5 Simple Steps to Cure IBS Without Drugs

by

IMAGINE HAVING A CONDITION with symptoms so severe that you can’t leave the house, yet your doctor calls it a “functional,” or “psychosomatic,” disease — meaning that it’s all in your head.

But it’s a very real problem for the 60 million people — that’s 20 percent of Americans — who have irritable bowel syndrome (IBS). These people are plagued by uncomfortable and often disabling symptoms like bloating, cramps, diarrhea, constipation, and pain.

I have many patients with IBS, some of whom have suffered for decades without relief. Their previous doctors couldn’t find the cause of the illness, so they were told to just get more fiber or take Metamucil, or were prescribed sedatives, anti-spasm drugs, or antidepressants.

That is NOT the answer. Most of those treatments don’t work, because they don’t address the underlying causes of why your digestion is not working. Emerging research has helped identify the underlying causes. For over 15 years I have been successfully treating irritable bowel syndrome and other digestive conditions using a very simple methodology based on functional medicine that helps identify and remove the underlying causes and restores normal digestive function and health.

Today, I am going to share 5 steps you can follow to cure IBS. But first I want to tell you about a patient of mine …

Alexis and Her Lifelong Irritable Bowel

At age 45, Alexis had suffered from IBS for 33 years — almost all her life! Her major symptom was sudden, painful, cramping diarrhea. She was doing the best she could to prevent it. She didn’t consume dairy, didn’t drink or smoke, and took Citracel every day. Yet nothing helped.

She would go to the bathroom 4 to 5 times before she even left the house in the morning. And she couldn’t go out of the house at all without knowing where all the closest bathrooms would be in case she had what she called “s— attacks.” That wasn’t Alexis’ only problem … She also felt full and bloated after every meal, which starchy foods made worse.

She had taken many antibiotics over the years and had many yeast infections. An upper endoscopy or scope into her stomach had shown that she had gastritis, or inflammation of the stomach. She also had severe premenstrual syndrome (PMS), with irregular periods, breast tenderness, sugar cravings, headaches, and agitation. She also had unusual symptoms like rectal itching (often a clue to yeast infections or food allergies). And she was tired all the time.

Alexis tried to eat healthy, but her diet was less than ideal. She had a bran muffin and coffee in the morning and a salad for lunch. But her “drug of choice” was sugar — in the form of cakes, ice cream, Jell-O, diet sodas, and other junk food. Not surprisingly, she was also about 20 pounds overweight.

To help Alexis, I simply identified and treated the UNDERLYING CAUSES of her digestive problems! To understand how I did that, you first have to understand a little bit about how the gut works.

These are the two main causes of IBS: Food allergies and overgrowth of bacteria in the small intestine.

How Gut Imbalances Can Lead to IBS

Imagine a tennis court. That is the surface area of your small intestine, where food is absorbed. Your small intestine is also the site of about 60 percent of your immune system. And this sophisticated gut-immune system is just one-cell layer away from a toxic sewer — all of the bacteria and undigested food particles in your gut.

If that lining breaks down — from stress, too many antibiotics or anti-inflammatory drugs like aspirin or Advil, steroids, intestinal infections, a low-fiber, high-sugar diet, alcohol, and more – your immune system will be exposed to foreign particles from food and bacteria and other microbes.  This will trigger and activate immune response, allergy, and will irritate your second brain (the enteric nervous system) creating havoc that leads to an irritable bowel, an irritable brain, and other system wide problems including allergy, arthritis, autoimmunity, mood disorders, and more.

The microbial ecosystem in the gut must be healthy for you to be healthy.  When your gut bacteria are out of balance — when you have too many pathogenic bacteria and not enough healthy bacteria — it makes you sick.  You’ve got about 3 pounds of bacteria — 500 species — in your gut. In fact, there is more bacterial DNA in your body than there is human DNA! Among all that gut bacteria, there are good guys, bad guys, and VERY bad guys.

If the bad guys take over — or if they move into areas that they shouldn’t (like the small intestine which is normally sterile) — they can start fermenting the food you digest, particularly sugar or starchy foods.

This is called small bowel bacterial overgrowth, and it’s a major cause of IBS.

The major symptom it causes is bloating, or a feeling of fullness after meals. What causes this bloating? The overproduction of gas by the bacteria as they have lunch on your lunch!

Small bowel bacterial overgrowth can be diagnosed by a breath test, which measures gas production by the bacteria, or by a urine test that measures the byproducts of the bacteria after they are absorbed into your system.

Bacterial overgrowth is a real syndrome and was recently described in a review paper published in the Journal of the American Medical Association.(i) The condition can be treated. In fact, a major paper was recently published in the Annals of Internal Medicine that showed using a non-absorbed antibiotic called rifaximin for 10 days resulted in a dramatic improvement in bloating and overall symptoms of IBS by clearing out the overgrowth of bacteria.(ii) This medication is now under FDA review for approval as a new treatment for irritable bowel syndrome.

That’s great news for many IBS patients. But, unfortunately, not all patients with the same diagnosis are created equal. There’s more than one factor that leads to IBS. Another major cause of IBS is food sensitivities. Not true allergies, but low-grade reactions to foods that drive so many chronic symptoms including IBS.

A landmark paper, was recently published in the prestigious British medical journal Gut that found eliminating foods identified through delayed food allergy testing (IgG antibodies) resulted in dramatic improvements in IBS symptoms.(iii) Another article, an editorial in the American Journal of Gastroenterology, stated clearly that we must respect and recognize the role of food allergies and inflammation in IBS.(iv)

So the research tells us that these are the two main causes of irritable bowel — food allergies and overgrowth of bacteria in the small intestine — but there may be others, including a lack of digestive enzymes, parasites living in the gut, zinc or magnesium deficiency, heavy metal toxicity, and more.

And this is precisely why it is so critically important to personalize treatment based on the unique circumstances that exist for each person who suffers from IBS — the solution is most certainly not one-size-fits-all. But solutions can be found if we look carefully at the underlying causes and treat them.

Which leads me back to Alexis …

How I Helped Alexis Heal from IBS

I prescribed Alexis a non-absorbed antibiotic, an antifungal drug for her yeast problem, and had her eliminate the foods to which she was allergic. I believe in treatment that addresses the underlying cause of the problem. If there is a bacterial or yeast infection, then medications are often the best treatments. The key is to effectively treat the cause. If medications do that, then I use them.

Then I gave her supplements of healthy bacteria to normalize her gut and zinc to help with her digestive enzymes (chronic diarrhea can result in zinc deficiency).

I also gave her extra fiber to feed the healthy bacteria, fish oil to reduce gut inflammation, a multivitamin, and herbs to balance her hormones (which are greatly affected by abnormal bacteria).

What happened then may shock some, but I wasn’t surprised. It is the same result I have seen in patient after patient when the principles of functional medicine are applied …

Alexis came back to see me two months later, and she was a different person. Not only did she lose 20 pounds, she had not had a “s—- attack” and was having normal bowel habits for the first time in 33 years! She also had more energy, and her PMS vanished.

She looked and felt 10 years younger and was free of the suffering she had endured for over three decades.

Do you have to suffer like Alexis did? No. We have the science, the understanding, and tools to deal with this chronic problem and the suffering it causes 1 in 5 people. There is no need to wait for any more studies. I have been treating IBS in my practice for over 15 years with dramatic success.

In fact, just recently, one of my patients told me that, for the first time in his life, he didn’t have any more stomach pains or digestive problems. He had previously been so bad that he had to have a phone installed in his bathroom!

To take advantage of these discoveries today, simply follow these five steps.

5 Steps to Curing IBS

  1. Get tested. Try to get a test for IgG food allergies and eliminate the foods that test positive for 12 weeks. Or simply try an allergy elimination diet for a few weeks.
  2. Test yourself. If you can’t afford the test mentioned above, then just eliminate the most common food allergens for 12 weeks — that’s dairy, gluten, yeast, eggs, corn, soy, and peanuts. And then reintroduce them to see if they cause symptoms. This is an effective way to isolate the foods that may be causing you problems. I have created a simple program to follow based on a comprehensive elimination diet called The UltraSimple Diet.
  3. Get rid of the unwanted visitors in your small bowel. Ask your doctor to prescribe rifaximin (Xifaxin) and take two 200 mg tablets three times a day for seven to 10 days. This is often the best way to deal with the chronic bacterial overgrowth that causes bloating and irritable bowel syndrome.  You may also need an anti-fungal such as nystatin or fluconazole for two to four weeks.
  4. Repopulate your digestive tract with good bacteria. I don’t usually recommend brands, but when it comes to probiotics the quality varies so much that I suggest taking two specific brands. Take one packet of VSL3 or other high potency probiotic twice a day for one to two months. This probiotic has over 450 billion organisms per packet. I also recommend a probiotic called S. boulardii take two capsules twice a day for two months. This is a special probiotic that helps to further normalize gut function.
  5. Try digestive enzymes with meals to help break down food while your gut heals.  You also may benefit from nutrients that help heal the lining of the gut including fish oil, GLA (from evening primrose oil, zinc, vitamin A, glutamine and others.

By taking these steps and seeking out the underlying causes of IBS, you can dramatically improve your health and overcome your digestive disorder.

Please leave your thoughts by adding a comment below—but remember, we can’t offer personal medical advice online, so be sure to limit your comments to those about taking back our health!

To your good health,

Mark Hyman, MD

References

(i) Lin, H. (2004). Small intestinal bacterial overgrowth. The Journal of the American Medical Association. 292:852-858.

(ii) Pimenetel, M., Park, S. Mirocha, J. Kane, S., and Y. Kong. (2006). The effect of nonabsorbed oral antibiotics (rifaximin) on the symptoms of irritable bowel syndrome. Annals of Internal Medicine. (145)8:557–563.

