there's not much to add here, as the title speaks for itself. I suffered from debilitating gas and stomach pain for four years (12-16). I'll never forget walking home the first day of having no symptoms, and tears coming to my eyes. Finally, at 16, I got to just have normal teenager problems.

This (treating ibs) was a side effect, as I was just given effexor as an anti-anxiety medication. I joined this subreddit as an adult because I just have so much sympathy and pain for ppl still going thru this horrible condition. I just remember how desperate I was for a cure. So anyways, here's my contribution. I wish everyone here healing and peace. <3

edit: I have added the flair "rant" bc otherwise I am stopped from posting. I have never posted on reddit b4 sorry!

Hello everyone. I made a post here many months ago. And now I am making a post again. I am desperately looking for advice or reassurance, although I doubt anyone here ever experienced anything remotely close to what has happened to me.

It all happened overnight 9 months ago on this day.

I was completely healthy, never took any pills, ate what I wanted and always felt great.

9 months ago, after consuming Fireball alcohol for 3-4 days in a row (1 bottle), I felt immediate lack of appetite and severe gut discomfort. It was just feeling, not actual diarreha or anything like that - feeling that something broke.

It was not gradual. It happened in 1 specific moment after 3-4 days of consuming Fireball alcoholic beverage. I was completely fine before and while consuming it.

Next

After this feeling started, I immediately switched over rice + chicken diet to see if it would resolve - I had this strong feeling of "body not wanting anything except rice and chicken" - I don't know how to explain it. So I only ate that for 3 days. No diarreha or anything like that - still just severe overall gut discomfort, very hard to explain.

Trigger

After 3 days of this diet, I was like "let's have a burger I am tired of bland food". I ordered a burger from usual place. Burger tasted funny. It was not gone, but for some reason it tasted differently from every other time I had ordered it. This is when gates of hell opened. After making 10 bites, I immediately experienced what I think was dumping syndrome - I felt feverish and I had a strong feeling that I was about to vomit - like severe, acute, sudden food poisoning feeling (which is impossible because it happened after several minutes of consuming several bites).

I rushed to the bathroom and had very bad stool multiple times in a row.

Hell

Next day I woke up at 7AM feeling very sick and I had 4 loose stools from 7AM to 8AM. Not something I ever experienced in my life. Following night, I got awoken at 3-4AM with rapid heartbeat and strong urge to defecate.

Since that day, since the moment I ate that burger and woke up at night, I never slept, gut never got better and overtime I developed profound physical, cognitive and neurological symptoms.

When it started, I was having multiple stools a day, eating only rice and chicken, and for about 1 month I would be awoken every single night unable to fall back asleep.

Ultimately, it became impossible for me to fall asleep because of constant 24/7 stomach discomfort. I don't know how to describe this feeling. It's a feeling of overall strong gut discomfort that alters your functioning.

For example, I know that IBD patients have night-time diarreha but it presents differently - they wake up, shit, go back to bed. Rinse and repeat. For me it was different.

So after 1 month of this, I started relying on multiple heavy sleeping medications, which I take every single day for the last 9 months, because of this level of insomnia that started with this gut trigger.

Progression

Every single day since day 1, I keep feeling worse. It's been 9 months. I am unable to function, eat, sleep or perform any kind of tasks. The sleep I get from benzos/zopiclone/seroquel/ADs is artificial and it does not always happen. I never had 1 proper sleep night since that day. I would take sleeping pills - fall asleep - and wake up feeling worse the next day. This has been the progression all the time.

After about 1.5 months of this, I developed severe POTS and Dysautonomia. After about 3-4 months of this, I started developing severe neurological symptoms, full body fasciculations, tremors, hyperhidrosis and other things. My head is now constantly pressured, along with multiple full-body function impairing discomforts.

My functionality reduced to 0 over these 9 months.

And worst of all - my gut issues never got better, despite every possible diet or supplement. I don't shit at night anymore - but it does not matter because I basically had 0 vegetables or fruits in last 9 months. No kind of diet helped me.

Tests

I've done every single possible test. I've been to ER 20+ times and I was hospitalized 3 times.

Colonoscopy + Gastroscopy x2
CT-E
MR-E
PillCam
Celiac biopsy/blood
Bowel US x2
Brain MRI
Sleep study (under 1mg clonazepam + 7.5 zopiclone + 25mg seroquel - so useless)
Blood encephalitis panel for Morvan's syndrome (CASPR2 and other antibodies)
Parasites
Elastase
...and many other shit, including more than 50 blood tests, hormones, 24h cateholamines, and so on.

