The American College of Gastroenterology's updated recommendations on the management of irritable bowel syndrome are based on an extensive new meta-analysis. Among the conclusions, fiber therapy and non-absorbable antibiotics may help some patients, but more data is needed on appropriate use of probiotics. Tricyclic antidepressants and selective serotonin reuptake inhibitors benefit a broad range of IBS patients, along with psychological counseling. There is no conclusive evidence, however, that Chinese herbal remedies or acupuncture help, nor is there evidence that testing for food allergies or adopting diets based on eliminating food items relieve IBS symptoms.
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