(iii) Atkinson, W., Sheldon, T.A., Shaath, N., and P.J. Whorwell. (2003). Food elimination based on IgG antibodies in irritable bowel syndrome: A randomized controlled trial. Gut. 53:1459–1464

(iv) Shanahan, F. and P.J. Whorwell, M.D. (2005). IgG-mediated food intolerance in irritable bowel syndrome: A real phenomenon or an epiphenomenom? The American Journal of Gastroenterology. 100:1558–1559.

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272 Responses to 5 Simple Steps to Cure IBS Without Drugs

  1. Susan Healey January 31, 2013 at 4:45 pm #

    I have been diagnosed with IBS and have tried many different diets etc. I am currently on the ultrasimple diet and have been eating quite a few nuts as a snack to help me stay away from sugar. I have been experiencing excessive gas and I am wondering if the nuts would cause that. I have heard of soaking them to help with digestion and I would like to know your suggestions on this.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff March 8, 2013 at 1:38 pm #

      Hi Susan,

      Yes, we suggest soaking some nuts- like almonds for example to increase digestion and metabolism. Thank you for your interest in Dr Hyman’s work.
      For more personalized nutrition advice, Dr Hyman’s nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to:http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.

      • Jacquie April 23, 2014 at 7:16 am #

        Dr. Hyman,
        I was wondering if there is any correlation to lowering cholesterol and IBS. This is the second time in my life that I actively and successfully tried to lower my cholesterol and both times I have wound up with IBS. The last time was about 30 yrs ago when I found out my cholesterol was high and I stopped eating anything that would cause keep my cholesterol high. I successfully lowered it a great deal and then would up with IBS. After I adopted my children from Russia and they needed a diet high in iron and protein, I forgot about lowering my cholesterol and the IBS went away. However years later my cholesterol spiked again and again I went on a strict diest and started taking Niacin and I have IBS like I have never had it before. Do you know of any connection?
        Thank you,
        Jacquie

        • Profile photo of Dr. Hyman Nutrition Staff
          Dr. Hyman Nutrition Staff August 13, 2014 at 8:49 pm #

          Hi Jacquie,
          Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

          You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/
          Wishing you the best of health,
          Dr. Hyman Staff

    • Rick April 18, 2014 at 12:54 pm #

      I have had IBS for 20 years. In the beginning, I had a lot of diarrhea, bloating, and pain. Sometimes I would alternate between diarrhea and constipation. Now it is pretty much just the feeling of bloating or fullness, along with cramping and pain. Since having a bowel blockage 10 years ago, due to extreme constipation, I have to use some form of aid to keep me regular. I take fiber tablets and a stool softener.

      My question is regarding the antibiotic Rifaximin. If I have my doctor prescribe this for me, will it make me constipated?

      Also, one last question. Do you have a lot of your patients who have trouble with sugar? It seems like when I eat it, my symptoms get worse. This is something new, because sugar never used to bother my gut.

      Thanks for your reply

    • ABU RAIHAN May 6, 2014 at 1:22 pm #

      HI, I WANT TO KNOW HOW CAN I GET RELIEVE FROM IBS.. I HAVE BEEN SUFFERING FROM IBS MORE THAN A YEAR.IT IS SO PAINFUL TO BEAR IT AND TOLERATE…….. IT’S LESSING THE WORK POWER OF MINE. MY AGE IS 25…… IT ALSO LESSEN THE WILL TO BE ALIVE. PLEASE HELP ME BY GIVING ME SUGESTIONS HOW CAN I GET RID OF IT.

      • Profile photo of Dr. Hyman Nutrition Staff
        Dr. Hyman Nutrition Staff August 7, 2014 at 8:55 pm #

        Hi Abu,
        Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

        You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
        Wishing you the best of health,
        Dr. Hyman Staff

    • Ross July 21, 2014 at 10:39 am #

      A simple easy way to remove IBS. Symptoms is with benerdryll the generic is called ACRIVASTINE or. branded as also SEMPREX

      • Ho July 27, 2014 at 3:57 pm #

        I cannot find any literature that says Semprex can treat IBS. How do you know this?

  2. Sonia Madsen February 25, 2013 at 6:30 am #

    Hi, Could you give an alternative to rifaximin (Xifaxin) as I don’t think this is available in Ireland.

    Thank you.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff February 27, 2013 at 3:07 pm #

      Hi Sonia,

      Have you tried addressing your symptoms with diet, probiotics and enzymes? It is best to work with a local functional medicine provider who can order you the appropriate tests to diagnose if you have yeast or bacteria in the gut. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you in Ireland who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      For more personalized nutrition advice, Dr Hyman’s nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to: http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.

  3. Jessica March 4, 2013 at 7:48 am #

    This is so eye opening. I’ve suffered for years. Had an endoscopy and colonoscopy last year, basically the doctor told me it’s all in my head. He told me to take Medamucil and that was is. No follow up treatment. I’ve been to 3 doctors in the last few years and they have all told me the same thing. I am still suffering, that’s how I found this page. I’m glad I did. Now I have to find a local doctor who will help me. My social life is non-existant now because of my ibs issues. I get anxiety going new places because I’m unsure of where the bathrooms will be which only makes my symptoms worse. Thanks for the information!

    • John September 18, 2013 at 9:46 am #

      you to got that answer, grrrr my blood boils just hearing you say that i have had that for 25 years, how does that make you feel, when they think they know you better than you know your self.
      Jessica ITS NOT IN YOUR HEAD

    • Kapil May 10, 2014 at 9:43 am #

      Same with me….this disease is a killer in any country.People dont understand it much.Its hampering my job what should i do.

      • Safeer September 23, 2014 at 9:50 pm #

        Hi Kapil, not sure what you mean by people don’t understand this disease :(.

        I have been diagnosed by GERD and IBS by my Doc but he fixed me right up within a few days.. I am on Veloz L for 3 Months but started feeling better from the very first day.

        Hope this helps.

        PS: Do not attempt self Medication, please visit a Doc or a Surgeon!

    • mansoor shayir July 5, 2014 at 9:35 am #

      Hi jessica,
      I am 31 yr old suffering from this same dreadful IBS since 14 long years. My life is restricted to my house only as i am always scared to move out.
      you can be in touch with me at mansoor.shayir@gmail.com so that we help each other in its eradication.

      • S. October 18, 2014 at 3:29 pm #

        I’d been dealing with horrendous symptoms for 2 years and this has been a life saver for my IBS. All natural, with results better than any Rx. The Acacia Tummy Fiber and the Fennel Tea are truly godsends. I As long as I stick to this regimen I’m ok. Please check out this line. the message boards are also very helpful. as well as detailed lists of food triggers,This is real. you can e-mail Sherry at apr585@aol.com if you need to talk, good luck!
        http://www.helpforibs.com/

  4. Sam March 8, 2013 at 1:24 pm #

    Good article! I wonder why it’s titled “5 Simple Steps to Cure IBS without Drugs” when step #3 is “go ask for drugs!” ?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff March 8, 2013 at 2:33 pm #

      Hi Sam,

      While Dr Hyman does talk about certain Rx medications here, the use of this antibiotic (Xifaxan) is the best available treatment for small bowel overgrowth and is well worth the investment in your health.

      For more personalized nutrition advice, Dr Hyman’s nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to: http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.

  5. Sarah March 8, 2013 at 1:25 pm #

    Is there any risk in ‘sterilizing’ your gut using Rifaximin? I have the prescription but am nervous to use it because I was warned it might eliminate TOO many bacteria and leave you at risk for further bad bacterial infections. Thoughts?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff March 8, 2013 at 2:29 pm #

      Hi Sarah,

      You should follow your Doc’s prescription and inquire about supplementing with the appropriate gut-healing nutrients (probiotics, enzymes, zinc etc.) Please see the article for the protocol Dr Hyman suggests.

      For more personalized nutrition advice, Dr Hyman’s nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to: http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.

      • Joanne Young July 28, 2014 at 6:03 pm #

        I do I get Xifaxin? Does insurance cover it? I’m with Kaiser and don’t know if they will prescribe it? Thanks for the information! There is hope!

  6. Helpful information. Lucky me I discovered your web site unintentionally, and I’m surprised why this coincidence didn’t happened earlier! I bookmarked it.

  7. sof March 19, 2013 at 11:13 am #

    Hi, what do you recommend for IBS-S? I’m taking fiber/magnisium/vitamin D/ginger root supplements, exercise 4 times a week, drink lots of water (pop/soda only few times a year), take a probiotic every day. I eat out once a week, rarely junk food, i eat 8-10 bananas and 2 lbs of apples every week, try juicing here and there. I have a hard time with sweets and consume alcohol 1-2 times a week. I’ve had IBS-S since i’ve traveled to Europe (almost 6 months now)….Would Xifaxin work for me?

    • Profile photo of HymanStaff
      HymanStaff March 26, 2013 at 4:52 pm #

      Dear Sof,

      Thank you for your message and your interest in Dr. Hyman’s work. Your question and constellation of symptoms represents a complex medical condition. Questions regarding conditions like these cannot be answered in a responsible manner via the Internet.

      Wishing You the Best of Health!

      Dr. Hyman Staff

  8. Annette March 21, 2013 at 9:59 pm #

    Do you take the probiotics while taking the antibiotic or do you start them afterwards?

  9. John March 23, 2013 at 8:01 pm #

    Hi,

    I’ve been experiencing IBS symptoms since the fall.( Diarrhea) I am a vegetarian and eat very limited amounts of processed foods. No dairy and plenty of fiber. Whole grains as well. My big splurge was a bit of cheese pizza. I was recently prescribed Cipro and Flagyl for what we thought was diverticulitis. The Cipro was first for two weeks. The anal itching I had went away immediately and my stools became very normal and easy to pass and huge! Now that the antibiotics are done, I am experiencing the usual symptoms.

