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some patients report that evening administration may help (though these medications can be administered at any time of day) For constipation: Ensure adequate hydration as tolerated, soluble fiber supplementation (psyllium), osmotic laxatives if needed (polyethylene glycol) For diarrhea: Adequate hydration with electrolyte replacement, continuation of antidiarrheal medications if previously prescribed For bloating: Avoiding carbonated beverages, limiting gas-producing foods, continuing probiotics if previously beneficial Continuation of established IBS therapies is generally appropriate