22nd July 2023

A 32-year-old man with a diagnosis of IBS presents to his private gastroenterologist with a flare up of his symptoms

A 32-year-old man with a diagnosis of IBS presents to his private gastroenterologist with a flare up of his symptoms. Currently he is struggling with constipation, opening his bowels once a week, as well as some abdominal bloating and cramping. He has to strain excessively to open his bowels, following which his abdominal pain subsides. He has tried to adapt his diet as previously recommended, however, this has not helped. He is wondering if there are any medications he can take to aid his bowel movements.

Which of the following medications should be avoided in this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.