Table 2.

Treatment Modalities for Irritable Bowel Syndrome

First-Line Treatment

Establishment of a regular eating pattern and a healthy eating lifestyle High intake of noncaffeinated, noncarbonated, alcohol-free fluids throughout the day Dietary assessment of the impact of milk and lactose, dietary fiber, and fatty foods

Second-Line Treatment

Symptom-specific dietary interventions — Addition of linseed products — Addition of probiotics Low-FODMAP diet

Third-Line Treatment

Elimination diets, which are used for 3 to 4 months, including the food reintroduction phase

FODMAP, fermentable oligo-, di-, and monosaccharide and polyol