Managing IBS - a two-step approach

IBS often has no permanent cure — but it can be managed. Here's a practical, two-step approach to reducing symptoms. 

Step 1: Eliminate triggers

Food triggers

Food is the most common IBS trigger. Identifying and removing trigger foods minimises things that might enflame your gut and gives it a chance to rest and reset.

Our Eliminate meal replacement offers a simple, structured way to identify trigger foods and remove them from your diet safely.

Stress

The gut-brain connection means stress shows up in your gut. Worry — from work, relationships, or daily pressure — can make the gut more sensitive, and stress hormones like cortisol can intensify symptoms. The more stress, the more intense the symptoms tend to be.

A symptom journal can help. Track flare-ups alongside what's happening in your life — cramps before a stressful meeting,  diarrhoea after a difficult conversation. Noticing patterns like these are useful for managing both stress and symptoms.

Relaxation techniques - Breathing exercises, meditation, and yoga are great ways to relax — YouTube and meditation apps offering many free guided options. Even if you can't eliminate the stressor itself, a daily relaxation habit can lower stress and ease stress-related gut symptoms.

Exercise - Movement lowers stress hormones like adrenaline and cortisol while releasing endorphins, and it supports healthy bowel function. It doesn't need to be a marathon — a 15-minute walk, gardening, vacuuming, or a game of tennis all help to lower stress levels and minimise gut symptoms.

Sleep - Quality sleep also supports stress regulation, hormone balance, and digestion. Try the 3-2-1 rule:

  • 3 hours before bed: no food, caffeine, or alcohol
  • 2 hours before bed: no work
  • 1 hour before bed: no screens

Step 2: Alleviate symptoms

Once you have minimised anything that might be triggering your symptoms, these evidence-informed habits to help ease what’s left

Prebiotic fibre

The right kind of fibre supplement can help, but not all fibre behaves the same way in the gut. It is essential to use a low-FODMAP prebiotic fibre — like the Partially Hydrolysed Guar Gum and Fibresol in Alleviate.  These have been proven to :

  • Feed beneficial gut bacteria
  • Help balance water absorption (supporting stool consistency)
  • Help ease bloating, cramping, and wind through slower digestion
  • Support the gut-serotonin link tied to mood and stress

Sleep

It's worth repeating. Aim for around 8 hours of deep, uninterrupted sleep most nights.

Eat slowly

How you eat matters as much as what you eat. Eating too quickly can overwhelm your digestive system, leading to bloating and discomfort.

Try the 20-20-20 rule: chew each bite for 20 seconds, pause 20 seconds between bites, and take at least 20 minutes to finish a meal.

Reduce caffeine

Caffeine has a laxative effect and can disrupt fluid absorption in the gut, leading to loose stools or increased urgency. If caffeine worsens your symptoms, cutting back is worth considering.

Apply gentle heat

A heat pack on the stomach can ease cramping and bloating by relaxing muscles and encouraging blood flow.

Peppermint oil

Peppermint oil capsules can sometimes help because of their antispasmodic effect on gut muscles. Speak with a healthcare provider about whether this is appropriate for you, and follow the dosing on the product label.

Gut-directed hypnotherapy

This technique works on the gut-brain connection directly, and can help reduce stress-related flare-ups. Specialised practitioners — including at the MacMurray Centre — offer this as part of an IBS management plan.

 

If your symptoms include blood in your stool, unexpected weight loss, or bowel changes, please see your doctor — this article is general information and isn't a substitute for medical consultation.

 

IBS can be frustrating to live with, but small, consistent changes really do add up — we hope these steps help you feel more like yourself again.