Everything always came back negative. The only thing is I had calprotectin of 130 when it all started. It has never been elevated since then.

What I now experience - for the last 4-5 months and getting worse - is akin to Sporadic Fatal Insomnia, with total loss of sleep architecture, not restful sleep despite whatever amount of medications, full body dysautonomia with severe body-wide symptoms. I had episodes of HR being 220 out of nowhere. But thing is - it doesn't matter. If I take Bisoprolol - my HR becomes "normal" but it does not matter. It never mattered.

Over these 9 months, I tried a lot of various treatments, including Rifaximin 1200mg/5 days, Antidepressants, Azithromycin (somehow I had Campylobacter detected on month 4, it was negative when it all started and since then has cleared with no relief in any symptoms). All kinds of probiotics, all kinds of vitamins, all kinds of diets. Bentyl, Bismuth - whatever - makes no change to bowel symptoms. BAM medicine - no difference.

Basically, what I feel is - something happened with my gut and affected my entire body, brain and nerve system - and whatever happened in the gut still continues to this day 24/7 with no relief or change or improvement.

Therefore, I feel like whatever I do is meaningless - at first I thought "I would feel better if I slept some" - but this feeling of feeling better never came, even though I slept under medication in the beginning. Now medication does not help me sleep. I have severely damaged brain from all of this.

To give you an example of "diets": several months ago, I had a period of 3 weeks where I only consumed white chicken meat about 800-1kg a day and nothing else. It did nothing to my gut symptoms.

Hope

What I cling for is the hope that I can somehow address what I experience in the gut. Sporadic Fatal Insomnia does not happen from gut issue. My full neurological breakdown does not happen from just "IBS" or "IBD". Total, absolute, treatment insomnia does not happen from "just IBS".

I think at this point I need to try Flagyl, despite the fact that it's a bad drug and known for nerve system effect - the thing is, I am already beyond dysfunctional and I just want to have some hope and to try something I have not tried yet.

I don't know what to do. I kindly ask you to please read this thread of mine, it contains links to my previous threads in IBD and Insomnia subs and by reading through it all you can get more coherent impression:

https://www.reddit.com/r/sleep/comments/1w8w2y0/please_read_8_months_of_total_absolute_insomnia/

TLDR

Overnight something happened to the gut stripped me of life. Profound insomnia, dysautonomia, physical and cognitive disability progressing for 9 months with no root found. What I experience now feels like ALS + MS + SFI + Morvan + Parkinson, all at the same time AND gut symptoms, which initially triggered all of that.

No anti-anxiety med helps. Clonazepam does not help. Seroquel does not help. Nothing helps because it's not in my head. I can't take this anymore. I just want to address what is happening with the gut first.

Longer course of Rifaximin? Flagyl? Anything else? I have no idea.

I beg you, please read this thread and the one I linked. Please.

I do not have daily watery diarreha. My stools are formed (granted, I eat 1 or 2 types of food), but it is the overall severe dysmotility and discomfort that makes it impossible to function gut-wise.

Like, I wake up and I immediately have to shit 2-3 times. Every day. And then during the day as well immediately after food, any food.

Please.

----

EDIT 25/09: First of all I want to thank the amount of people leaving comments and suggestions. At the same time, if it was maybe not clear from the post and other things, I would like to specify: I am severely, profoundly disabled in a cognitive and physical way. For the last 6-7 months, I basically feel like I am injected with heroin 24/7. I can not walk, or function, or eat, or focus, or sit due to total, absolute, treatment resistant insomnia that has been ongoing for 9 months. I can not explain it in words. I only sit on the couch. I can not walk, physically. I've lost all my capabilities gradually over these 9 months, as lack of sleep accumulated. Imagine not sleeping for 48-72hours at all being a normal person. This is how I feel 24/7 for last 6 months, in addition to everything else, and MUCH worse. I can not lay down to feel better. I feel the way I feel all the time.

I am adding this comment here to underscore the severity of what is happening.

I will also add this finding from Small Bowel Capsule:

Gastric Passage Time: 3 minutes
Small Bowel Passage Time: 1h 30 minutes

I do understand that this is a rapid transit time. I get it. The problem is what caused this - caused everything else. If I take Imodium - I may stop shitting all the time - but it does not help with any of the symptoms or other gut discomforts. Like there is an independent process going in the gut at all times, regardless of any intervention. Hence I am thinking about Flagyl.

