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The prescription appears to say:
  • Diagnosis/complaint: “Intermittent recurrence of spastic colon symptoms.”
  • Medicine: Colospa 135 mg
  • Dose: 1 tablet twice daily
  • Duration: 2 weeks
  • Timing: 30 minutes before meals
Please confirm the medicine name and instructions with the prescribing clinic or pharmacist before taking it, since handwritten prescriptions can be misread.

Side effects of colospas

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mebeverine AND adverse effects

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Colospa mebeverine 135 mg side effects official patient information

Colospa 135 mg contains mebeverine, an intestinal antispasmodic. It is usually well tolerated.
Possible side effects
  • Skin rash, hives, itching, or skin redness
  • Headache or dizziness, uncommonly
  • Nausea or indigestion, uncommonly
Stop the medicine and seek urgent medical help if you develop signs of a serious allergy: swelling of the lips, face, tongue, or throat; trouble breathing; or a widespread itchy raised rash. These reactions are rare. The NHS medicine information lists rash/itching as reported effects and anaphylaxis as a rare serious reaction.
Mebeverine generally does not cause typical anticholinergic effects such as dry mouth, blurred vision, or constipation, and it usually does not impair driving. If any symptom is bothersome or persists, speak with your doctor or pharmacist.

What foods may help reduce IBS or spastic-colon symptoms?

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irritable bowel syndrome AND diet

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NICE irritable bowel syndrome diet soluble fibre low FODMAP advice

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https://www.nice.org.uk/guidance/cg61/chapter/1-recommendati…

Foods do not affect everyone with IBS the same way. Start a food-and-symptom diary for 1-2 weeks and change one thing at a time. Goldman-Cecil Medicine, 2-volume set, p. 2404.

Foods that often help

  • Oats: porridge or oat cereal, particularly for bloating and irregular stools.
  • Soluble-fibre foods: carrots, peeled potatoes, soft cooked vegetables, and small amounts of linseeds/flaxseed. Start slowly. Up to 1 tablespoon daily of ground or whole linseeds may help bloating.
  • For constipation-predominant IBS: oats, carrots, peeled potatoes, linseeds, and sometimes psyllium/ispaghula fibre with plenty of water.
  • Low-FODMAP choices, if your symptoms are triggered by gas/bloating:
    • Rice, potatoes, oats, quinoa
    • Eggs, fish, chicken, meat, firm tofu
    • Carrots, cucumber, courgette/zucchini, spinach, bell peppers, green beans
    • Oranges, grapes, strawberries, kiwi, pineapple
    • Lactose-free dairy, if lactose seems to be a trigger
A low-FODMAP diet can reduce pain, bloating, and bowel symptoms, but it is meant to be a short elimination trial followed by gradual food reintroduction, preferably with a dietitian. Yamada's Textbook of Gastroenterology, 7th ed., p. 1471. NICE likewise recommends professional dietary guidance for restrictive diets such as low FODMAP diets, as described in its IBS guidance.

Foods and drinks commonly worth reducing

Especially if they repeatedly trigger you:
  • Onions, garlic, beans, lentils, cabbage, cauliflower, broccoli, Brussels sprouts
  • Large fatty, spicy, or processed meals
  • Fizzy drinks and alcohol
  • Too much tea, coffee, or other caffeine, usually limit to 3 cups daily
  • Sugar-free gum, candies, and drinks containing sorbitol
  • Bran, large amounts of whole grains, and high-insoluble-fibre foods, which can worsen cramps or diarrhea for some people

Practical routine

  1. Eat smaller meals regularly and avoid skipping meals.
  2. Eat slowly and drink enough water.
  3. Start with oats daily and, if tolerated, add 1 teaspoon of ground linseed, increasing gradually to a maximum of 1 tablespoon/day.
  4. If bloating/diarrhea persists, consider a structured low-FODMAP trial with a dietitian.
If you have weight loss, blood in stool, fever, anemia, vomiting, or symptoms that wake you from sleep, contact a clinician rather than treating this as IBS alone.
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