{"id":64431,"date":"2026-08-26T17:34:26","date_gmt":"2026-08-26T17:34:26","guid":{"rendered":"https:\/\/cdhf.ca\/?p=64431"},"modified":"2026-08-27T13:26:36","modified_gmt":"2026-08-27T13:26:36","slug":"ibs-treatment-a-guide-to-managing-irritable-bowel-syndrome","status":"publish","type":"post","link":"https:\/\/cdhf.ca\/en\/ibs-treatment-a-guide-to-managing-irritable-bowel-syndrome\/","title":{"rendered":"IBS Treatment: A Guide to Managing Irritable Bowel Syndrome\u00a0"},"content":{"rendered":"\n<h4 id=\"0-how-is-ibs-treated-ibs-treatment-depends-on-your-symptoms-and-may-include-dietary-changes-regular-physical-activity-stress-management-psychological-therapies-supplements-or-medications-healthy-eating-and-lifestyle-habits-are-often-a-starting-point-while-approaches-such-as-a-low-fodmap-diet-may-help-some-people-when-guided-by-a-registered-dietitian-or-healthcare-professional-because-ibs-symptoms-vary-from-person-to-person-treatment-is-often-individualized-\" class=\"wp-block-heading has-background\" style=\"background-color:#f5ebff\"><strong>How is IBS treated?<\/strong><br>IBS treatment depends on your symptoms and may include dietary changes, regular physical activity, stress management, psychological therapies,&nbsp;supplements&nbsp;or medications. Healthy eating and lifestyle habits are often a starting point, while approaches such as a low FODMAP diet may help some people when guided by a registered dietitian or healthcare professional. Because IBS symptoms vary from person to person, treatment is often individualized.&nbsp;<\/h4>\n\n\n\n<h2 id=\"1-what-is-irritable-bowel-syndrome-ibs-\" class=\"wp-block-heading\"><strong>What is&nbsp;Irritable Bowel Syndrome&nbsp;(IBS)?&nbsp;<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/cdhf.ca\/en\/digestive-conditions\/irritable-bowel-syndrome-ibs\/\" target=\"_blank\" rel=\"noreferrer noopener\">What is&nbsp;Irritable Bowel Syndrome&nbsp;(IBS)<\/a>&nbsp;affects&nbsp;<a href=\"https:\/\/cdhf.ca\/en\/digestive-conditions\/irritable-bowel-syndrome-ibs\/\" target=\"_blank\" rel=\"noopener\">13 to 20% of Canadians<\/a>&nbsp;and 11% of the population worldwide. IBS is more common in women than men and individuals are most often diagnosed before 50 years old.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IBS symptoms often include recurring diarrhea, constipation, abdominal pain,&nbsp;bloating,&nbsp;and\/or gas. The pain may be linked to:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Having a bowel movement&nbsp;<\/li>\n\n\n\n<li>Changes in how often you have a bowel movement&nbsp;<\/li>\n\n\n\n<li>Changes in the appearance or consistency of your stool&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The exact cause of IBS is&nbsp;unknown,&nbsp;but it may be linked to:&nbsp;&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A sensitive gut&nbsp;<\/li>\n\n\n\n<li>Food that is digesting too fast or too slow&nbsp;<\/li>\n\n\n\n<li>Stronger signals between the gut and the brain&nbsp;<\/li>\n\n\n\n<li>Changes in the bacteria in the gut&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">IBS impacts quality of life, relationships,&nbsp;productivity&nbsp;and socioeconomic burden on the individual as well as on society at large. So\u2026 what are some IBS treatment options? There is no one size fits all treatment approach for&nbsp;IBS,&nbsp;and an individualized approach is often needed because everyone\u2019s symptoms can vary.&nbsp;<\/p>\n\n\n\n<h2 id=\"2-ibs-treatment-options-\" class=\"wp-block-heading\"><strong>IBS Treatment Options&nbsp;<\/strong><\/h2>\n\n\n\n<h3 id=\"3-general-healthy-eating-habits-\" class=\"wp-block-heading\">General healthy eating habits&nbsp;<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Small, frequent meals: Aim to eat every 3 to 4 hours to keep your digestive system moving regularly&nbsp;&nbsp;<\/li>\n\n\n\n<li>Stay hydrated: Aim for 2 to 2.5L (8 to 10 cups) of water&nbsp;everyday&nbsp;&nbsp;<\/li>\n\n\n\n<li>Limit caffeine, high fat foods,&nbsp;alcohol&nbsp;and spicy foods&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 id=\"4-lifestyle-habits-\" class=\"wp-block-heading\">Lifestyle habits&nbsp;<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Stay active:<\/strong> Regular physical activity like walking,&nbsp;cycling,&nbsp;or swimming can help stimulate regular bowel movements and reduce bloating&nbsp;&nbsp;<\/li>\n\n\n\n<li><strong>Manage stress: <\/strong>IBS symptoms can worsen when you are experiencing stress.&nbsp;Try meditation, deep breathing, and mindfulness activities that may help you relax&nbsp;&nbsp;<\/li>\n\n\n\n<li><strong>Healthy sleeping habits:<\/strong> Build a consistent sleep schedule and get enough sleep to support your digestive system&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<h2 id=\"5-dietary-therapies-\" class=\"wp-block-heading\"><strong>Dietary&nbsp;Therapies&nbsp;<\/strong><\/h2>\n\n\n\n<h3 id=\"6-low-fodmap-diet-\" class=\"wp-block-heading\">Low FODMAP&nbsp;diet&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The&nbsp;<a href=\"https:\/\/cdhf.ca\/en\/understanding-the-fodmap-diet\/\" target=\"_blank\" rel=\"noopener\">low FODMAP diet<\/a>&nbsp;may be an IBS treatment&nbsp;option&nbsp;for you if your symptoms are caused by eating fermentable carbohydrates. The low FODMAP diet is not considered a first&nbsp;line&nbsp;therapy for everyone. Initial IBS treatment should include modifications to general healthy eating and lifestyle habits. When these changes do not provide symptom relief, a low FODMAP diet may be recommended with guidance from a registered dietitian or healthcare professional.&nbsp;&nbsp;<\/p>\n\n\n\n<h3 id=\"7-what-are-fodmaps%C2%A0%C2%A0\" class=\"wp-block-heading\">What are FODMAPs?&nbsp;&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">FODMAPs are foods that&nbsp;contain&nbsp;<strong>f<\/strong>ermentable&nbsp;<strong>o<\/strong>ligosaccharides,&nbsp;<strong>d<\/strong>isaccharides,&nbsp;<strong>m<\/strong>onosaccharides,&nbsp;<strong>a<\/strong>nd&nbsp;<strong>p<\/strong>olyols. These carbohydrates are not fully digested or absorbed into our intestines.&nbsp;&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>In the small intestine: <\/strong>FODMAPs can attract water and lead to bloating and diarrhea&nbsp;<\/li>\n\n\n\n<li><strong>In the large intestine:<\/strong> FODMAPs are fermented by gut bacteria and can produce gas,&nbsp;bloating&nbsp;and discomfort&nbsp;<br>&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 id=\"8-why-do-fodmaps-matter%C2%A0\" class=\"wp-block-heading\">Why do FODMAPs matter?&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">FODMAPs are an important part of a nutritious&nbsp;diet,&nbsp;and low FODMAP diets can be restrictive.&nbsp;&nbsp;<br>Numerous studies have shown that a low FODMAP diet improves overall functional&nbsp;symptoms,&nbsp;but it is important to seek professional advice before restricting or&nbsp;eliminating&nbsp;foods in your diet!&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Examples of low FODMAP&nbsp;substitutes&nbsp;for high FODMAP foods&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-black-color has-text-color has-background has-link-color has-fixed-layout\" style=\"background-color:#f3e8fc\"><tbody><tr><td><strong>Food category&nbsp;<\/strong><\/td><td><strong>High FODMAP (Avoid)&nbsp;<\/strong><\/td><td><strong>Low FODMAP (Select)&nbsp;<\/strong><\/td><\/tr><tr><td><strong>Grains<\/strong>&nbsp;<\/td><td>Wheat, rye, pasta, bread&nbsp;<\/td><td>Rice, quinoa, rolled oats, gluten free&nbsp;pasta&nbsp;and bread&nbsp;<\/td><\/tr><tr><td><strong>Vegetables<\/strong>&nbsp;<\/td><td>Onion, garlic, leek&nbsp;<\/td><td>Garlic and onion infused olive oils&nbsp;<\/td><\/tr><tr><td><strong>Fruit<\/strong>&nbsp;<\/td><td>Apple, pear, stone fruits, watermelon&nbsp;<\/td><td>Oranges, mandarins, banana, berries&nbsp;<\/td><\/tr><tr><td><strong>Dairy<\/strong>&nbsp;<\/td><td>Milk and yogurt&nbsp;<\/td><td>Lactose free products or dairy alternatives (oat milk)&nbsp;<\/td><\/tr><tr><td><strong>Meat and Alternatives<\/strong>&nbsp;<\/td><td>Legumes (beans, soybeans)&nbsp;<\/td><td>Meat, extra-firm plain tofu, eggs,&nbsp;chickpeas&nbsp;and lentils&nbsp;<\/td><\/tr><tr><td><strong>Sweeteners<\/strong>&nbsp;<\/td><td>Honey, sugar free products with sorbitol or mannitol&nbsp;<\/td><td>Table sugar, maple syrup&nbsp;&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">FODMAPs are found in a wide variety of foods.&nbsp;For more information on low FODMAP foods&nbsp;and serving sizes, check out&nbsp;<a href=\"https:\/\/cdhf.ca\/en\/understanding-the-fodmap-diet\/\" target=\"_blank\" rel=\"noopener\">Understanding the FODMAP diet.<\/a>&nbsp;<\/p>\n\n\n\n<h3 id=\"9-how-long-is-the-low-fodmap-treatment-is-the-low-fodmap-diet-a-lifelong-therapy-\" class=\"wp-block-heading\"><strong>How long is the low FODMAP treatment? Is the low FODMAP diet a lifelong therapy?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The low FODMAP diet should not be a lifelong treatment plan. There are three phases:&nbsp;&nbsp;<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Elimination: Adopt the low FODMAP diet for 2-6 weeks&nbsp;by&nbsp;identifying&nbsp;foods in your diet that are high in FODMAPs and swap with low options from the same food group. Observe if your symptoms improve.&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li>Reintroduction: After 2-6 weeks&nbsp;of elimination, reintroduce or challenge each individual FODMAP group with a dietitian\u2019s guidance for 6-8 weeks. Select a FODMAP subgroup and a&nbsp;test of&nbsp;food from that group. Consume&nbsp;that food&nbsp;over 3 days with increasing doses. Identity symptoms. After a&nbsp;2-3 day&nbsp;washout period, try the next subgroup.&nbsp;&nbsp;<\/li>\n<\/ol>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li>Personalization:&nbsp;Retain&nbsp;well tolerated foods into your diet to reduce&nbsp;restricting&nbsp;your diet while relieving IBS symptoms. This ensures that you are eating the proper nutrients and minimizing unnecessary restrictions&nbsp;in&nbsp;your diet!&nbsp;&nbsp;<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">If you are unable to meet with a dietitian, the&nbsp;<a href=\"https:\/\/www.monashfodmap.com\/ibs-central\/i-have-ibs\/get-the-app\/\" target=\"_blank\" rel=\"noopener\">Monash University FODMAP Diet app&nbsp;<\/a>is an accessible resource for IBS treatment that can help manage symptoms!&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/08\/Get_The_App_Website_Update_2025.width-800.webp\" alt=\"\" class=\"wp-image-64453 lazyload\" style=\"aspect-ratio:1.9115603810474646;width:840px;height:auto\"\/><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/08\/Get_The_App_Website_Update_2025.width-800.webp\" alt=\"\" class=\"wp-image-64453 lazyload\" style=\"aspect-ratio:1.9115603810474646;width:840px;height:auto\"\/><\/noscript><\/figure>\n\n\n\n<h3 id=\"10-is-the-low-fodmap-diet-right-for-me-\" class=\"wp-block-heading\"><strong>Is the low FODMAP diet&nbsp;right for me?&nbsp;&nbsp;<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">If you are not on restrictive diets, you&nbsp;frequently&nbsp;consume high FODMAP foods and your symptoms line up with FODMAP intolerance, then you may&nbsp;benefit&nbsp;from a low FODMAP diet.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The low FODMAP diet is not recommended for&nbsp;the following&nbsp;people:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Those&nbsp;with an&nbsp;active eating disorder&nbsp;or history of an eating disorder&nbsp;<\/li>\n\n\n\n<li>Those who are&nbsp;underweight or malnourished&nbsp;<\/li>\n\n\n\n<li>Children&nbsp;<\/li>\n\n\n\n<li>Pregnant&nbsp;women&nbsp;<\/li>\n\n\n\n<li>Those with cognitive&nbsp;impairment&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 id=\"11-modified-low-fodmap-diet-\" class=\"wp-block-heading\">Modified&nbsp;low FODMAP diet&nbsp;&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The&nbsp;<a href=\"https:\/\/cdhf.ca\/en\/low-fodmap-diet-the-traditional-vs-modified-approach\/\" target=\"_blank\" rel=\"noopener\">modified low FODMAP diet<\/a>&nbsp;is a&nbsp;more gentle&nbsp;approach that is less restrictive to the traditional low FODMAP diet mentioned above.&nbsp;This IBS treatment option only eliminates frequently eaten foods that are high FODMAP and can cause symptoms in the majority of people.&nbsp;The first&nbsp;option&nbsp;is to swap out the&nbsp;frequently&nbsp;consumed high FODMAP for low FODMAP foods.&nbsp;The second&nbsp;option&nbsp;is to avoid high FODMAP foods for the&nbsp;2-6 week&nbsp;elimination period.&nbsp;<\/p>\n\n\n\n<h3 id=\"12-low-lactose-diet-\" class=\"wp-block-heading\">Low&nbsp;lactose&nbsp;diet&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The low lactose diet may be suitable if you are&nbsp;<a href=\"https:\/\/cdhf.ca\/en\/navigating-lactose-intolerance-unveiling-its-impact-on-digestive-health-and-uncovering-hidden-sources\/\" target=\"_blank\" rel=\"noopener\">lactose intolerant<\/a>.&nbsp;&nbsp;<br>&nbsp;<\/p>\n\n\n\n<h3 id=\"13-low-fructosesorbitol-diet-\" class=\"wp-block-heading\">Low&nbsp;fructose\/sorbitol&nbsp;diet&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Fructose\/sorbitol restriction may help manage IBS symptoms if you experience fructose or sugar&nbsp;alcohol&nbsp;malabsorption.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These lines of treatment that include restricting or&nbsp;eliminating&nbsp;certain foods from your diet should be approached alongside a registered dietitian or healthcare&nbsp;professional, to&nbsp;determine&nbsp;if&nbsp;it is a necessary part of your IBS treatment plan.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>IBS Treatment Series Reels<\/strong><\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-9-16 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Part 1: IBS Treatment Series - Healthy Eating &amp; Lifestyle Habits\" width=\"422\" height=\"750\" src=\"https:\/\/www.youtube.com\/embed\/xnkooXtQOIg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Part 1: Healthy Eating &amp; Lifestyle Habits<\/strong> <strong>for IBS<\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-9-16 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Part 2: IBS Treatment Series - Is the Low FODMAP Diet Right for You?\" width=\"422\" height=\"750\" src=\"https:\/\/www.youtube.com\/embed\/399PgsWwgWw?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Part 2: Is the Low FODMAP Diet Right for You?<\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-9-16 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Part 3: IBS Treatment Series - IBS-Friendly Overnight Oats \ud83e\udd63\" width=\"422\" height=\"750\" src=\"https:\/\/www.youtube.com\/embed\/vyVWJGpiso0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Part 3: IBS-Friendly Overnight Oats<\/strong><\/p>\n<\/div>\n<\/div>\n\n\n\n<h2 id=\"14-supplements-\" class=\"wp-block-heading\"><strong>Supplements&nbsp;<\/strong><\/h2>\n\n\n\n<h3 id=\"15-probiotics-\" class=\"wp-block-heading\">Probiotics&nbsp;<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/isappscience.org\/topic\/probiotics\/\" target=\"_blank\" rel=\"noopener\">Probiotics<\/a>&nbsp;are live microorganisms&nbsp;that&nbsp;have proven health benefits when taken in the&nbsp;specific&nbsp;amounts.&nbsp;<\/li>\n\n\n\n<li>The live microorganisms that are found in fermented foods&nbsp;like kombucha, sauerkraut, and kimchi are not always considered probiotics if they do not have the right doses or strains of microorganisms that provide a proven health benefit.&nbsp;&nbsp;<\/li>\n\n\n\n<li>Work alongside a healthcare provider to&nbsp;<a href=\"https:\/\/isappscience.org\/resource\/how-to-choose-a-probiotic\/\" target=\"_blank\" rel=\"noopener\">choose which probiotic<\/a>&nbsp;is right for you.&nbsp;&nbsp;<\/li>\n\n\n\n<li>The&nbsp;<a href=\"https:\/\/apps.apple.com\/ca\/app\/probiotic-guide-canada\/id1378719092\" target=\"_blank\" rel=\"noopener\">Probiotic Guide Canada<\/a>&nbsp;app&nbsp;provides more information on different probiotics and their different strains of bacteria that may manage your IBS symptoms.&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 id=\"16-prebiotics-\" class=\"wp-block-heading\">&nbsp;<br>Prebiotics&nbsp;<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/cdhf.ca\/en\/gut-health-and-prebiotics\/\" target=\"_blank\" rel=\"noopener\">Prebiotics<\/a>&nbsp;are foods that&nbsp;benefit&nbsp;the live microorganisms in our gut to keep our gut healthy!&nbsp;&nbsp;<\/li>\n\n\n\n<li>Food sources that&nbsp;contain&nbsp;prebiotics include oats, kiwis, chia seeds, flaxseeds,&nbsp;lentils&nbsp;and chickpeas.&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 id=\"17-herbal-supplements\" class=\"wp-block-heading\">Herbal supplements<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/link.springer.com\/article\/10.1186\/s12906-018-2409-0#Sec12\" target=\"_blank\" rel=\"noopener\">Peppermint oil<\/a>&nbsp;(liquid or capsule): is safe and effective for IBS treatment. It helps relax abdominal muscles and can reduce pain over a&nbsp;24 hour&nbsp;period.&nbsp;<\/li>\n\n\n\n<li>Take 30-60 minutes before a meal or 2 hours after your meal&nbsp;&nbsp;<\/li>\n\n\n\n<li>Start with 1 dose daily and work up to 3 doses daily&nbsp;&nbsp;<\/li>\n\n\n\n<li>Peppermint tea: less evidence to support its usefulness in IBS&nbsp;treatment,&nbsp;but&nbsp;is commonly used to reduce bloating and gas.&nbsp;<\/li>\n\n\n\n<li>The&nbsp;menthol&nbsp;properties of&nbsp;<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5814329\/\" target=\"_blank\" rel=\"noopener\">peppermint<\/a>&nbsp;may help relax muscles of the digestive tract and move gas through the digestive tract.&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<h2 id=\"18-psychological-therapies-\" class=\"wp-block-heading\"><strong>Psychological therapies&nbsp;<\/strong><\/h2>\n\n\n\n<h3 id=\"19-cognitive-behavioural-therapy-cbt-\" class=\"wp-block-heading\">Cognitive&nbsp;behavioural&nbsp;therapy&nbsp;(CBT)&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/journals.lww.com\/ajg\/fulltext\/10.14309\/ajg.0000000000001036~acg-clinical-guideline-management-of-irritable-bowel\" target=\"_blank\" rel=\"noopener\">CBT<\/a>&nbsp;may&nbsp;help you&nbsp;identify&nbsp;which of your thoughts, emotions, and&nbsp;behaviours&nbsp;can&nbsp;trigger or worsen IBS symptoms so that you can understand how to manage your symptoms and improve your quality of life.&nbsp;<\/p>\n\n\n\n<h3 id=\"20-gut-directed-hypnotherapy-\" class=\"wp-block-heading\">Gut-directed hypnotherapy&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Gut directed hypnotherapy is a form of medical hypnosis that uses&nbsp;guided&nbsp;relaxation and imagery to help you regulate the communication between the brain and the gut to improve management of IBS symptoms.&nbsp;<\/p>\n\n\n\n<h2 id=\"21-medications-for-ibs-\" class=\"wp-block-heading\"><strong>Medications&nbsp;for IBS&nbsp;<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dietary and lifestyle changes are the first line of IBS treatment. However, medications&nbsp;may&nbsp;be used as a form of IBS treatment to alleviate and manage some of the symptoms if the other options are not working for you. It is important to discuss pharmaceutical options with your doctor or pharmacist,&nbsp;and all medications should be used under the guidance of a healthcare provider.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-background has-fixed-layout\" style=\"background-color:#ffe0e8\"><tbody><tr><td>&nbsp;<\/td><td><a href=\"https:\/\/aboutibs.org\/treatment\/medications-for-ibs\/#anticholinergics\" target=\"_blank\" rel=\"noopener\">Common Medications<\/a>&nbsp;for IBS Symptoms&nbsp;<\/td><\/tr><tr><td>Constipation&nbsp;<\/td><td>Laxatives*&nbsp;<\/td><\/tr><tr><td>Diarrhea&nbsp;<\/td><td>Antidiarrheal agents, Antibiotics**&nbsp;<\/td><\/tr><tr><td>Abdominal Pain&nbsp;<\/td><td>Antispasmodics (smooth muscle relaxants, peppermint oil)&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">*Consider laxatives such as polyethylene glycol instead of prune juice and lactulose for management of constipation.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">**Consider healthcare provider\u2019s instructions prior to taking antibiotics&nbsp;such as&nbsp;rifaximin,&nbsp;as there may be potential side effects.&nbsp;&nbsp;<\/p>\n\n\n\n<h3 id=\"22-what-about-antibiotics-\" class=\"wp-block-heading\">What&nbsp;about&nbsp;antibiotics?&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Healthcare professionals may recommend&nbsp;<a href=\"https:\/\/isappscience.org\/prebiotics-better-fodmap\/\" target=\"_blank\" rel=\"noopener\">antibiotics<\/a>&nbsp;to manage&nbsp;IBS symptoms&nbsp;when diarrhea is a symptom,&nbsp;and there is suspicion of bacterial overgrowth. Antibiotics&nbsp;may&nbsp;reduce&nbsp;symptoms,&nbsp;but they do not provide permanent&nbsp;relief,&nbsp;and symptoms&nbsp;may&nbsp;return after the treatment is stopped. It may also deplete the gut from the&nbsp;different types&nbsp;of healthy bacteria that it&nbsp;contains.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Antibiotics may be a helpful form of IBS treatment for some individuals, but dietary therapy, general healthy eating habits, and lifestyle changes&nbsp;may be&nbsp;a better line of approach for managing IBS symptoms.&nbsp;&nbsp;<br>&nbsp;<br><a href=\"https:\/\/isappscience.org\/topic\/probiotics\/\" target=\"_blank\" rel=\"noopener\">Probiotics<\/a>&nbsp;can help restore healthy bacteria in the gut that the antibiotics may have depleted. Taking probiotic supplements&nbsp;2 hours after&nbsp;taking&nbsp;antibiotics&nbsp;may&nbsp;help support a healthier gut&nbsp;by restoring the beneficial bacteria that the antibiotics remove.&nbsp;&nbsp;<br>&nbsp;<\/p>\n\n\n\n<h2 id=\"23-fibre-and-ibs-\" class=\"wp-block-heading\"><strong>Fibre&nbsp;and IBS&nbsp;&nbsp;<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.canada.ca\/en\/health-canada\/services\/nutrients\/fibre.html\" target=\"_blank\" rel=\"noopener\">Canadian women need 25g of fibre per day and men need 38g of fibre per day<\/a>. But aren\u2019t low FODMAP diets also lower in&nbsp;fibre?&nbsp;&nbsp;<br><br><a href=\"https:\/\/aboutibs.org\/treatment\/ibs-diet\/dietary-fiber\/\" target=\"_blank\" rel=\"noopener\">Fibre<\/a>&nbsp;is a non-digestible carbohydrate that is a part of plant foods, whole grains, legumes,&nbsp;nuts&nbsp;and seeds.&nbsp;Fibre&nbsp;is beneficial in lowering blood glucose levels, cholesterol, increasing satiety, improving laxation, and feeding our gut bacteria to keep our gut lining healthy!&nbsp;<br>&nbsp;<br>Not eating enough&nbsp;fibre&nbsp;can worsen IBS symptoms such as constipation and abdominal pain. Eating too much&nbsp;fibre&nbsp;can lead to gas build up and uncomfortable feelings of bloating and distension.&nbsp;<br>&nbsp;<br>Try to incorporate viscous and soluble&nbsp;fibres&nbsp;(fibres&nbsp;that form a gel-like substance to thicken&nbsp;stool, and&nbsp;can&nbsp;dissolve in water)&nbsp;to soften or bulk up stool. Reduce highly fermentable&nbsp;fibres&nbsp;(high FODMAP) that take longer to&nbsp;break&nbsp;down in the large&nbsp;intestine&nbsp;which can contribute to IBS symptoms.&nbsp;<br>&nbsp;<br>Examples&nbsp;of low FODMAP high&nbsp;fibre&nbsp;foods:&nbsp;&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chia seeds&nbsp;<\/li>\n\n\n\n<li>Cooked oats&nbsp;&nbsp;<\/li>\n\n\n\n<li>Ripe banana or kiwis&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Examples of Low FODMAP&nbsp;fibre&nbsp;supplements:&nbsp;&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Metamucil&nbsp;<\/li>\n\n\n\n<li>Psyllium husk (start with \u00bd tsp and slowly increase)&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">For more information about&nbsp;fibre, check out&nbsp;<a href=\"https:\/\/cdhf.ca\/en\/fibre-and-its-benefits\/\" target=\"_blank\" rel=\"noopener\">Fibre and Its Benefits.<\/a>&nbsp;<\/p>\n\n\n\n<h2 id=\"24-the-future-of-ibs-treatment-\" class=\"wp-block-heading\"><strong>The future of IBS treatment&nbsp;<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Researchers are studying&nbsp;<a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/00325481.2017.1383819#d1e151\" target=\"_blank\" rel=\"noopener\">microbiome modulation<\/a>&nbsp;which include ways to change the bacteria living in the gut to help improve IBS symptoms. While this is promising, more research is needed before these treatments become routine.&nbsp;&nbsp;<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/08\/V1_IBS-Treatment-A-Guide-to-Managing-Irritable-Bowel-Syndrome-791x1024.webp\" alt=\"\" class=\"wp-image-64473 lazyload\"\/><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/08\/V1_IBS-Treatment-A-Guide-to-Managing-Irritable-Bowel-Syndrome-791x1024.webp\" alt=\"\" class=\"wp-image-64473 lazyload\"\/><\/noscript><\/figure>\n<\/div>\n\n<div style=\"gap: 20px\" class=\"align-button-center ub-buttons orientation-button-row ub-flex-wrap wp-block-ub-button\" id=\"ub-button-0bb23b25-7a28-4139-8a40-9ef2916627dc\"><div class=\"ub-button-container\">\n\t\t\t<a href=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/08\/V1_IBS-Treatment-A-Guide-to-Managing-Irritable-Bowel-Syndrome.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"ub-button-block-main   ub-button-flex\" role=\"button\" style=\"--ub-button-background-color: #313131; --ub-button-color: #ffffff; --ub-button-border: none; --ub-button-hover-background-color: #313131; --ub-button-hover-color: #ffffff; --ub-button-hover-border: none; padding-top: 10px; padding-right: 10px; padding-bottom: 10px; padding-left: 10px; border-top-left-radius: 10px;; border-top-right-radius: 10px;; border-bottom-left-radius: 10px;; border-bottom-right-radius: 10px;; \">\n\t\t\t\t<div class=\"ub-button-content-holder\" style=\"flex-direction: row\">\n\t\t\t\t\t<span class=\"ub-button-block-btn\">Download &#8220;IBS Treatment: A Guide to Managing Irritable Bowel Syndrome&#8221; Here<\/span>\n\t\t\t\t<\/div>\n\t\t\t<\/a>\n\t\t<\/div><\/div>\n\n\n<div style=\"height:61px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"25-key-takeaways-\" class=\"wp-block-heading\"><strong>Key Takeaways&nbsp;<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>There is no one-size-fits-all IBS treatment.<\/strong>&nbsp;Treatment depends on your symptoms and may involve changes to your diet, lifestyle, stress management, supplements, psychological&nbsp;therapies,&nbsp;or medications.&nbsp;<\/li>\n\n\n\n<li><strong>Healthy eating and lifestyle habits are an important starting point.<\/strong>&nbsp;Regular meals, adequate hydration, physical activity,&nbsp;sleep,&nbsp;and stress management may help manage IBS symptoms.&nbsp;<\/li>\n\n\n\n<li><strong>A low FODMAP diet can help some people with IBS, but it&nbsp;isn&#8217;t&nbsp;intended to be a lifelong diet.<\/strong>&nbsp;It typically involves elimination,&nbsp;reintroduction,&nbsp;and personalization and is best undertaken with guidance from a registered dietitian or healthcare professional.&nbsp;<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"26-frequently-asked-questions-\" class=\"wp-block-heading\"><strong>Frequently Asked Questions<\/strong><\/h2>\n\n\n\n<h3 id=\"27-1-how-do-you-know-if-you-have-ibs-\" class=\"wp-block-heading\">1. How do you know if you have IBS?&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">IBS is&nbsp;<a href=\"https:\/\/cdhf.ca\/en\/think-you-may-have-irritable-bowel-syndrome-ibs\/\" target=\"_blank\" rel=\"noopener\">diagnosed<\/a>&nbsp;based on your symptoms. IBS diagnostic criteria&nbsp;includes:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Symptoms for at least 6 months&nbsp;&nbsp;<\/li>\n\n\n\n<li>Abdominal pain on average 3 days per month for the past 3 months&nbsp;and two or more of the following:&nbsp;<\/li>\n\n\n\n<li>Your pain goes away after a bowel movement&nbsp;<\/li>\n\n\n\n<li>Your pain is associated with bowel movement frequency&nbsp;&nbsp;<\/li>\n\n\n\n<li>Your pain is connected to a change in the look or consistency of your stool (eg.&nbsp;Constipation,&nbsp;diarrhea&nbsp;or the presence of mucus)&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A healthcare provider can confirm the diagnosis.&nbsp;&nbsp;<\/p>\n\n\n\n<h3 id=\"28-2-what-is-the-best-breakfast-for-ibs-\" class=\"wp-block-heading\">2. What is the best breakfast for IBS?&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Breakfasts that follow the CFP+B formula (calcium,&nbsp;fibre, protein, boosters) as they&nbsp; include key daily nutrients needed for overall health are&nbsp;a great place&nbsp;to start!&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Examples:&nbsp;&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tofu spinach scramble on sourdough toast&nbsp;<\/li>\n\n\n\n<li>Quinoa porridge with banana and lactose free yogurt\/almond milk&nbsp;<\/li>\n\n\n\n<li>Rolled oats with banana and peanut butter&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 id=\"29-3-can-ibs-be-cured-permanently-\" class=\"wp-block-heading\">3. Can IBS be cured permanently?&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">There is no permanent cure for&nbsp;IBS,&nbsp;but IBS treatments and modified lifestyle factors can&nbsp; help make IBS manageable.&nbsp;<\/p>\n\n\n\n<h3 id=\"30-4-how-to-relieve-ibs-pain-instantly-\" class=\"wp-block-heading\">4. How to relieve IBS pain instantly?&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">There is no one proven method to relieve IBS pain instantly, however, peppermint&nbsp; oil\/liquid capsules or peppermint tea has antispasmodic effects, meaning it can help&nbsp; relax digestive tract muscles, reduce bloating and abdominal discomfort.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Stress management techniques such as deep breathing exercises, gentle physical&nbsp; activity like walking, or the use of a heating pad or warm bath may also reduce bloating,&nbsp; help gas pass, and lessen abdominal pain.&nbsp;<\/p>\n\n\n\n<h3 id=\"31-5-what-is-the-best-over-the-counter-medicine-for-ibs-\" class=\"wp-block-heading\">5. What is the best over the counter medicine for IBS?&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;For constipation, Metamucil will typically help soften stools and promote regular&nbsp; bowel movements.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Have diarrhea? Imodium can aid in controlling diarrhea but will not relieve bloating, gas, or&nbsp; abdominal pain but should only be taken under the guidance of a healthcare provider.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For abdominal discomfort and pain relief, peppermint oil capsules may help as a digestive&nbsp;tract&nbsp;muscle relaxant.&nbsp;<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"32-references-\" class=\"wp-block-heading\"><strong>References<\/strong>&nbsp;<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Altobelli, E., Del Negro, V., Angeletti, P. M., &amp; Latella, G. (2019).&nbsp;<em>Low-FODMAP diet improves irritable bowel syndrome symptoms: A meta-analysis<\/em>.&nbsp;<em>BMC Complementary Medicine and Therapies, 19<\/em>, Article 21.