    Did the first round of Cipro normalize my gut for a while? And did this give a clue as to what is going on.

    • Profile photo of HymanStaff
      HymanStaff March 26, 2013 at 1:01 pm #

      Thank you for your message and your interest in Dr. Hyman’s work. Your question and constellation of symptoms represents a complex medical condition. Questions regarding conditions like these cannot be answered in a responsible manner via the Internet.

      Wishing You the Best of Health!

      Dr. Hyman Staff

  10. christopher March 27, 2013 at 1:53 pm #

    hi i had ibs-d for over three years,where i’m from doctors do not know anything about this sickness,i really would like to know if Dr Hyman could help me.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff April 5, 2013 at 12:56 pm #

      Hi Christopher,

      Thank you for your interest in Dr Hyman’s work with IBS. Unfortunately Dr Hyman cannot provide personal medical advice in this forum. If you would like to make an appointment at Dr. Hyman’s UltraWellness Center in Lenox, MA please go to:http://www.ultrawellnesscenter.com/becoming-a-patient/ When you are finished reading through the material you may call the office at After you have reviewed this, please contact our office to make an appointment. By phone, (413) 637-9991; by email, office@ultrawellnesscenter.com

      For more personalized nutrition advice, Dr Hyman’s nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to:http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.

  11. roslyn March 30, 2013 at 9:35 am #

    Hi i was going to doctors for ten years now they did test but every time they told me there is nothing wrong with me,but i keep getting sicker.One doctor told me its all in my head the other said i have nerves stomach after two years treating a nerves stomach nothing changes . my stomach will cramp up making me feel like am having a heart tack sometime my body shake so much in the night my sleeping is poor my stomach pain so much and am always full am not hungry can you please help me

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff April 5, 2013 at 3:21 pm #

      Hi Roslyn,

      Thank you for your interest in Dr Hyman’s work. Unfortunately Dr Hyman cannot provide personal medical advice in this forum. If you would like to make an appointment at Dr. Hyman’s UltraWellness Center in Lenox, MA please go to:http://www.ultrawellnesscenter.com/becoming-a-patient/ When you are finished reading through the material you may call the office at After you have reviewed this, please contact our office to make an appointment. By phone, (413) 637-9991; by email, office@ultrawellnesscenter.com

      However, our best advice for getting started today, is to work on an anti-inflammatory diet such as that in Dr Hyman’s The Blood Sugar Solution. You can get started here: http://www.bloodsugarsolution.com

      For more personalized nutrition advice, Dr Hyman’s nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to:http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.

      • Anthony martinez May 26, 2014 at 5:25 pm #

        Hi I was wondering do u take them all at the same time or xifaxan first then take the anitfungals probiotics and enzymes together ? Which enzymes do u guys recommend ? And plus do u get the cream form of nystatin or capsules

  12. Mas April 1, 2013 at 2:56 pm #

    Hi,

    I have IBS, I have so much gas in my stomach and thats why so much Fart goes down . I am in so Bad condition . I need to stop Fart .

    will u plz plz plz plz give me some way to stop it . Please , I need your help .

    Thanks in advance

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff April 5, 2013 at 3:32 pm #

      HI Mas,

      Thank you for your interest in Dr Hyman’s work. Unfortunately Dr Hyman cannot provide personal medical advice in this forum. If you would like to make an appointment at Dr. Hyman’s UltraWellness Center in Lenox, MA please go to:http://www.ultrawellnesscenter.com/becoming-a-patient/ When you are finished reading through the material you may call the office at After you have reviewed this, please contact our office to make an appointment. By phone, (413) 637-9991; by email, office@ultrawellnesscenter.com

      In the meantime you might look into an antiinflammatory diet protocol such as those in Dr Hyman’s The Blood Sugar Solution or The UltraSimple Diet. http://www.bloodsugarsolution.com or store.ultrasimplediet.com

      For more personalized nutrition advice, Dr Hyman’s nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to:http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.

  13. preeti srivastava April 3, 2013 at 2:46 am #

    I’m 47 yr old woman with IBS problem for the last 17 yrs.After reading your article on IBS I felt I can be treated.My symptoms are— some loose motion s’time constipation, bloating dryness in the mouth after getting up from bed, dryness & itching in the upper back(fungal infect.which doesn’t go with anti fungal oint.),a small cut on the opening of left nostril for last three months, sugar craving after noon’s sleep,earlier rectum itching was there not now,perfect weight,regular in exercises. My Dr. gave Enterogermina, Pentotas-D & husk.After loose motion feels pain in the legs, weakness, main problem motion is ir-regular. I’m from India. Dr. can you help me or advice me for my problem.

  14. Mercuttio April 8, 2013 at 1:13 pm #

    Looks like an interesting and reasonable protocol. I am just wondering whether this has been tried also with the patients suffering from other internal inflamattory diseases, like cholangitis or pancreatitis?

  15. Steve in Alabama April 8, 2013 at 9:15 pm #

    Hello, I just wanted to say thank you for sharing this information on IBS. We are honoring IBS Awareness Month this April with some new posts and information about this common disorder on our medical research blog. Too many people are suffering in silence with irritable bowel syndrome, but we can help them by getting more people to openly discuss this illness. Plus as you know, one of the best ways that a person can manage their IBS is to learn as much as they can about it.

  16. Michael Wu April 14, 2013 at 6:06 am #

    Since I have IBS the pain is not that bad anymore since the supplements I took help reduce my pain! I’m not going to give up and will keep fighting for it!

  17. Caitlyn April 28, 2013 at 5:37 am #

    Is there a less expensive alternative to the VSL 3? Also, which form of zinc would you recommend?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 15, 2013 at 1:00 pm #

      Hi Caitlyn,

      Dr. Hyman really wants you to focus on bifidobacteria and lactobacillus in high doses in order to produce a therapeutic effect. The VSL-3 is the leader in this arena for probiotics. So, the cost is worth the effort in healing if you can afford it for the month. Then, you can switch to a probiotic such as this: http://store.drhyman.com/Store/Show/SearchResults/426/Ther-Biotic-Complete-capsules OR, http://store.drhyman.com/Store/Show/SearchResults/862/Probiotic-50B Of course, do the best you can and if you need to start out with a probiotic like that than you can try it and see how your body feels. Might be good to work with a practitioner to help you as certain strains of bacteria are therapeutic for the type of inflammatory response associated with IBS. You dont want to cause more inflammation.

      Unfortunately Dr Hyman cannot provide personal medical advice in this forum. If you would like to make an appointment at Dr. Hyman’s UltraWellness Center in Lenox, MA please go to:http://www.ultrawellnesscenter.com/becoming-a-patient/ When you are finished reading through the material you may call the office at After you have reviewed this, please contact our office to make an appointment. By phone, (413) 637-9991; by email, office@ultrawellnesscenter.com

      For more personalized nutrition advice, Dr Hyman’s nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to:http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.

  18. Lynne Dugan April 29, 2013 at 11:13 am #

    I recently had major surgery for two ulcers, one up and one down. I am trying the FODMAP diet, eliminating sugar and trying other foods to see if they trigger diarhea and am taking probiotics daily. The symptoms have improved but I am interested in the VSL#3. The other one you suggested does not register with Google. I am also without health insurance so a doctor is out of the question. Do you think it might help to talk to your team?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 1, 2013 at 12:41 pm #

      Hi Lynn,

      Thank you for your interest in Dr Hyman’s work. Unfortunately Dr. Hyman cannot provide personal medical advice in this forum. If you would like to make an appointment at Dr. Hyman’s UltraWellness Center in Lenox, MA please go to:http://www.ultrawellnesscenter.com/becoming-a-patient/ When you are finished reading through the material you may call the office at After you have reviewed this, please contact our office to make an appointment. By phone, (413) 637-9991; by email, office@ultrawellnesscenter.com

      For more personalized nutrition advice, Dr Hyman’s nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to:http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.

      In good health,
      The Nutrition Team

  19. Brijesh May 10, 2013 at 12:31 am #

    i am from India and i am suffering from IBS from last 7 years,
    my age is 25 and this is the age to earn money so that i can make my future but because of IBS i cant do anything. i get cramping, bloating, and constipation, it doesn’t just make me feel miserable. It has create serious problems in my life,
    it force me to stay home from work and say no to anything that means i couldn’t be too far from a bathroom. i had to leave my studies and my job, i prefer to be at home because of IBS,
    from last 2 years i am at home i don’t go to hangout with friends, i don’t attend any wedding and i don’t do all the normal stuff which my age people’s do,
    please help me out i am in big trouble……

    • Profile photo of HymanStaff
      HymanStaff May 30, 2013 at 10:44 pm #

      Thank you for your message and your interest in Dr. Hyman’s work. Questions regarding medical conditions cannot be answered in a responsible manner via the Internet.

      To locate a practitioner of functional medicine in your area see the “Find a Functional Medicine Practitioner” link at the Institute of Functional Medicine website: http://www.functionalmedicine.org/practitioner_search.aspx?id=117.

      Wishing You the Best of Health!

      Dr. Hyman Staff

  20. Kunal Jain May 20, 2013 at 6:10 am #

    Hello,
    I have always had stomach disorders like bloating,hyperacidity and frequent visits to the loo after meals but in the past 4 months this problem has aggravated a lot .
    I have been diagnosed by IBS by the doctors. Despite several medications i am in no relief. There is emmense bloating and acidity throughout the day.After reading Dr Hyman’s article above, i asked my doctor to prescribe me Xifaxin Tablets (400mg three times a day ) and i am also taking VSL-3 (1 cap a day )alongwith S.boullardi Capsules ( 1 cap a day ). I have been taking this now for a week but there is no improvement in my condition. DO u suggest any other medication along with it or should i increase my dosage of the above mentioned probiotics .Since i am india i cannot make an appointment with Dr Hyman. Pls reply back .

