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General advice on regular exercise and methods of relaxation are important components of encouraging self-management.

There is some limited evidence that increased physical activity such as walking, running or jogging and swimming improves IBS. This will increase overall health and may act as a distraction; it is certainly useful for stress.

Some patients find a number of complementary therapies helpful. Studies have shown that hypnotherapy may be of benefit in IBS. If patients want to try this, they should consult a registered hypnotherapist. Others may seek benefit from traditional acupuncture, reflexology, aromatherapy or homoeopathy, although NICE specifically advises that use of acupuncture and reflexology should not be encouraged.

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