&nbsp;<a href=\"https:\/\/doi.org\/10.1186\/s12906-018-2409-0\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1186\/s12906-018-2409-0<\/a>&nbsp;<\/li>\n\n\n\n<li>American College of Gastroenterology Task Force on Irritable Bowel, S., et al., An evidence-based position statement on the management of irritable bowel syndrome. Am J Gastroenterol, 2009. 104 Suppl 1: p. S1-35.&nbsp;<\/li>\n\n\n\n<li>Canadian Society of Intestinal Research. (n.d.).&nbsp;<em>The low FODMAP diet<\/em>.<a href=\"https:\/\/badgut.org\/information-centre\/health-nutrition\/low-fodmap-diet\/\" target=\"_blank\" rel=\"noopener\">&nbsp;https:\/\/badgut.org\/information-centre\/health-nutrition\/low-fodmap-diet\/<\/a>&nbsp;<\/li>\n\n\n\n<li>Moore, K., &amp; Senchuk, A. (2026, June 10).&nbsp;<em>Understanding the low FODMAP diet: Foods,&nbsp;phases&nbsp;and tips for managing IBS<\/em>. Canadian Digestive Health Foundation.&nbsp;<a href=\"https:\/\/cdhf.ca\/en\/understanding-the-fodmap-diet\/\" target=\"_blank\" rel=\"noopener\">https:\/\/cdhf.ca\/en\/understanding-the-fodmap-diet\/<\/a>&nbsp;<\/li>\n\n\n\n<li>Elsevier. (n.d.).&nbsp;<em>Antispasmodic<\/em>. In&nbsp;<em>ScienceDirect Topics<\/em>.<a href=\"https:\/\/www.sciencedirect.com\/topics\/neuroscience\/antispasmodic\" target=\"_blank\" rel=\"noopener\">&nbsp;https:\/\/www.sciencedirect.com\/topics\/neuroscience\/antispasmodic<\/a>&nbsp;<\/li>\n\n\n\n<li>Harris, L. A., &amp;&nbsp;Baffy, N. (2017).&nbsp;<em>Modulation of the gut microbiota: A focus on treatments for irritable bowel syndrome<\/em>.&nbsp;<em>Postgraduate Medicine, 129<\/em>(8), 872\u2013888. https:\/\/doi.org\/10.1080\/00325481.2017.1383819&nbsp;&nbsp;<\/li>\n\n\n\n<li>International Foundation for Gastrointestinal Disorders. (n.d.).&nbsp;<em>Dietary fiber<\/em>.<a href=\"https:\/\/aboutibs.org\/treatment\/ibs-diet\/dietary-fiber\/\" target=\"_blank\" rel=\"noopener\">&nbsp;https:\/\/aboutibs.org\/treatment\/ibs-diet\/dietary-fiber\/<\/a>&nbsp;<\/li>\n\n\n\n<li>International Foundation for Gastrointestinal Disorders. (n.d.).&nbsp;<em>Medications for IBS<\/em>.<a href=\"https:\/\/aboutibs.org\/treatment\/medications-for-ibs\/#anticholinergics\" target=\"_blank\" rel=\"noopener\">&nbsp;https:\/\/aboutibs.org\/treatment\/medications-for-ibs\/#anticholinergics<\/a>&nbsp;<\/li>\n\n\n\n<li>Lacy, B. E., Pimentel, M., Brenner, D. M., Chey, W. D., Keefer, L. A., Long, M. D.,&nbsp;Moshiree, B., &amp; Lembo, A. J. (2021).&nbsp;<em>ACG clinical guideline: Management of irritable bowel syndrome<\/em>.&nbsp;<em>The American Journal of Gastroenterology, 116<\/em>(1), 17\u201344.&nbsp;<a href=\"https:\/\/doi.org\/10.14309\/AJG.0000000000001036\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.14309\/AJG.0000000000001036<\/a>&nbsp;<\/li>\n\n\n\n<li>Monash FODMAP. (n.d.).&nbsp;<em>Get the app<\/em>.<a href=\"https:\/\/www.monashfodmap.com\/ibs-central\/i-have-ibs\/get-the-app\/\" target=\"_blank\" rel=\"noopener\">&nbsp;https:\/\/www.monashfodmap.com\/ibs-central\/i-have-ibs\/get-the-app\/<\/a>&nbsp;<\/li>\n\n\n\n<li>Monash University. (n.d.).&nbsp;<em>FODMAP&nbsp;gentle diet<\/em>.&nbsp;<\/li>\n\n\n\n<li>Monash University. (n.d.).&nbsp;<em>Module 2 summary factsheet<\/em>.&nbsp;<\/li>\n\n\n\n<li>Monash University. (n.d.).&nbsp;<em>Module 1&nbsp;summary&nbsp;factsheet<\/em>.&nbsp;<\/li>\n\n\n\n<li>Ostgaard, H., et al., Diet and effects of diet management on quality of life and symptoms in patients with irritable bowel syndrome. Mol Med Rep, 2012. 5(6): p. 1382-90&nbsp;<\/li>\n\n\n\n<li>Staudacher, H. M., &amp; Whelan, K. (2017).&nbsp;<em>The low FODMAP diet: Recent advances in understanding its mechanisms and efficacy in IBS<\/em>.&nbsp;<em>Gut, 66<\/em>(8), 1517\u20131527.&nbsp;<a href=\"https:\/\/doi.org\/10.1136\/gutjnl-2017-313750\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1136\/gutjnl-2017-313750<\/a>&nbsp;<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>IBS Treatment: A Guide to Managing Irritable Bowel Syndrome <\/p>\n","protected":false},"author":8,"featured_media":64504,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"cdhf2022_sponsors_meta":[],"footnotes":""},"categories":[60],"tags":[53],"class_list":["post-64431","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article","tag-tags-ibs"],"acf":{"article_writer":[64441]},"featured_image_src":"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/08\/IBS-Treatment-A-Guide-to-Managing-Irritable-Bowel-Syndrome-1.webp","author_info":{"display_name":"Lillian Lu","author_link":"https:\/\/cdhf.ca\/en\/author\/lillian\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - 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