Remission of Irritable Bowel Syndrome Achieved Through Combined Diet, Lifestyle Modification, and Yoga: A Case Report
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This report describes a 33-year-old male initially suspected of Inflammatory Bowel Disease (IBD) due to radiological findings, but finally diagnosed with Irritable Bowel Syndrome (IBS) based on the Rome IV criteria, normal colonoscopy findings and inflammatory biomarkers. When symptomatic pharmacotherapy for pain, constipation and heartburn alone did not bring lasting relief, he was referred for lifestyle therapy. Dietary, lifestyle advice, and physical activity are mainstay in the current guidelines on the management of IBS. However, beyond these generalities, patients receive little guidance on day-to-day decision making and essential elements of healthy living. We addressed the limitations in current guidelines on IBS by following the 21-point Health Building Guideline, along with Yoga and delivered through a seven-point protocol that uses the traffic light approach to promote and sustain behavioural changes in chronic diseases. After seven months of consistent adherence to intervention; following the traffic light approach, the patient achieved remission.