    • Profile photo of HymanStaff
      HymanStaff May 30, 2013 at 3:01 pm #

      Hello Kunal,

      We cannot offer medical advice over the internet. You should consult with your physician on your progress and dosage.

      Wishing You the Best of Health!

      Dr. Hyman Staff

    • pradeep June 16, 2014 at 1:45 pm #

      Hi Kunal, did u get any relief.. I am currently in stockholm,,suffering from IBS a lot..can u give ur number,,else call on 09900109225

  21. aazad May 20, 2013 at 1:33 pm #

    hi dr.
    doctor says i have ibs d ..is there any solution.. ? i am 22 years old. pl dr.z reply me in simple english..

    • Profile photo of HymanStaff
      HymanStaff May 30, 2013 at 2:52 pm #

      Hello Aazad,

      Thank you for your message and your interest in Dr. Hyman’s work. Questions regarding medical conditions cannot be answered in a responsible manner via the Internet.

      Wishing You the Best of Health!

      Dr. Hyman Staff

  22. Kishore May 21, 2013 at 5:16 am #

    Thank you for this article. I’m from India and I have the same problem and I feel the sudden attacks and before leaving the house I have to use the loo for atleast 6 times and still have the uncomfortable feeling in my stomach. I have been using homeopathy but results are slow.

    I have been married last year and I fear going out with my wife due to my problem. I hardly go out and its frustating me. Last year I had visisted a Gastro specilist and he did endoscopy and told me its in your head, you are thinking about it too much. I have tried to lose the thought but the sudden attacks make me
    worry.

    Can I send you my gastro reports and the medication adviced to me so that you can look at it and advice me what to do next.

    I’ll await for your reply.

    • Profile photo of HymanStaff
      HymanStaff May 30, 2013 at 2:48 pm #

      Hello Kishore,

      Thank you for your message and your interest in Dr. Hyman’s work. Questions regarding conditions like these cannot be answered in a responsible manner via the Internet.

      Wishing You the Best of Health!

      Dr. Hyman Staff

    • yuvaraj August 10, 2013 at 4:43 am #

      hi,

      I am from India too, not yet diagnosed ( most likely IBS). My number is +91 9738122017. Lets connect. Only we understand our problem has this IBS is rare in India and people dont understand our problem.

  23. Jay May 29, 2013 at 1:09 pm #

    I thought this article was great! Can you recommend a lab that could provide the IgG antibodies test that is recommended in the article? I have seen that some labs mail kits to your home and then you send it back for analysis. Are these alright to use? What do you suggest?

  24. Audrey Dryden June 16, 2013 at 8:19 pm #

    Suddenly at 82 I began having symptoms of Colitis, had a colonscopy and it was!!! Lymphocytic Colitis…doc suggested Budesonide? at $1,500 a month?? No guarantees with it.
    I found a Functional Doc and took the gluten test and was positive. Also, dairy etc. I worked with supplements and finally got onto a product called: “pure encapsulations, G.I. Fortify…It is a miracle…took two days and back to normal BM and my Gastro guy, not a functional doc., said to take Pepto Bismal tabs, 8 a day??? It was recommended by a website: Collagenous Colitis & Lymphocytic Colitis… After 1 year of the frequent BMs and being unable to go out without taking Motrin, I am elated.

  25. Audrey Dryden June 16, 2013 at 8:20 pm #

    I requested you not use my full name??? What happened?

  26. nsawa August 4, 2013 at 11:13 am #

    I appreciate western medicine’s perspective and research on this subject.

    As an IBS sufferer, I have found that meditation is the best cure for IBS and most “non” diseases which are not lethal but so disabling that life becomes a burden more than a journey.

    Yes, diet is very important. We have to watch what kind of stuff we introduce into our system, but most importantly stress.

    Nope, you did not get to the heart of the issue, what is the real reason behind food allergies? what does cause too much bad bacteria?
    (and with each answer you will get another question because you are sticking to the physical body and not having a wider perspective).

    I believe that once we embrace a holistic perspective to things outside of the physical body we will be able to understand and treat lots of illnesses and “none” illnesses.

    The only thing that makes a medicine work is the belief that the patient has of the outcome.

    After all the medicine fixes the symptoms and not the causes, so yes there is a mind cause to it.

    I do believe that IBS can be categorized as psychosomatic, because it is triggered by stress (bad diet is a stress trigger on the most vulnerable part of the IBS sufferer, the digestive track) in the same way that back pain sufferers have their back as their most vulnerable part and migraine sufferers have their heads.
    (read some psychosomatic book and it tells you why).

    In order to treat IBS, I suggest meditation, on a daily basis, learning to monitor and track thought patterns and of course a proper diet and exercise
    (you don’t need to have any medical condition so that a dietitian tells you no for the following:
    1- Sugar
    2- Gluten
    3- Dairy
    etc…
    )

    And no, I do not want to live my life afraid of certain food types because of their effect (they are not the cause, I want to skip them because of knowledge and not fear).

    No, I do not want to keep drugs or non-drugs in my system for my whole life (maybe not good for drug companies, but this is another subject).

    No, I do not believe that external inclusions will heal me.
    Just as my body can heal itself from a small wound so will it heal from IBS
    (in fact if we all have been properly conditioned from childhood, most diseases and life issues will dissipate on their own).

    So, we should stop convincing ourselves that we need this and that to cure. We only need to know how to live in our own skins.

    These conditions (IBS, Migraine, back pain) happen because the body’s threshold for stress has been surpassed and an unhealthy lifestyle will make it worse.

    Regards

  27. raveesh sachdev August 5, 2013 at 9:55 pm #

    Hello dr. I am raveesh and I am of 19 years old I am having my stomach problem from like 10 months and I usually get constipated sometimes mucus is also seen. And I am also having gas problem I have contacted from some doctors and didnt found any solution yet. Sometimes size of the motion is not normal. Please help me doctor I wanna get rid of this problem

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 16, 2013 at 1:45 pm #

      Dear Raveesh,

      Thank you for your interest in Dr Hyman’s work. He practices functional medicine, which includes personalized lifestyle medicine. This is an individualized approach to health and nutrition. Specific treatments will affect each person’s system differently, based on their unique “terrain” or constitution. In order to treat the symptoms and get to the root cause of what’s making someone sick, we first need to know what specific imbalances are occurring in the individual’s body. Because of that, there is no single diet or therapy available to everyone. We need to address the person’s unique health status and medical history in order to provide the ultimate diet therapy for that person.

      Due to this Dr. Hyman cannot provide personal medical advice in this forum. Have you seen this article though? http://drhyman.com/blog/2010/04/28/ultrawellness-lesson-4-gut-digestive-health/

      If you would like to make an appointment at Dr. Hyman’s UltraWellness Center in Lenox, MA please go to:http://www.ultrawellnesscenter.com/becoming-a-patient/ When you are finished reading through the material you may call the office at After you have reviewed this, please contact our office to make an appointment. By phone, (413) 637-9991; by email, office@ultrawellnesscenter.com

      For more personalized nutrition advice, Dr Hyman’s virtual nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to:http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.
      In Good Health,
      The Nutrition Team

  28. Nitish August 6, 2013 at 9:20 am #

    Is there any relationship between H.Pylori and IBS or H.Pylori can add symptoms of IBS? Is it ok if patient tests for H.Pylori bacteria to cure IBS?

  29. Kriti Sharma August 8, 2013 at 5:16 pm #

    I have no clue what my disorder is but i have been seeing my doctor for a year now and recently was told to follow a FODMAP diet. It has helped me to certain extent but its like after a few days I feel the same, bloated and in so much pain that all i want to do is sleep and that’s like my medicine and i am only 22 sigh! o was prescribed xiafaxin 500mg and it didn’t help me i take citrucel as of now HELP!

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 16, 2013 at 12:39 pm #

      Dear Kriti,

      Thank you for your interest in Dr Hyman’s work. He practices functional medicine, which includes personalized lifestyle medicine. This is an individualized approach to health and nutrition. Specific treatments will affect each person’s system differently, based on their unique “terrain” or constitution. In order to treat the symptoms and get to the root cause of what’s making someone sick, we first need to know what specific imbalances are occurring in the individual’s body. Because of that, there is no single diet or therapy available to everyone. We need to address the person’s unique health status and medical history in order to provide the ultimate diet therapy for that person.

      Due to this Dr. Hyman cannot provide personal medical advice in this forum. If you would like to make an appointment at Dr. Hyman’s UltraWellness Center in Lenox, MA please go to:http://www.ultrawellnesscenter.com/becoming-a-patient/ When you are finished reading through the material you may call the office at After you have reviewed this, please contact our office to make an appointment. By phone, (413) 637-9991; by email, office@ultrawellnesscenter.com

      For more personalized nutrition advice, Dr Hyman’s virtual nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to:http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.
      In Good Health,
      The Nutrition Team

  30. Daniel August 10, 2013 at 10:37 pm #

    Hi! I have one question: do you take the rifaximin AFTER you eliminate trigger foods for 12 weeks or can you do both at the same time???

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 14, 2013 at 7:26 pm #

      Dear Daniel,

      Thank you for your interest in Dr Hyman’s work. Dr. Hyman cannot provide personal medical advice in this forum. If you would like to make an appointment at Dr. Hyman’s UltraWellness Center in Lenox, MA please go to:http://www.ultrawellnesscenter.com/becoming-a-patient/ When you are finished reading through the material you may call the office at After you have reviewed this, please contact our office to make an appointment. By phone, (413) 637-9991; by email, office@ultrawellnesscenter.com

      For more personalized nutrition advice, Dr Hyman’s virtual nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to:http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.
      In Good Health,
      The Nutrition Team

  31. Grace August 12, 2013 at 3:50 pm #

    ISSUE: Inability to properly digest foods such as protiens and sugars
    AILMENTS: GAS, BLOATING, IRREGULARITY, REFLUX, ABDOMINAL PAIN
    FIX: REGULAR EXERCISE DAILY, CANNABIS added to diet

    Is it any wonder, we stray from who we are as animals, then wonder why our animal instincts kick in to tell us we are wrong.

    hundreds of thousands of years cannabis, nature, now religion, government, control. Take a deep breath and know air is the last thing to be taken.

