Which intervention is part of lifestyle modification for IBS?

• A. Lifestyle modifications with smoking cessation and dietary adjustments
• B. High-fat diet
• C. Opioid analgesics
• D. Immediate surgical intervention

Answer: (D)

Lifestyle modification is the foundation of IBS management. Dietary changes are central: identifying and avoiding trigger foods, keeping regular meal times, and choosing soluble fiber when appropriate. Many patients benefit from approaches like a low-FODMAP plan to reduce bloating and abdominal pain. Regular physical activity and strategies to reduce stress—such as good sleep hygiene or mindfulness—can lessen symptom frequency and intensity. Smoking cessation fits into this approach as part of a healthier lifestyle that can improve overall GI comfort and how well other treatments work. In contrast, a high-fat diet tends to worsen IBS symptoms, opioid analgesics can slow gut transit and worsen constipation or pain, and immediate surgical intervention has no role in treating IBS.