Hi, I've just been reading the NICE guidelines for IBS and came across this:
"Laxatives should be considered for the treatment of constipation in people with IBS, but people should be discouraged from taking lactulose. "
Does anyone know why this is? The reason I ask is I've suffered from chronic constipation for years. It had got very bad a while back and I started using Lactulose that I had left over from a previous treatment. I took it for quite a while, at least a couple of weeks. Some time thereafter I developed IBS - I can't be sure of timings exactly, but one did follow the other. In fact, I am pretty sure I was actually TAKING Lactulose when I first started suffering, because my doctor said I should try a different laxative and gave me Movicol which turned my problem from suspected IBS-C to confirmed IBS-D!
I know they use Lactulose for breath tests - in SIBO testing? - so I'm wondering if I have inadvertently caused a bacterial overgrowth through using Lactulose. Does anyone know why Lactulose is not recommended for IBS sufferers?