you can treat it so what kind of medications to use well you have to. decide which kind of type of i.b.s. the patient has which is in front of you is that a patient with i.b.s. constipation predominant subtype or is the patient with the diarrhea and depending on these you have to decide which kind of medication you use since the underlying mechanism between these subtypes are different what about diet can you cure or treat i.b.s. with nutrition well first you have to find out if nutritional affect us or a trigger these patients so well hold can you do this ideally this patient's. diarrhea for let's say four weeks to see if there's not the see asian between specific food ingredients and the and the symptoms if this is the case they should stay away from these so what about sports and exercise we usually in this programs