  32. violet September 2, 2013 at 2:42 pm #

    why do i only suffer severe ibs during my period. i am 53 now and have had this problem for about 3 yrs. i didnt think my stomach could hold so much gas its so painful what is going on i literally cant eat or sleep for 5 days evety month

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff September 5, 2013 at 3:17 pm #

      Dear Violet,

      Thank you for your interest in Dr. Hyman’s work. Hormones are really complicated and unfortunately we cant provide a one word answer. It is probably best you receive attention from a qualified practitioner who practices functional medicine like Dr. Hyman. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      If you would like, you can make an appointment at Dr. Hyman’s UltraWellness Center in Lenox,MA. To make an appointment at Dr. Hyman’s UltraWellness Center in Lenox, MA please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/ When you are finished reading through the material you may call the office at After you have reviewed this, please contact our office to make an appointment. By phone, (413) 637-9991; by email, office@ultrawellnesscenter.com

      Did you know you can work with Dr. Hyman’s nutritionists virtually? It is easy and fast! To learn more, please go to:http://store.drhyman.com/Store/List/Coaching-Programs

      In good health,

      The Nutrition Team

  33. Dalton September 4, 2013 at 11:09 pm #

    I was just wondering if you had done any research into vaccines or GMO foods that may cause or help create the environment for IBS and other illnesses.

    Here are some insightful documentary’s to check out:

    http://www.youtube.com/watch?v=h2NlxVrR_LM

    http://www.youtube.com/watch?v=EBlp_thTq0Y

  34. Seddik Iguijji September 6, 2013 at 6:38 am #

    hi i am 20 years old male i had suffering with IBS for more than 5 years it seems that thy turned my life around i sometimes skip school just because of it i live in morocco i have been taking different treatment with my doctor but nothing seemed to work
    it just make me want to kill myself

  35. Yousuf Mohammed September 6, 2013 at 4:45 pm #

    Hi doc,
    This is Yousuf Mohammed from Saudi Arabia, i have IBS from last 5 years, i am 30 years old, my problem is very rare bowel movement i.e once in a week, hard & lumpy stool, discomfortness, bloating, high stress, high constipation pass stool once in 7 days hard stool, it is spoiling my quality of life. If you have treatment i can come to you over there for treatment, i want to cure from this. I am afraid. It is spoiling my career & social life. I had done colonoscopy, endoscopy, thyroid fungtion tests all test result is good no problem reported. Reply me. I had tried many diets but no result.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff September 6, 2013 at 5:39 pm #

      Dear Yousuf,

      Thank you for your interest in Dr. Hyman’s work. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      In good health,
      The Nutrition Team

      • Ammad November 3, 2013 at 2:30 am #

        Is the treatment for IBS-Constipation available?

  36. John September 18, 2013 at 9:23 am #

    hi i also have been diagnosed with IBS and my symptoms are mostly like Alexis, Castro, No energy, No sleep, bad memory, No drive at all basically, it basically feels like the stomach is always fermenting food in the stomach a lot of gas, and acidic feel in the stomach and bloating cant eat cause feel like i already have eaten, coffee seems to be a big contributor but not always theirs is days were coffee does nothing and then one day i will drink it and with in 5 min i have Castro. I have had this for 25 years now my main triggers are perfumes, after shaves, smokers, car fumes, pretty much any strong smell will turn my stomach within 5 min i will have Castro. i have tried parasite removal, Candida diet for 2 months (now that’s a killer diet in its self) i didn’t think i felt that much better until i reintroduced foods back in and now i realized i was a touch better but still not 100%. the only person that has ever come close was a nature path with liquid vitamins etc etc within 3 months i was pretty much totally fixed. Only problem she has forgotten what she gave me so i am back to square one again.

    This is the worst thing ever you cant do anything in life because you don’t know when this will strike

    Please help me get rid of this what do suggest i do here, any help would be appreciated
    Thanks

    • Profile photo of Team Hyman
      Team Hyman July 30, 2014 at 2:41 am #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/
      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching, please see: http://store.drhyman.com/Store/List/Coaching-Programs

      In Good Health,
      Dr. Hyman’s Wellness Staff

  37. Sarah September 18, 2013 at 4:43 pm #

    Hi there,

    I am 24 years old and have suffered IBS for the past 2 years. It began after a bout of stress which caused severe constipation. Since then, I am regularly constipated and get bloated very easily, especially during the evening. Sometimes it can be up to 4 days before I can go to the toilet, and when I eventually do go, it is very painful as the stools are large and hard and often causes bleeding. My diet is high in fibre and I eat a lot of fruit and veg. I often eat dried apricots and figs but this doesn’t seem to have any effect on me. I have been tested for coeliac disease which returned negative. Please help my bloated body! Thanks.

  38. khan October 5, 2013 at 1:31 pm #

    hi there
    i am facing IBS symptoms since 3 years , when i take antibiotic it works for me but just after few days it comes again so now i am fed of from my life, today i saw this article now i just need one thing is rifaxin must be taken along with nstatin?

  39. sunita ramtohul October 9, 2013 at 7:15 am #

    hello doctor i’ve got this disease what is the best medcine i should take to cure it ?

  40. Angela October 10, 2013 at 11:25 am #

    Does this 5 step process make you lose weight? I have already lost 30 lbs with not being able to eat anything without pain and can’t afford to lose anymore weight.

  41. Jeannine October 10, 2013 at 11:41 am #

    I see an oncologist regularly for Essential Thrombocytosis and I take 12 – 500 mg of Hydroxyurea per week. I also see a GI doctor regularly for Celiac disease and IBS. I have chronic constipation that has slowely gotten worse over the years, but have had problems all my life, and I am 69 years old. I grow and eat organic fruits and veggies, very little meat, and live a very active healthy life style. I see a naturopath and take fish oil, probiotics, enzymes, magnesium, calcium, vitamin D regularly. The GI doctor just put me on Linzess, one per evening. It seems to work and I have less bloating and pain in the GI tract. I am not fat, but I still have to unbutton my bra and pants due to the bloating. I was had the blood test for the IgG and went on an elimination diet for nearly 5 months, and felt much better. As I started introducing foods, I became increasingly sick and bloated and constipated. I don’t know what else to do. Finding the culprit that makes me really ill has been narrowed down to dairy and red meat mostly. What else can I do?

  42. Abhimanyu Sahni October 13, 2013 at 9:43 am #

    Hi doctor, I have been suffering from IBS since 4 years and due to this i am facing weakness,fatigue,my face swells and stomach bloats. I have had all the possible tests regarding the matter but no solution as yet. Please advice with the best possible treatment to cure the problem.

  43. Dr A S Narayana Rao October 28, 2013 at 2:13 am #

    Dear Hyman,
    Your research experience on IBS is excellent. Fortunately, I have the opportunity to go through ur suggestions. Help rendered to humanity through web is commendable.

  44. Dr A S Narayana Rao October 28, 2013 at 2:21 am #

    I am suffering from severe moods depression once I have one loose motion. After eating my stomach becomes highly acidic and my brain becomes nervous after one loose motion once upon a time . I was treated fe loose motion with metronidazole but only momentary relief. Your prescription would help a lot , I think

  45. Amanda Marquez November 6, 2013 at 12:44 am #

    I wish there was more doctors like you! This disorder has caused me so many problems.. I will try this guide :) I feel hope for my curing, thank you.

  46. winsome maloney November 6, 2013 at 8:13 am #

    worked, please in form the doctors in Canada how to treat this condition thank you.

  47. Imprint Archana November 7, 2013 at 12:34 am #

    Dear Dr. Hyman,
    I’m writing on behalf for my husband who has been diagnosed with IBS recently. I would like to give a brief history of how it all started. My husband is 36yrs old and we based in Ahmedabad, India. Last year .i.e. in Dec 2012 he suffered from chicken pox which was fairly fatal. Post that his digestive system was giving him problems meaning constant motion, loose motion and diarrhea. We didn’t take it seriously thinking that because the dosage of the Chicken pox medicines was high probably it could have been because of that. But this problem persisted for almost 4 months so then we got an endoscopy done for him. In the report, the doctor said that he had Helicobacter Pylori infection. Medicines were prescribed for it but nothing really happened. After 2 months we consulted another doctor and he said that you have IBS. He again has prescribed medicines but there has been no improvement in his condition. He also have food reflux (Gastro-oesophageal reflux) which is also big problem for which the doctor said there is no treatment apart from a surgery. Because motion happens at least 3 – 4 times in the night, he can’t have a sound sleep which affects his daily work.
    Is there a possibility that I can forward you all his reports and medicine prescription and if you could have a look at it and prescribe a medicines accordingly.
    I’ve been fairly perturbed his health condition.
    I eagerly look forward for a reply from your side.
    Thank you.

    • Profile photo of Team Hyman
      Team Hyman January 2, 2014 at 5:29 pm #

      Thank you for your interest in Dr Hyman’s work. Unfortunately Dr Hyman cannot provide personal medical advice in this forum. For more personalized nutrition advice, Dr Hyman’s nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to:http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.

  48. Kyle Peterson November 13, 2013 at 6:13 pm #

    Very interesting article that gives me hope. I have had IBS for 5 years caused by the antibiotic, Cipro. I took it for a UTI and my family doctor kept me on it for 45 days. I have not been the same since. Stomach cramping with severe pain, constipation, horrible smelling flatulence, incomplete evacuation. It has been a true nightmare. I recently took VSL # 3 with good results, but when I stopped taking it, my symptoms returned with a vengeance. I am currently taking a lot of FiberOne and VSL with some improvement, but not nearly what I was hoping for. I’ve been to 4 GI specialists and noone can help me. I just want my life back!

  49. avi November 21, 2013 at 2:17 pm #

    I’m 29 and went to my doctor a few months ago after suffering from IBS for the past few years, in most cases it used to bother me in the morning. He told me to drink a big glass of water every day when I wake up, before eating or drinking anything else – so far it works absolutely great! and it’s healthy for you either way.

  50. Michele Renee November 24, 2013 at 11:18 pm #

    Can a symptom of IBS be constant burping? I burp daily all day, sometimes horribly. I only get the bloating and horrible gas in the evenings for several hours, who knows what sets it off. I may have several days in a row or skip a few weeks. It is very in consistent. Still not sure it is IBS, but have had every test out there and ruled out most everything else. Any ideas?

  51. Thomas November 25, 2013 at 11:54 am #

    I wanted to share my IBS story because I think it could be helpful to those who have suffered as much as I have.

    I start my story off with the habits that I think led up to IBS. From the age of around 9 years old I suffered from stress that made me lose my appetite for years. I never would eat breakfast and I would go all day during school without eating. Then I developed acne and used all types of antibiotics, again without eating anything. This was disastrous because I think the years of antibiotics on top of starving myself destroyed all the healthy bacteria in my stomach.

    Around the age of 15, I noticed sodas would cause discomfort and so much gas to the point it was trapped all throughout my body and back and my blood sugar would drop to the point of me feeling as though I wanted to pass out. I eliminated sodas, but throughout college I still had IBS.

    I would wake up every morning lethargic, nauseous, constipated for days and generally unhappy. While I was in college I stopped being able to digest certain proteins like beef altogether, but at the time I didn’t know this. Then my life too a turn for the worse.

    1. I developed a cough that wouldn’t go away and it was so frequent and bad that I had to stop attended my courses b/c I would disturb everyone in class. I couldn’t sleep for more than 45 mins at a time b/c I would wake up in the middle of the night drinking water to stop the cough and cool my stomach down

    2. I could literally feel and hear my stomach struggling to digest food and I was gaseous and bloated that I could barely breathe. I felt like I was being poisoned and my stomach just felt nasty and disgusting

    3. I developed premature wrinkles and grey hair because I knew I wasn’t absorbing enough nutrients

    4. When I was able to defecate, which wasn’t often b/c I was generally constipated, my fecal matter would never form into solids, it was like the consistency of sand.

    5. I couldn’t exercise and had to stop being active as I got older. I couldn’t eat any dairy (including yogurt), barely as meat (no beef or pork) or poultry and could only eat certain fish.

    6. I wanted to die, especially after going on a vegan diet thinking that would relieve me. I nearly had a nervous breakdown after I got so sick from the fiber because I couldn’t digest it.

    7. I refused to get on medicine because I knew I wouldn’t be getting to the root of the problem, only masking the issue until the medicines took a negative toll on my system

    Solutions:

    1. Around 2008 I stopped eating beef and that cleared up all the mucous that I had in my chest and it stopped the coughing. The poisonous feeling that I mentioned went away and the dark rings I developed around my eyes went away with it. Beef was literally killing me! I would cough so badly that I even began to cough up blood and would have migraines from the hacking. Beef and anything that came form a cow was horrible for me.

    2. I still had digestive issues like bloating, not being able to digest most other foods including fiber and my blood sugar was uncontrollable. However, after about 5 years of struggling after I made the beef discovery I am free! I had starting drinking crystal light in order to cut down on calories, but one day I had so much acid in my chest from drinking it that I nearly choked in my sleep b/c it had come up my esophagus. I drank the lemon flavored crystal light so I figured the artificial lemon flavoring was too acidic. Then I started drinking sugar free lemonade, same thing happened. Then I said, let me drink only healthy drinks without any sugar. So I started drinking Fuze drinks…same thing happened!

    3. I compared what all those drinks had in common and I found the culprit! ARTIFICIAL SWEETENERS! It wasn’t the flavoring it was the artificial sweeteners that was killing me! I now only drink Ocean Spray 100% juice and I can tell you I have no symptoms of IBS and I can digest poultry and fiber. My bowel movements are frequent, my fecal matter is solid, I have energy, my blood sugar is regulated and I feel that best I have felt in 15 years. I suffered for 15 years b/c of artificial sweeteners! Even my grey hair is leaving. The main thing I have noticed is that I can SLEEP! I can SLEEP! Thank you Jesus I can sleep without being awaken b/c my stomach feels like I have to vomit. I can no longer feel my stomach digesting and I don’t lose energy like I use to when I sleep. I used to literally wake up tired b/c I think my body was using so much energy to try and digest my food. I thank God on high that I feel normal again.

    People stop eating Beef and artificial sweeteners! I know everybody is different, but this may help somebody…anybody. I wrote this long response because I wouldn’t wish my suffering on anyone b/c I really wanted to commit suicide after my digestive issues caused me so much misery, agony, pain, isolation, and sadness. I also don’t eat any sugars besides fruit sugars with a little honey.

    Read upon Artificial Sweeteners Disorder. I learned about this after I figured out that what was killing me. I felt like I had colon cancer at times or that I would die very young b/c I was always sick.

    I hope this long post helps someone!

    • Ammad December 2, 2013 at 12:39 am #

      Hi Thomas,
      Thanks for sharing your story. I have a few of the symptoms that you just mentioned. The IBS started to show up for me earlier this year when I was really stressed mentally. For 2 months my doctor put me up on Antidepressants, which really worked for me I was back to having normal bowl movement. Now I got into stressful situation again and it came back again. You mentioned in your story that you were stressed in your childhood, my question is how does stress affect you? Of course food puts great impact on my digestion, but I think Stress triggers it for me. Thanks again for sharing your story, it means great hopes for me.

      Ammad

    • Bobi December 18, 2013 at 12:21 am #

      thank you for sharing your very similar experience.

  52. loenzano December 1, 2013 at 4:14 pm #

    Liked hearing all the peoples comments

  53. TA December 2, 2013 at 7:07 pm #

    is there any functional doctors you would recommend in Honolulu? i’ve tried searching my area but came up short. i am seeing a natruopath currently who is treating me for candida and the progress is okay, it’s not great and i’m not 100% yet.

    thank you!

  54. Rebecca December 4, 2013 at 11:19 am #

    Hey I have been suffering with ibs-d since i was 18. im now 23. and it has gotten so bad to the point where i have been to the hospital 4 times! because i felt like i was literally dying. i had a baby last year and now i know how to describe my attacks. feels like HORRIBLE labor contractions. in my stomach and back. im crying every time i go to the bathroom. and i sometimes go 10 or more times a day. i almost take Imodium like candy. i say that because i have to take Imodium every other day. just so i DONT go. i will be going alot and then when i cant take it anymore i take 204 pills and it stops me up for a couple days then im back where i started. its an endless cycle for me. i have almost been to the point of suicidal i have to admit. its just so bad that im constantly depressed/stressed.i get hot flashes and cold chills and i feel ill like im going to faint. my back pain is excruciating. and i am so bloated that it makes me have to pee very badly when i get an attack. I recently got a job. im even surprised i can work. because im extremely scared of having an attack at work because i dont want to get fired for being in the bathroom so much. i have to take Imodium the night before i have work so i wont use the bathroom the next day. im just so stressed about this that i dont have any friends. cause im always at home. and i feel like im not giving my daughter the attention she deserves cause im always in the bathroom. i have seen several doctors and all just tell me to take fiber. but im in constant severe pain and dont know what to do for it. my doctors will not prescribe pain killer for my constant pain. what can i do? they have tried every test on me and concluded its ibs. i actually wish they DID find something in the tests they took so i could be like “yes finally they found something so they can fix it.” but no “you have ibs and theres no cure.” basically “have fun living in pain and fear and embarrassment for the rest of your life.” This makes me not want the live. literally the only things keeping me from killing myself because of this pain are my family. this is how painful it is!

    • Rebecca December 4, 2013 at 11:20 am #

      i meant to put i take 2 to 4 pills. not 204.

  55. waheed December 8, 2013 at 4:00 am #

    i have a problem of ibs, using colofac135mg (bd),prothiaden75mg(od) & esomeprazole 40mg, but still i have pain & going to washroom 3 to 4 times in aday.

    need ur opinion.
    thanks.

    • Profile photo of Team Hyman
      Team Hyman December 27, 2013 at 2:30 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/
      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching, please see: http://store.drhyman.com/Store/List/Coaching-Programs
      In Good Health,
      Dr. Hyman’s Wellness Staff

  56. David from England December 13, 2013 at 4:09 pm #

    I am intolerant to most drugs including just simple pain killers and anti biotics so dont know whether I wil be able to take rifaximin (Xifaxin) and that is if my GP will prescribe for me as he is very wary about pres any drugs for me knowing the bizare effect many have had

    I have been suffering now for about 4years and not getting any better despit e going to a noted hospital for the colon etc St Marks in London it was suggested at first all in the mind and o CBT etc

    A I found that all red meat caused such pains I have stopped eating also green veg and fresh fruit for sweetening i use natural honey from the producers of it Stomoch still gets painful and I get cet constipation itis seriously affecting my social life always wondering what toilet facilties etc and what food i will be able to eat if in a strange place so i tend not to go which cuts you off from friends and feeds the anxiety And have cut out wheat as much as possible using glution free in cerals and rice milk and small amounts of Lactose free milk for weak tea etc no coffee

    It woukd be good to hear from you

    • Profile photo of Team Hyman
      Team Hyman December 27, 2013 at 2:20 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/
      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching, please see: http://store.drhyman.com/Store/List/Coaching-Programs
      In Good Health,
      Dr. Hyman’s Wellness Staff

  57. Rachel December 14, 2013 at 7:20 pm #

    I have several gastro problems. Upper is a hiadal hernia, diagnosed 18 years ago, but more recently severe pain in the lower left side by my ovaries ( checked with no abnormalities). As of today I am suffering with a horrible pain in my upper back right side just under my ribs. Feels like gas but excruciating pain. I also have suffered with bad yeast infections most of my like. I see that Dr. Hyman is not local. I was wondering if he had a recommendation for a doctor in the long island, ny area that practices his same theories. I do not like to take medicine and would gather try a different approach. Thank you

  58. Bobi December 18, 2013 at 12:20 am #

    Thank you so much. I’m 42 yoa and I grew up drinking Pepto Bismol after meals and I always heard people say, “you eat like a bird.” Well, when you get full fast and get cramps after eating all these years, I guess that’s what happens. I’ve tried many things but never simultaneously. I thank you and will try these steps. I believe in this methodology of functional medicine.