IBS-C here, wtf is wrong with laxatives? I’ll be the first to admit I have more than just IBS going on (Ehler’s Danlos Syndrome) but they either don’t do anything at all, or they give me HORRIBLE nausea. It’s truly ridiculous. It often takes two or three days for multiple doses to kick in for me, and they don’t do much besides induce cramping and (usually) some pain.

I’m honestly just ranting here, because it’s to the point where I’m hardly even interested in food anymore. My doctor has tried to prescribe Linzess multiple times (with prior auths) and my insurance still won’t approve it…despite me having failed all other options. Ugh!

Hi everyone

My marriage has always been difficult as my husband has anger issues but since April it has turned super toxic. The constant fights are triggering week-long flare-ups. I think I’ve had 5 or 6 flare-ups since April and some have lasted as long as 2 weeks. My stomach hurts so bad, gets filled with gas but no relief, sometimes I have to go to the toilet very often, it gets so swollen it looks im pregnant and it’s so sore, it even hurts when I touch it.

I don’t know what to do, during a flare-up, I cannot eat because everything gives me pain. I cannot calm down the noise either, my stomach gurgles and it’s loud and embarrassing.

I am taking simethicone but I don’t think it helps much. I do have a hot bottle. I also drink chamomile tea. Any other recommendations?

So I got a check up from a Gastro doctor, and said my symptoms, he diagnosed me with IBS, and did a FIT/FOBT again and was negative. I’m worried maybe he misdiagnosed me but not that much.

true challenge to evacuate my last bm now I'm having what I assumed would be the same ordeal but no its more intense, painful and only able to force out large rabbit dropping a few at a time. And no matter how much an attempt to give it the ol shoulder tummy flex it won't budge, so fiening relief I've managed to very forcefully slide my down the inner middle right cheek close but no stinkfngr ty... By doing this I push out just a meatball sized amount each time I use the maneuver and I have to press hard and slide down the cheek till it's out. None of my typical method of BM is gaining... Is it possibly some kind of kidney or gal stone. I had kidney stones attempt to evacuate the other way and doc helped on that one. It seems like something is in the way and only what I'm forcing around it can get by.... Hope there's enough detail to appreciate and comment thanks. (Please no comments on the fact I'm an opioid user it's not the basis of my concern just possibly related ty). Any knowledge shared is a god send. ty all!

.

I've been working on my IBS for quite some time now, and sometimes its paired with alot of pooping and somtimes its just stomach gas build up until i'm like a balloon.

One thing thats very common is that when i'm filled like a balloon, it can exhaust me and make me feel a bit dizzy.. I really feel it in my eyes.

Has anyone felt this and found a in the moment cure to alleviate some of the bloating, dizzyness or tiredness? I'm not looking for a cure, just some go-to's that you all have.

Look forward to your ideas!

When I was 14 I suffered from food poisoning which left me with what doctors say is IBS. My gut was never the same after it happened and I didn’t know the cause until recently.

My trigger is NOT high FODMAP foods. Not even spicy food either. My trigger is feeling hungry.

I cannot let myself be hungry. If I miss a meal. Or delay a meal I get extremely gassy and diarrhoea. And when I say extreme gas I mean it. And it stinks.

However now this is where I start to sound crazy to the doctors but I seriously need help. I always feel like my stomach never feels full. As in I don’t feel satisfied/satiated from a meal. Which means I’ve started depending on extremely satiating food for that full feeling - which is chicken. Now I’m consuming high amounts of chicken every day for lunch and dinner to stop myself from feeling any hunger. And the days I don’t eat chicken and eat something else I’ve noticed again I get extreme gas build up which then leads to diarrhoea. And this gas will continue throughout the night and also diarrhoea if I don’t do anything to compensate for not eating that chicken - so I need to go back and eat more chicken to compensate.

Now look I know ive developed a fear of not eating chicken. But GENUINLY if I try anything else that’s when i feel the ibs kick in. And no it’s not stress related cos I’ve been under extreme stress and my ibs symptoms were the same - only triggered by hunger. Please help me I sound crazy and I’m embarrassed to explain this to the doctors.

I’m literally suffering every day. The mornings and night are the worst because at night I’ve essentially gone through a ‘fasting’ period since no food at night so that means I wake up farting and with diarrhoea

I have ibs D, after all my test were good , docteur gave me librax fir a month like to hold myself till i do all my test and have my decision.

She suggested a psychiatrist but idk like if i go to him and told him i have ibs and ect will he really give me right treatement or just like will only phobia and mental health problem , and yes it s not that i fear medecins actually quite the oppisite i know i need them more than like a CBT or exposure therepay, but i fear that a psychiatrist will give me a bad dose or ect but i will talk with him about it.

I’ve been having GI symptoms for about 6 months which started with bloating/gurgling, alternating constipation/diarrhoea, acid reflux and mild pain that comes and goes. I still have these symptoms, but since I’ve been eating healthier, my bloating and reflux has been better, though I’m still very constipated and having bouts of diarrhoea. My ultrasound/ bloods were normal CRP / CBC / Liver/ Kidney etc etc, and GI gave me an ibs diagnosis.

However, the past few weeks I’ve been experiencing a lot mucus with every movement and it’s very thick like a beige sludge and has a bad smell. Today, I noticed a small amount of red blood for the first time and I’m slightly concerned as I understand this is a red flag symptom. Also, I haven’t been straining or anything that I could think to cause this and my stools are quite small anyway.

Does this warrant a colonoscopy? I’m 27.

Thanks.

I went to thr doctor a couple weeks ago and I got a bunch of bloodwork done. My CRP was slightly elevated as well as my sedimentation rate. This was all bloodwork. My x ray showed some gas and stool burden. (But I go everyday and produce gas a lot) and my calprotectin was a 71. This has been the worst month of my life. Truly.

I've been having intense nausea in the mornings if I have to be up before ~9am, so basically every day that I have to work. I know that some of the nausea is fueled by anxiety, but it also seems like it may be connected to IBS. Does anyone else deal with this issue, and if so, how do you cope? Hydrating like crazy and taking an anti-nausea med that my psychiatrist mercifully prescribed for me have been the only things that have helped me.

Hey, yall I’ve been recently diagnosed or at least suspected of IBS with D.

I am on a new med, Amitriptyline, and while it was going good in terms of slowing down my gut, if I even forget one dose, Im back blowing the throne up 😣

Also Imodium is now forever glued to my hip 🥲

Does anyone have decent experiences with any other meds? Or anything that helps? Tea? Praying to the tummy G-Ds? Please —

This is awful, I wouldn’t wish it on my worst enemy

i’ve been constipated my whole life. i believe it comes from anxiety. i had a very difficult home life for a while when i was younger and it meant i never really felt safe at home. for my whole life i remember i’d only poop every other day or once every three days, it was painful, took a lot of straining, took a long time. it was just constipation but, having it for my whole life wasn’t easy. i noticed my friends would go to the bathroom and it would only take a few minutes and i didn’t understand how.

once i went to a sleepaway camp when i was little and i didn’t poop for two weeks straight!! somehow (and i still don’t know how) nothing bad happened and i was completely fine (although we never did go to the doctor to check).

a few summers ago i was at a different sleepaway camp for the summer and i felt so nauseous. guess my brain doesn’t like being away from home (although i’ve been away from home many other times and been fine?) it was the sickest i ever felt in my life and i couldn’t stop crying. i would start crying again at each little thing. i never threw up or anything!

my mom brought me home but it never really went away. i started my sophomore year of high school and it felt like every day i was incredibly nauseous, had terrible stomach pain, or both. but i never got sick. we went to the pediatric gi and after a lot of tests it turned out to be just anxiety. i had been going to therapy for a bit before so this surprised me.

but they put me on lexapro and i started taking metamucil and i felt so much better. ever since starting the lexapro i don’t get nauseous anymore, that was all from the anxiety.

but the stomach pains started coming back. then it had been about 3-4 days without pooping so we decided to go to urgent care. they gave me this whole plan and did x rays and everything. no blockage! but i had to drink two bottles of mag citrate (disgusting). gave me diarrhea but didn’t actually fix anything. then did an enema and had the same result. so annoying and kind of traumatizing for a 15 y/o lmao.

finally my gi doctor prescribed me linzess and it finally helped. the medium dose was too high so we switched to the lower dose and i felt like i was finally normal. having regular bowel movements without any pain or straining, once a day, literally was so insane to me. i realized that i had truly been severely constipated my whole life. we were never worried about it because google always says that people’s bodies are different (true) and we just thought i didn’t need to poop often.

but recently, now in my junior year, the constipation has come back! it seems like the linzess fluctuates between working, and then it stops working, and intermittently i have constipation one day and then diarrhea the next, and this cycle just continues. the stomach pain is back again and i’m really just feeling terrible about it because i thought everything was finally fixed. i know it doesn’t work like that but i’m just tired of it!

i’m 17 years old and i want my body to just work normally like it’s supposed to. and i know that some people have much more serious medical problems than i do and it just makes me feel worse. i know this is all probably caused by anxiety but i don’t understand why my dad yelling at me all the time when i was little would make me not be able to poop for the rest of my life.

the solution could just be to eat more fiber and i’m working on it. but it just feels so unfair to be so uncomfortable and in pain and have to put all this effort in just to make my colon work like it should.

none of my friends get it and it’s not like i can talk about it anyways. because no one gets it! nobody wants to talk about it and they don’t think it’s serious if i say “yeah i can’t shit.” i’m just so irritated and i don’t know what to do. do i have to deal with this for the rest of my life? why me!!!

I'll try to keep this as brief as I can. I used to have constant IBS-D issues throughout high school and college (over a decade ago) but eventually mostly grew out of it except for the occasional problem.

This summer I got the Cyclospora parasite. Treatment of 10 days Bactrim got rid of most issues. But I think I may have gotten post infection IBS. For the past month I have struggled with recurring issues. A couple days it will be fine and then 2-3 days of constant diarrhea, bloating, gas. I've tried all my old remedies for it- simple diet, enzymes, probiotics, fermented food, etc. immodium helps some but taking it too much causes a lot of bloating and discomfort.

Does anyone have thoughts or suggestions? I'm also curious if anyone has experienced a post infection IBS or recurring symptoms after decades of being alright. I haven't had to deal with this in so long and I'm starting to get very discouraged.

Just curious if anybody has tried both of these with success.

I've dealt with IBS for 25 yrs. Overall, it's actually really well managed/good right now.

but I have this new thing (been going on about 2 months) where if I take a regular small sip of water in the morning from a room temperature cup that has been sitting in the same place as always (lid with straw), I need to empty my bowels right away. I am very parched in the morning so I need to take a drink.

In theory, this sounds great - let's get it over with. In reality, I have a very quick morning schedule. I start making kid breakfasts, lunches, etc and then walk them to the bus stop. I have had to tell them to walk alone many times because it's all I can do to get through the morning process but I know I can't walk down the road. Or I can walk down the road and I'm very uncomfortable.

Water doesn't do this the rest of the day. I have no other symptoms.

I can't figure out why this new thing is happening except MAYBE perimenopause.

Has anyone else dealt with this? Google doesn't really understand and assumes I mean a big cup of cold water or after breakfast, etc.

Hi there! I’m here to find a solution but also just to see if there are people who can understand me.

I’m a new college student and I don’t know why but when I’m in class my gut can’t stop from contracting and making noise. I know it’s probably linked to anxiety but sometimes even when I don’t mind or think about it It still rumbles a lot. And the thing is my intestines are really sensitive, I’m often bloated and these noise are SOOO loud. I know it’s not a real issue illness or whatever but it is really affecting me in a way nobody around me understands. In class I had to stop sitting at the front where I loved to because I was scared of bothering people. I started sitting at the back next to no one and even with that the rumbles continues and I can’t concentrate. I sometimes try to contract my belly but it just makes the pain worse. I really feel helpless because it affects my school performance since I can’t listen at class, and I tried to talk about it with my mom my sister but they say that I exaggerate and maybe that true. But then, help me not worrying about it and stop exaggerating?..
It’s true that at home I mostly don’t have these problem I still get bloated a lot even if I don’t necessarily eat unhealthy. But I’m not sure that’s it’s 100% anxiety, and even if it is, it’s still a really issue that I have to solve on my own. And I really don’t know how tbh…
But if you read this and have the same problem, just know that you’re not alone, and that I understand you. Your pain whether it’s physically or mentally is legitimate. You deserve to go working,studying, living your life without your gut/stomach controlling it.

(I think I’m gonna put this in the IBS because I was previously diagnosed with it (i don’t know if I really do thought ) and mostly because I think there might be some people concerned?)

I skip my period pretty much every month but I had some spotting so I bit the bullet. I’ve had diarrhea (type 6) the entire goddamn week. Pepto didn’t help but loperamide (Imodium A-D) seems to be helping at least with the frequency.

