Diarrhea alternating with constipation is a classic symptom of irritablel bowel syndrome. Following is my recommendation for how to take care of IBS. I do not know why you have the white material on your tongue. You would have to see a doctor to see if that is a normal finding or an infection in your case.
IBS is a diagnosis of exclusion of organic disease when there are no alarm symptoms of bleeding or weight loss.
Dairy, celiac and infectious diseases should be eliminated as well as colorectal cancer.
Reassurance and explanation is important. One may have diarrhea predominant, constipation predominant, or combination of the two.
Anti-spasmotics ( Hyoscine) and Imodium may be tried in diarrhea predominant. Low doses of tricyclic antidepressives may be tried. Peppermint oil is associated with relief of symptoms in the treatment of IBS as well as probiotics.
A successful patient–physician relationship is essential to the treatment
of IBS and has been associated with improved health status and increased efficiency of care.
A significant number of IBS patients report meal-related
symptoms. The interaction of food with physiologic disturbances in the gut in IBS patients is not well understood.?Avoidance of food intolerances in IBS patients can sometimes provide symptom relief. Avoid any carbonated beverages, any foods that could produce gas such as broccoli, cabbage, beans, etc. Small frequent meals rather than three large meals a day may also be helpful. Over-the-counter gas medications that contains simethicone may also be helpful.
Behavioral and psychological treatments, such as cognitive behavioral therapy and hypnotherapy, have been shown to be efficacious in the management of IBS.
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