
2. Calm your nerves (and your belly)
Stress and IBS are closely linked. A stressed brain can stir up your gut, and gut discomfort can stress you out.
Try calming the cycle with:
- Deep belly breathing (inhale 4, hold 4, exhale 6)
- A gentle walk (movement can ease bloating and help gut motility)
- A heating pad on your stomach to relax tense muscles
- Guided meditation apps
- Calming activities like yoga or tai chi
These stress management practices can lessen the impact of an IBS flare-up and go a long way in helping prevent future episodes.
3. Consider short-term relief
While there’s no one-size-fits-all solution for IBS, for which there’s no cure, certain OTC options can help during a flare (check with your healthcare provider first):
- Loperamide (Imodium) for diarrhea
- Magnesium citrate or osmotic laxatives for constipation
- Antispasmodics like peppermint oil capsules for cramps
- Probiotics, which some people find helpful, but results can vary
While these products can offer temporary relief, you must check with your physician before starting any new supplement or over-the-counter medication. Dr. Chattoo may also recommend prescription medication to ease your symptoms.
4. Track your triggers
Keeping a simple journal of what you eat, your stress levels, and your symptoms can help you spot patterns (i.e., dairy, garlic, or high stress) that shed light on potential triggers. The key, then, is to avoid the triggers whenever possible.
5. Be kind to yourself
This step is significant. IBS flares can feel isolating, embarrassing, and frustrating. Remember, your symptoms are real, so it’s okay if you need to cancel plans. You’re doing your best.
Additionally, if it’s been a while since your last IBS follow-up or you’ve never been satisfied with your IBS treatment, it may be time to connect with a GI specialist familiar with IBS's many facets.
Ready for relief?
An effective treatment strategy for IBS is personalized to your needs. Schedule a visit with Dr. Chattoo at Hudson River Gastroenterology by calling the office or requesting an appointment online today.
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