Diarrhea-predominant irritable bowel syndrome (IBS-D)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age 18–60 years; 2.Diagnosed with IBS-D per Rome IV criteria, with a baseline IBS-SSS score =75; 3.Normal colonoscopy findings within the past 2 years, or clinically insignificant abnormalities as assessed by the investigator; 4.Ability to complete electronic questionnaires; 5.Active diarrhea symptoms, with normal or clinically insignificant liver/kidney/thyroid function test results within the past year; 6.Willingness to undergo treatment and provide signed informed consent.
Exclusion criteria
Exclusion criteria: 1.Known allergy to any drug in the treatment regimen; 2.History of abdominal or pelvic surgery; 3.Organic intestinal diseases or other subtypes of IBS (e.g., IBS-C, IBS-M); 4.Severe impairment of major organs (respiratory, cardiac, hepatic, or renal dysfunction); 5.Thyroid dysfunction; 6.Organic biliary or pancreatic diseases; 7.Hyperchlorhydria (excessive gastric acid secretion); 8.Celiac disease or lactose intolerance; 9.Pregnant or breastfeeding women; 10.Alcohol abuse, drug addiction, or severe neurocognitive disorders; 11.Use of probiotics or medications affecting intestinal function within the past month; 12.Participation in another clinical trial within the past 3 months; 13.Other conditions deemed ineligible by the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| IBS-SSS; | — |
Secondary
| Measure | Time frame |
|---|---|
| Bristol Stool Form Normalization;IBS-QOL; | — |
Countries
China
Contacts
The First Affiliated Hospital of Xiamen University