Irritable bowel syndrome is one of the commonest conditions presenting to gastroenterologists and there have been many significant developments in its understanding and effective management. In this masterclass presentation, based on the recently updated BSG guidelines on the management of irritable bowel syndrome, Peter overviews the evidence for the three main management strategies of drugs, diet, and dialogue (both in the general consultation and through specialist psychological therapies). He also explores finally how these might be combined in patients with a more severe and refractory presentation.

Dr Peter Paine is a consultant gastroenterologist at Salford Royal Hospital. His doctoral research explored psychophysiological mechanisms in visceral and somatic pain. He runs a tertiary regional neurogastroenterology & motility clinic with a particular interest in chronic abdominal pain, severe dysmotility and their interface with nutrition.