How To Gain Control Of Your IBS: 9 Evidence-Based Steps Most People Skip

Monday, December 22, 2025

Charliejeane Cooke, MSc

IBS isn’t fixed with one supplement or one food rule. It’s managed step by step.

​Here are the 9 things you need to do to start taking control:


1. Get a confirmed positive diagnosis from your medical doctor

This means diagnosing IBS based on recognised symptoms, not guesswork or internet advice.

And not self-diagnose. Not Google. Not TikTok (or other socials). Not someone calling themselves a “gut specialist” with a weekend certificate - yes, you can get "qualified" that easily.

​*slapping head in hands. Sighs*

You can listen to our episode breaking down just how worrying this has become, and what to look out for here. 

IBS is NOT a diagnosis of exclusion. Your doctor will still check for red flags to make sure nothing important is missed. Thank goodness.

...Imagine if the doctor rodded that off - so many people would be cruising around with an undiagnosed condition that only gets picked up when it’s too late. 

That’s exactly why checking for red flags upfront matters.

2. Identify your type of IBS

IBS-D, IBS-C, IBS-M, or IBS-U.

Different patterns = different strategies. Treating IBS-C like IBS-D is a fast track to making things worse.


3. Make sure red flags have been considered – and stay alert to them over time

Your doctor checks for red flags at diagnosis.

But you also need to know what your "normal" is, so you can see your doctor if anything changes.

If your IBS is out of control and all over the shop then it's going to be more difficult to spot what's normal and what's not. Although, for example, blood in your poo is not normal.

IBS doesn’t mean you stop paying attention to your body.


4. Log your diet and lifestyle factors

Track what you eat and drink, along with your sleep, stress, activity and routines. Doing this can help you spot triggers and patterns. And could help you decide what changes might improve your symptoms. This is as long as you know how to interpret your results.

You can also share your IBS diary with your doctor or dietitian. It helps them see what’s going on and saves you from trying to remember everything.


5. Use the information from your diary to understand what your personal triggers are

Everyone’s triggers are different which is why there isn’t a one-size-fits-all “solution”.

Your triggers might be foods, eating patterns, stress, poor sleep, dehydration. Or a combination of several things.


6. Fix eating behaviours and routines before obsessing over supplements and so-called “quick fixes”

How you eat often matters as much as what you eat. And how much you eat.

Rushing meals, skipping meals, eating on the go, or having no routine can drive symptoms even when food choices are supposedly “perfect”.


7. Apply changes in a structured, focused way (not all at once)

Once you understand your triggers and foundations, the next step is execution.

That means making one clear change at a time, monitoring the response, and avoiding the chaos of trying everything at once.


8. Review, personalise, and commit so it actually sticks

Use what you learn to refine the plan around you, then commit to it.

IBS control comes from keeping what works, dropping what doesn’t, and following through long enough to see real change.

Dipping in and out of trying shedloads of different things doesn't work and isn't helpful.


9. Get support from someone who actually understands IBS

Tracking and identifying patterns is important, but it doesn’t automatically tell you what to change, what to prioritise, or what to ignore. And shedloads of people get this wrong.

Someone who has IBS will understand what it’s like to live with it, but that does not make them qualified to treat it. And they could end up making things worse for you, just like you can if you try DIY’ing it.

You need someone trained in both nutrition and the gut-brain connection. They need to be able to interpret your data properly and apply evidence-based strategies to your unique situation.

Summary:

  • Get a confirmed positive diagnosis from a medical doctor
  • Know your IBS type
  • Get checked for red flags
  • Track food and lifestyle factors
  • Get to know your personal triggers
  • Fix how and what you eat before chasing quick fixes
  • Make one change at a time
  • Review, personalise, and commit
  • Get proper support from someone properly qualified in IBS


When IBS is tackled properly, it stops running your life.

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CharlieJeane Cooke, MSc 

Men's IBS & Performance Dietitian

Meet CharlieJeane - Elite Performance Dietitian and IBS Expert.

As a former soldier, she's combined military precision with clinical expertise to transform lives worldwide.

Her proven system helps ambitious professional men overcome IBS to unlock their peak potential and reclaim their freedom, energy, and confidence - without restrictive diets or endless supplements.

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Track Your IBS Symptoms Here

This premium journal, exclusively for men, will allow you to:

Record and track everything you need to gain valuable insights about your condition, without advertising it to the world by having "IBS" splattered all over the cover (like all the others out there)!