A. Diet, anti-inflammatories medications and supplements, antibiotics and fiber all play a role in the management of IBS and it is a balancing act between all of these in order to develop a long term plan. I also recommend full bloods etc to rule out any aggravating factors such as kidney disease if these have not been done in the last 3months. It is important he eats and a hydrolyzed wet diet is the most likely to be effective with his delicate gut, vit b12 injections may also help with appetite
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