Hello, * The inflammation of bowel with deficiency of nutrients caused by bowel pathology and disturbed gut flora are vital reasons for the abdomen problems in IBS. My guidelines for this case - drink more liquids - consume easily digestible food stuffs - avoid all spices, non veg, junk items, dairy fat - raise intake of fresh yogurt and butter milk - regular aerobics, exercises - meditations and YOGA - avoid smoking and alcohol if consuming - continue current medications - add intake of pre and post biotics with lacto bacillus and sacromyosis bullardie in drug basket. * Consideration of GI specific antibiotics as metronidazole or rifaximin is choice of treating physician or gastroenterologist. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel