Brief Answer:
I am sure we can get through this, keep in touch and let me know if anythin

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help, and being an IBS-sufferer myself, I think I can provide you with my opinion both as a doctor as well as by being an IBS diagnosed individual myself.

I would like to start by saying that the alcohol is a trigger factors for IBS, and should have been discontinued as soon the IBS diagnosis was established. But either you were not aware or you were struggling to get rid of the habit. But sadly, having IBS itself means we do not have a healthy gut, and with the alcohol being added to the equation it does quite a lot of damage.

But let us put that aside and focus on your future health here, so let me start by listing all the trigger factors that comes to mind, for your reference sir:

+Caffeine
+Popcorn
+Tea
+Chocolate
+Fried food
+Fatty food
+Carbonated drinks
+Milk and other dairy products (especially if you are lactose intolerant)
+Gluten and all products containing it
+Spicy food
+Avoid stress (this is one of the most common trigger factors and should be avoided as much as possible, you can consult a therapist to help with relaxation techniques that may help)
+Oily food
+Taurine (present in many drinks, so check and avoid those drinks)
+Sorbitol (also present in many drinks, so check and avoid those drinks also)
+Some vegetables (e.g. broccoli, cabbage, beans, cauliflower, etc.)
+Avoid large meals
+Skins of fruits and vegetables

Drink plenty of water, and stick to fresh home made food sir.

I also have another recommendation, but this is a course of medications that I advise to my patients who experience continues symptoms of IBS and need relief at the earliest. The medication contains mebeverine and chlordiazepoxide (E.g. capsule meva-C). Take this capsule twice daily for a duration of about a month, even if your symptoms subside. And then slowly wean off the medication, but that is something I can guide you with later on.

This medication will stop the episodes, and help your gut recover which is required. Please speak to a pharmacist at a medical store and request for this. I look forward to hearing from you.

I hope you find my response helpful. Please also do not hesitate to write to me anytime, I am always here to help.

Best wishes.

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Brief Answer:
It is half different; yes; hopefully not, unsure sir, pls try

Detailed Answer:
Hi.

It does have 1 of the contents, but capsule MEVA-C has mebeverine as well, and you are probably talking about librax?

Yes, ask the pharmacist for capsule MEVA-C, and if he doesn't have it, ask if you can order it and collect it once it arrives.

As far as availability without a prescription goes, I have practised in 3 countries and none of them have asked for a prescription for this medication, so I am hoping you can get it as well; but then again, if you live in the USA (Expect the unexpected).

I wish you luck.

Best wishes.

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Brief Answer:
A big NO to all the don't on the list, for the rest of your life sir

Detailed Answer:
Hello once again sir.

You can take 1 tablet of colofac and 1 tablet of librax (chlordiazepoxide and clinidium) once in the morning, and once in the evening.

Yes sir, once in the AM and once in the PM for at least 2 weeks.

It does take about a day or 2 for you to start feeling the change, but you should start feeling better soon.

You can drive after taking it, it will not interfere with your concentration.

No drug interactions between L-glutamine and mebeverine, so you can take them at the same time, without worries; or with prebiotic powder either.

Interactions between ambien and mebeverine but only with use over 1 month, so let us discontinue the mebeverine once 1 month is up, okay? So mark the date and discontinue it once 30 days are up.

Your gut needs some normal time to heal, and being honest some individuals do not experience healing of the damaged gut, but some (rarely do). The aim here is to keep it from getting worse, so lifestyle changes and this medication for a while to prevent symptoms is what I am trying to achieve here sir.

You cannot go back to coffee sir, not ever. Please understand that, we both are trying to stop the symptoms; and each time the symptoms occur some amount of damage occurs. So if you do suppress the symptoms and feel better, and then get back to coffee, you will again damage your gut, making things worse with each time your symptoms appear. So I urge you to forget coffee and caffeine in general, completely.

No, you cannot and should not have any of the other foods on the Don't list ever in your life sir.

Best wishes.

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Brief Answer:
Yes you can continue it for now; about later, we shall decide later :)

Detailed Answer:
Hello once again sir.

Yes, Linzess will work fine, and you can continue them for sure.

Are you talking about linzess? Linzess should help improve the bulk in your stool, allowing you to pass stools, and prevent further constipation.

But if it was the MEVA-C you were talking about, it works more towards normalising the entire bowel function, so yes, hopefully it treats constipation when required, and diarrhoea also when it occurs (hopefully it doesn't).

I think you can first try the regimen I have provided to see if it helps with the entire problem, and if it does, then we can avoid linzess; primarily because I don't want to keep you on too many medications. But if it doesn't even after about 7-10 days use, then we can throw the linzess in there too.

I hope this helps.

Keep in touch and I hope and pray things only go uphill from here on for you.

Best wishes.

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Brief Answer:
Lets go on an antegrade study, pls start from tomorrow

Detailed Answer:
Hello once again sir.

I hope for the same.

But I also feel that if your symptoms are still persisting, there could be something you are still eating or drinking wrong. Because in IBS, the bowel only reacts to things it cannot tolerate. As soon as we stop providing that stimulus, the bowel slowly calms down. So I would also request you to jot down everything you have been putting in your mouth ever since you wake up until you get into bed for a duration of 2 days time (symptoms should be present during these 2 days), and write back to me with that information.

It would be best if these 2 days were tomorrow and the day after, so that you can carry a small diary or notepad along with you through the weekend and write everything down. Better not to be a retrograde study because that way you can miss a lot of items, and it wouldn't be accurate.

I look forward to hearing from you sir.

Best wishes Mr. XXXXXXX

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Brief Answer:
Please make note of the latest changes, and alternations

Detailed Answer:
Hello once again sir.

1. Bake the beef instead of frying it

2. Do not have hash browns (they are also fried I am guessing, and are a big no sir)

3. Mayo can be a question mark, as some people respond well to it, and some do not do so well

4. Boil the eggs, instead of frying them if you were

5. About rootbeer

6. Avoid chips

As I read further, I saw that you did react to the peanut butter and mayo, which means I was right in suspecting a possible irritation to the mayo. So, it would be best to avoid it.

No extra payment required sir, you can close this discussion and open a new direct query for me, and we can continue a more personal discussion. But for now, please make all the changes in your diet that I have mentioned above.

The same way, message me before introducing anything new to your diet, and for sure before you put it in your system, just until you learn all the do's and don'ts sir.

Best wishes.

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