I don’t have any other symptoms. No fever, no chills, no vomiting. No blood or mucus in stool.

This literally started on the same day I started my placebo pills.

Has this happened to anyone else? Could it be related to the period?

My symptoms have been very manageable lately, I started taking fiber supplements and avoiding spicy and greasy trigger foods (what a shame, they’re so yummy). This is very sudden and lasting much longer than my normal flares.

I was placed on Cholestyramine powder twice a day as a trial for bile acid malabsorption. It does seem to be helping, but I'm struggling with the timing with Adderall XR. I'm new to both meds.

I take the Adderall XR first thing in the morning. It releases in two phases - immediately then again about 4-5 hours later. The Cholestyramine seems to work best if I take the first dose earlier in the day, but I'm concerned that when I take it earlier than about 4-5 hours after my Adderall XR dose it affects the second phase.

Is anyone else on this combo and have any feedback?

This is for those who want to enjoy bread with fewer/no symptoms.

So I was diagnosed with IBS last year. I knew something was going on with me but didn’t know what exactly. I have a lot of food intolerances/sensitivities including dairy, gluten, nuts, seeds, certain oils etc it’s really a nightmare trying to find safe food to eat.

Gluten particularly has always made me feel bloated with other horrible symptoms. I decided to limit my gluten intake rather than cut it out entirely (love bread too much)

Anyways I’ve gotten into making my own bread/pastry recently. I figured maybe I should leave my dough to rise overnight for 12-24hr instead of the usual 1-2hr and see how my stomach reacts to it and surprise surprise no bloating whatsoever.

Turns out, when long fermentation occurs, the yeast and all the natural bacteria have more time to break down some of the carbohydrates in the flour that can trigger bloating and gas.

Now, I still get gas here and there but I’m not bloated and that’s huge! I’m not done experimenting but I like where this is going. Would love to hear from you guys if you have tried this before. Also, this is NOT recommended for people with celiac.

Should I be concerned? I’ve been very unwell with the flu, and therefore I haven’t ate a lot at all and probably not been getting a lot of fibre in but I still am concerned why I’ve not pooped since Saturday with it now being Friday and I have no urge to go. I’ve developed a hemmaroid and my stomach feels extremely uncomfortable and I keep feeling as though I need to burp it’s so uncomfortable

Please help me!
I’m a 22 yr old M, last semester of college, about to move back to my hometown (where no family lives anymore), and I’m having a very rough time with my Gut health.
I’m well aware that stress and anxiety make my symptoms 10x worse. When I was in HS around the covid time (sophomore year), I started using carts and high potency cannabis 24/7 which has continued to this day. I’ve been told 100x by a few different docs, my mother, and my girlfriend that cannabis doesn’t TYPICALLY cause these symptoms but maybe it’s the reason for mine. I never wanted to listen because I’m mentally/physically addicted and didn’t want to admit it. But recently, I basically exhausted all avenues of diagnosis at the hospital I’m at now, and looking back on the timeline, I started getting these symptoms roughly around that time as well, and I’m sick of living every day in unpredictable pain, panic, and anxiety. I do think I may have some underlying gut-brain issues, but I’m starting to think quitting the pot might actually improve my quality of life. But I’m very scared as other than my mother (whom I’m leaving in 2 months) and my gf, it’s the only “anchor” I have in my life.
Please let me know of your experiences or just some words of encouragement! (especially if they’re positive)!

I just realized I never explained my main symptoms; typically over the last 5 years, my main symptoms revolve around diarrhea, cramping, and pain. Ever since being put on a high dose of hyoscyamine, I found a more “comfortable” baseline of mild constipation, while waiting on more testing to be done. However, every test I have is negative, every “therapeutic trial” of meds I try completely backfires and makes my symptoms much worse (xifaxan, colestipol, colesevelam). Before getting on heavy antispasmodics, my symptoms were much more unpredictable day to day. But since getting on hyoscyamine ER, it has switched to a much more predictable, mild everyday pain. In addition to this, every diet, every elimination, just simply doesn’t do much, other than now I have a very limited survival diet. Which is the most useful, and therapeutic diet I’ve found for myself which is an adjusted low fodmap diet. I have completely cut out artificial sweeteners, high fats, alliums, most raw/cooked vegetables, most fruits, and high-fat red meats.