A prudent program for IBS will involve what is typically referred to as the four R's: Remove, Replace, Reinocculate, and Repair.

Remove

We must first remove any offending agents from the diet (see the Diet section for more details). In addition, we need to determine if any parasitic or pathogenic bacteria are present; a comprehensive digestive stool analysis with parasitology (CDSA 2.0) will help determine if these are present. You may also want to use our online Health Appraisal Questionnaire to provide more information. If pathogenic flora, yeast or parasites are found, specific measures need to be taken to remove these microorganisms.

Replace

Next, we want to replace any deficient enzymes or stomach acid to promote optimal digestion:

Reinocculate

The third thing we need to do is re-establish proper flora balance in the small and large intestine:

Repair

And finally, we need to repair the damage done and speed healing through targeted nutritional therapies:

Add the following if:

Diarrhea Predominant IBS:

Constipation Predominant IBS: