1.need life style and diataery midification 2.there is no parmanent cure of irritable bowel syndrome 2.need investigation like complete blood count.liver function test.ig A transgluatamainage 4.There is two type of irritable bowel syndrome constipation predomint and diarrhoea predominat 5.depending upon the type treatment is defined 6.any stress factor which precipitate all the symptoms of irritable bowel syndrome 5.any histroy of weight loss and loss of appetiti 8.any investigation done so far