  59. Robert Barabash December 20, 2013 at 8:08 pm #

    I had rectal cancer and was cured. After about 6 months my ostomy was reversed and my bowel was hit and miss. Since then I have had bowel problems. I would go off and on. The longest I have been constipated is 25 days and I was so happy not being anchored to a toilet. The longest stretch for diarhea is 546 days. My problem with the loose stool is I have no mechanism to warn or stop the bowel movement. My symptoms mimic IBS but no one has been able to give me even a hint about what has been going on in my bowel or how to slow it down. I have all the symptoms of IBS plus when a really serious episode is about to happen my burps smell like I was sucking on a 100 year old leather mitt that was in a scuzzy pond.

  60. Mary Nelson December 27, 2013 at 2:38 am #

    Thank you for sharing such great info on IBS .
    Basically I have a problem esp after a meal, I need to ease myself after a meal. It can be so frustrating ESP during work.
    Please advise how I could use natural remedies to prevent this.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 22, 2014 at 5:48 pm #

      Hi Mary,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/

      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching where you can receive 1:1 support with Registered Dietitians, please see: http://store.drhyman.com/Store/List/Coaching-Programs.
      Wishing you the best of health,
      Dr. Hyman Staff

  61. Ruslan December 27, 2013 at 6:36 am #

    Thomas, you`re absolutely right! I`d always been suffering from IBS untill I came across some clues!!!!!!!!!!!!!!

    Wish all people the best of health!

  62. lecitina de soja December 29, 2013 at 4:04 pm #

    Pretty great post. I simply stumbled upon your weblog and wished to say that I have really loved browsing your weblog posts. After all I will be subscribing in your rss feed and I hope you write once more soon!

  63. matt December 31, 2013 at 11:46 am #

    hi I’ve been suffering for about 6 years with this the first time I had that a domino pain I went to the hospital they tested me and determine my gallbladder was not functioning properly and then told me since it did not function I would probably end up with I.B.S it took my stomach a long time to recover after gallbladder was taken out about 6 months later I had severe abdominal pain and then about 6 months later then I went almost 2 years and had a flare up and then a year and a half to two years later sometimes when I eat I have the urgency to run to the bathroom especially with greasy foodsthe last flare up I had was a couple days before christmas this year and has been carrying over about 2 weeks sometimes it spells only last a couple of days sometimes longer that case no running to the bathroom after I eat doesn’t really bother me as much as it seems to affect others when they eatI have an appointment to see my family medical doctor just wondered if you had any advicethat I could share with him I am a smoker and consume alcohol very minimalI might have a drink every couple monthslike I said before I’ve tried to nearest food down but that does not seem like the under causing something any information you can give me will be greatly appreciated
    Thanks.

    • Profile photo of Team Hyman
      Team Hyman January 2, 2014 at 2:09 pm #

      Thank you for your interest in Dr Hyman’s work. Unfortunately Dr Hyman cannot provide personal medical advice in this forum. For more personalized nutrition advice, Dr Hyman’s nutrition coaching team would be happy to work with you on an individual level to help you reach your goals. To work with the nutrition coaching team please go to:http://www.bloodsugarsolution.com/nutrition-coaching/ OR call (800) 892-1443 to get started.

  64. Dennis L. January 4, 2014 at 9:07 pm #

    I am having this problem, I blot so bad I have gone from a size 42 pants to a size48. I have had test done, results were O.K. . The Doctor put me on two different types of fiber, Other Stool softing meds.as well as Linzess. All to no avail, it seems to be getting worse each day. The Blotting is terrible. Any suggestions. Thank You.

  65. John B January 24, 2014 at 12:25 pm #

    I have had back problems and IBS for years and recently after a sinus surgery I was prescribed a strong two week dose of antibiotics. After the first week I began to notice that my bloating, back pain and erratic bowel movements began to disappear. By the end of the two weeks my symptoms were gone, I was not bloated after meals and I was having daily normal movements like I haven’t had for years, I felt so good! Unfortunately this only lasted a few weeks and then everything was back to the usual. I did take a daily dose of probiotics too, but to no avail. One other thing Ive had in common with my IBS symptoms, since I began noticing them, is that I’m prone to staph infections in my nose and rash symptoms on the palms of my hands. I now believe that the correlation between gut flora and IBS is correct. “The key is to effectively treat the cause.” As for the cause, what was it that allowed this common bug to overwhelm the natural barriers? The treatment with antibiotics though efficient unfortunately raises a caution flag, as the overuse of antibiotics is inherently depleting our defenses against the microbial world, and the effects were only temporary for me, so before I would be onboard with this I would like to know if you have any long term follow up examinations of these patients showing sustained results. (well passed the two month mark)

  66. Biplab Ganguly March 25, 2014 at 1:54 pm #

    I’m very much excited seeing this curing method as prescribed by Dr. Hyman. I am from Calcutta, India and an IBS patient for the last 3 years, I had completed so many anti-biotic courses and for the last 1 yr I’m undergoing Homeopath treatment, but noting is showing any progress. Today (25.03.2014) I started following the 5 steps of Dr. Hyman but I want to know what is the dose of “fluconazole” plus its power ( in m.g.)

  67. Jerry March 25, 2014 at 8:36 pm #

    I began suffering from IBS during college and years after. It was very emberrassing, I would have to plan my day around eating and having to run to the bathroom. I would take my girl friend out to a nice dinner and we would have to run home or take a bathroom break before we met up with friends. After doing extensive research I decided to try a product called RIDSET. Its a full body detox cleanse that claimed to help. After taking it for a few days, My IBS symptoms were gone! I could not believe it. My BM were much healthier and foods began sitting well with me again. Im so thankful that I found this product because now I can live a normal life and not have to plan my day around having to run to the bathroom. I would recommend trying this product to anybody with the same issues as me.

  68. Bill April 3, 2014 at 7:53 pm #

    I was diagnosed with Gastritis/GERD and IBS 6 months ago, all at the same time. I was on the road a lot with my previous jobs, and sometimes didn’t make the best food choices.

    The Gastritis/GERD are gone now, but the IBS seems the toughest one to heal.

    I was tested for IgG, IgE and IgA. My IgG shows beef and cow milk cause immidate reactions, so I eliminating them completely. the IgE shows most milk products cause issues, as well as gluten, wheat, some lentils, blueberries and cranberries. Cane sugar, coffee and honey also cause minor reactions.

    My stool test showed Candida Overgrowth. I’m on anti-fungels now (Caprylic Acid), do I need anything else?

    I made a lot of progress since September but still have issues. (Pain in the colon, pain in the ribs, stomach cramps)

    Any suggestions how to keep improving?

  69. Renee April 17, 2014 at 5:03 pm #

    After 30 years with IBS, numerous doctors and countless test and drugs, a naturopathic doctor was recommended to me by a friend. After a few visits with him he said ” I think you might be fructose intolerant”. That statement changed my life. If you think this could be your problem then do the research. Learn the difference between all the different sugars. Consult a registered dietitian for a complete list of foods you should avoid. No more diarrhea!!!

  70. Cammy April 17, 2014 at 7:54 pm #

    What happens afterwards? Is it just a matter of getting the body back in balancer and then your good go back to your regular eating or is it something that’s ongoing?

  71. M April 19, 2014 at 9:04 am #

    Most talk about IBS w/ diarrhea, gas and bloating. What about IBS-C?(with constipation)
    I have no gas, bloating nor loose stools. Mine is the opposite. I’ve been mostly wheat and dairy free and no junk food for 30 years. Lately, I can eat three (careful) meals before one p.m. because nothing seems to satisfy. (I’m hungry 20 min to 1 1/2 hours after eating) Do not feel full or satisfied. I’ve GAINED 20 lbs in last two years (unusual) around the middle. Also had brain symptoms (ADD and brain fog) when cut out carbs (strict paleo). Definitely have constipation with ANY grains.

  72. Jean-Marie April 19, 2014 at 5:20 pm #

    Dear Dr. Hyman,

    I have been suffering with IBS with acute constipation for nearly 35 year. I have become completely dependent on enemas. I am constantly bloated, have gained 40 pounds because I am so depressed I have become very inactive and crave carbohydrates. I’ve tried virtually everything to cure my colon inertia. It just will not work on it’s own. At all. Doctors just keep recommending more fiber in every possible form, as well as the magnesium and Laxacure products. Nothing works. It all just stays in my colon until I finally give in and have another nauseating enema. It’s exhausting. It is difficult to find a doctor who has the knowledge and expertise to deal with this horrible problem. I am considering surgery to remove my colon.
    I recently saw an ad for a new medication that treats IBS constipation called Linzess. I was looking it up when I found your article.
    I live in Portland, Oregon, so if you know of someone who can help me, I would be most grateful.

  73. Charles April 23, 2014 at 8:42 pm #

    Great web site and information! So are there are doctors within my area Bel Air, MD) that you would consider knowledgeable on this matter? My mom had this same problem as she got older and I sure have had IBS now for the past 3 years.

