What is the nursing care plan for patient who in irritable bowel syndrome?

that patient is irritable bowel syndrome ,as a nurse what are the nursing care plan

Diet and lifestyle changes
Nearly all people with IBS can be helped, but no one treatment works for everyone. Usually, with a few basic changes in diet and activities, IBS will improve over time. Here are some steps you can take to help reduce symptoms of IBS:

Avoid caffeine (found in coffee, teas and sodas).
Increase fiber in your diet (found in fruits, vegetables, grains and nuts).
Drink at least three to four glasses of water per day.
Don't smoke.
Learn to relax, either by getting more exercise or by reducing stress in your life.
Try limiting the amount of milk and cheese you consume. Eat smaller meals more often or eat smaller portions. However, if you have IBS and are concerned about your calcium intake, you can try other sources of calcium. These sources include broccoli, spinach, turnip greens, tofu, yogurt, sardines and salmon with bones, calcium-fortified orange juice and breads, calcium supplements and some antacid tablets.

Keep a record of the foods you eat so you can figure out which foods bring on bouts of IBS. Common food "triggers" of IBS are red peppers, green onions, red wine, wheat and cow's milk.

Drug treatments
Antispasmotics may be prescribed to control colon muscle spasms; but, experts are unsure that these drugs play a significant role in treating IBS. They also have side effects, such as sedation and constipation that further limit their use.
Antidiarrheal medications, such as Imodium, may help with diarrhea.
Laxatives may be useful in the short term management of constipation associated with IBS.
Bulking agents, such as psyllium, wheat bran, and corn fiber, help slow the movement of food through the digestive system and may also help relieve symptoms.
Antidepressants may also be prescribed to help relieve symptoms.
Zelnorm is available for some patients under tight restrictions. The drug was pulled from the market in March 2007 because of evidence that it raises the risk of heart attacks and stroke. But in July 2007 the FDA ruled that Zelnorm may be used by some patients in critical need of the drug who do not have heart problems. The FDA is restricting Zelnorm's use to the treatment of irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC) in women younger than 55 who meet specific guidelines.
It is important to follow the doctor's instructions when taking IBS medications -- particularly laxatives, which can be habit forming if not used carefully.

Reviewed by The Cleveland Clinic Department of Gastroenterology.
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