  74. Tracy April 23, 2014 at 10:19 pm #

    My 21 year old son was just diagnosed with IBS. I really felt like the Doctor was just telling him to suck it up and get over the anxiety that is contributing to it. He has been in a 6 week flare up and currently is lucky if he eats 1 small meal a day. He is in constant pain and that is increasing his anxiety. I feel like he is in a vicious loop and he feels that he can’t break out of it. He is in constant pain in his left quadrant and has watery stools. What can we do to get him out of this flare?? I am really concerned how this is affecting his mental health. Thanks

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 13, 2014 at 8:44 pm #

      Hi Tracy,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide your son the proper care he needs we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/
      Wishing you and your son the best of health,
      Dr Hyman Staff

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  76. SHIV May 1, 2014 at 2:31 am #

    Hi

    I am 27y old men,i have giagnosed & report was IBS..I m taking medicines from past 6 years nothing changes in health, instead of that disease level is increasing because of that i m feeling always tired,sleepy & i have to go daily 5-6 times motion & body weight is increasing..So these things completely effecting me a lot & i cant able to concentrate on my professional careers..Please suggest me if any surgery i can undergo to come of this disease…Pls reply me earliest

    Thank You

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 8, 2014 at 5:19 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  77. Hanna May 1, 2014 at 9:05 am #

    I would like to try the protocol suggested by Dr. Hymen before I go through the trauma ( I believe a colonoscopy is a surgical like procedure, the prep is traumatic and anesthesia always carries risks) I see it like this, if I get better, well then it worked. If I don’t see an improvement, then further testing would be acceptable. My body is absolutely my business, and I should have a say in how it is treated.

    • Fe May 29, 2014 at 12:14 pm #

      Hi Hanna

      i have to say getting a colonoscopy is a good idea- it really is the best way to know for sure that everything is ok down there. The prep really isnt that bad- to be honest- its almost a relief to clear yourself out of everything- for a few days i actually didnt feel bloated or sick- it was great!! I have suffered with IBS for about 5 years now and its slowly getting worse- i still dont know what causes it and im constantly looking for answers. Everyone is different and it will take time and tests to figure it out. Your right, you should try it and the worst that can happen is that it doesnt work, and you move onto the next thing.

      Good luck with feeling better :)

  78. rajesh May 4, 2014 at 2:28 am #

    sir, i am 28 year old male and am suffering from ibs for the last 4 years. taking so many medicines like rifagut 400 mg, seta 5 mg , libotryp xl 25 mg, ciplar la 40 mg and get psychatric opinion and taking psychatric drugs for insomnia and deprsssion. pleave give an opinion

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 8, 2014 at 5:06 pm #

      Hello Rajesh,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  79. Adrienne May 12, 2014 at 8:58 am #

    I would like to know what herbs were used to balance her hormones?

  80. ravi May 15, 2014 at 2:12 pm #

    Hi, i am having IBS-C. my bowel slows down for almost all foods other than oil free simple diet. may i know the root cause why my intestines behave differently for different foods and cause constipation very regularly? will taking probiotics help my condition?

  81. jimmy May 18, 2014 at 6:24 am #

    hello
    I have had severe ibs for years and been hospitalized on one occasion. I have not received any help except a drug that will prevent pain impulses. In Sweden, you can not buy drugs without a doctor’s permission. When I moved to Spain, i was at the pharmacy to buy what you suggested for investigation, because in Spain you can do that. I am now much better than in years. Maybe it was the imbalance of intestinal bacteria, maybe mushrooms in the system, i don´t know. I will continue with the gluten-free diet, just in case. Thank you for improving ny lifequality! best regards from Spain, Europe

  82. Bob May 19, 2014 at 9:59 am #

    What kind of approach do you recommend for stress based IBS attacks that are not devastating, but severly annoying at first which graduate to the sick feeling of cottonmouth, loss of appetite, cramps, and multiple visits to the potty. Librax alleviates the symptoms but I would prefer to avoid it all together. The stress cant be avoided, due to it being family life, and the stress is not noticeable other than the IBS attacks. The problem with the stress based version is that you stress over getting worse, which in turns makes you worse. Is this a case where medicine is probably a better course of action?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 5, 2014 at 6:23 pm #

      Hi Bob,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  83. Elisa Hansen May 21, 2014 at 10:17 am #

    Hi, the protocol suggested by Dr. Hymen sound really good and I will try it right away. However I was wondering what kind of herbs he gave to her to balance the hormones? I am from Denmark and unfortunate there is no local qualified Functional Med practitioner in Denmark accoring to http://www.functionalmedicine.org/practitioner_search.aspx?id=117. I would have loved if I could have gone to one though that looks at the total Picture so I could get the help i need instead of being sent from one doctor to another.

  84. Cintamani Puddu May 21, 2014 at 10:34 am #

    Is there anyone who actually try that and it worked?

  85. Bhavani May 22, 2014 at 10:41 pm #

    hello,

    Thank u so much for the wonderful information.

    i have been suffering with ibs since last two years and experiencing all the symptoms of Alexis. you suggested few drugs like rifaximin (Xifaxin), anti-fungal such as nystatin or fluconazole , VSL3 or other high potency probiotic, probiotic called S. boulardii. How shall i take these i mean m i suppose to take all the drugs in a day? or just rifaximin and antifungal ?
    please help me out with this as I want to start my medication.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 4, 2014 at 9:11 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  86. Nachiket Odhekar May 25, 2014 at 9:03 pm #

    Dear Dr,

    I am suffering from IBS as informed by my family physician. He also told me that I have Vit B12 defficiency. I am suffering from regular gas problems and feels like I am getting sick. My upper side of stomach pains heavily and sometimes I also suffer from chest pain. My current level of B12 after medication is over 1000.

    Kindly advice.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 5, 2014 at 6:04 pm #

      Hi Nachiket,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  87. Anthony martinez May 26, 2014 at 5:29 pm #

    If anyone from dr hyman office can tell me if u take the antibiotics (xifaxan) first or take them all at the same time ? Can it be any enzymes capsules ? For the anit fungal hound it be cream or capsules ?

  88. sam godwin May 28, 2014 at 2:39 am #

    Doctors in the UK can’t prescribe rifaximin. Their database shows that it’s liver toxic and is likely to increase the side effects of irritable bowel. I asked my doctor who I’ve trusted for years and he flat out said no. All other advice is very helpful and I’d recommend a potent probiotic to anyone else suffering from this hellos affliction. It’s the only thing that’s given me hope.

  89. Bertha G. May 28, 2014 at 11:53 am #

    Great article, that I will be sharing with all my friends. I have IBS, but not as extreme as the example described in the article. I have learned to control my diet to lessen the severity and frequency of IBS bouts (no gluten, very limited processed foods/dairy/sugar, lots of fresh fruits & veggies.)

    I swear by S. Boulardii to prevent diarrhea and the risk of Clostridium difficile when taking powerful anti-biotics prescribed by my dentist after root canals (I’ve had many). I suspect (but can’t know for certain) that priming my gut with S. Boulardii prior to and during trips abroad may have reduced my risk of traveller’s diarrhea.

    Imagine my surprise then, when I came across articles/studies about ‘Saccharomyces fungemia’. After reading about this condition, I’m confused, as it paints S. Boulardii as something to take in moderation and only for specific reasons, due to the risk of developing fungemia, while other health articles say you can’t take too much and should treat it like a daily supplement.

    Well, which is it? Is fungemia from S. Boulardii a serious risk for people with IBS? Thanks!

  90. Vivek May 29, 2014 at 5:14 am #

    Hi,

    I am 30 year old from India and I have been diagnosed with IBS 5 years back and since then, i have taken multiple medications for curing the same, but of no use.
    I have cut dairy, eggs, soya and some vegetables; but my condition still remains the same.
    I feel bloated and full after every meal, sudden urge of passing stool (especially in evenings and after meals), severe itching at the anus area and sometimes blood in the stool.
    This makes me very much frustrated and sometimes the condition worsens so much that i cant sit properly due to severe itching at the anus area and this makes me feel embarrassed.
    Can you please help me recovering from this embarrassing disease.

    Looking forward for a positive reply.

    Thanks.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff May 30, 2014 at 6:55 pm #

      Hi Vivek,
      Thank you for your comment and your interest in Dr. Hyman’s work. Unfortunately we are unable to provide individual medical advice in this forum. To locate a doctor near you who practices functional medicine like Dr. Hyman who can help you with your condition, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing You the Best of Health!
      Dr. Hyman Staff

  91. royal May 29, 2014 at 10:09 pm #

    PERFECT HEALTH – A START
    There seems to be a myriad of “unsolvable” health issues –many probably attributable to our modern lifestyle.
    The onus falls on us to correct these issues as much as possible so we can discover any “substantial” illness which lies beneath. The most obvious place to start is diet because it would seem diet holds the high ground as causative in many illnesses (CHD, SIBO, IBS, Celiac and non-celiac bowel disorders, etc etc).
    Which diets? I would suggest- all run concurrently for at least 2 months and then individually adapted according to normal protocol (add 1 food at a time if permitted and observe effects))
    1. A ketogenic diet such as LCHF – rice, sorghum as the only grains, absolutely no table sugar.
    2. FODMAPs Diet
    3. Histamine Intolerance Diet –HID (or H
    The ketogenic diet is a lifetime diet- moderately adaptable to an individual’s liking in regard to total vegetable carbohydrate.
    HID diet is necessary initially because so many of the symptoms of Histamine Intolerance mimic IBS symptoms. Additionally fermenting food caused by SIBO and or IBS can give rise to Histamines in the gut. So restricting additional dietary histamines seems obvious
    FODMAPS is necessary as it covers most of the IBS symptoms
    NOTE- check as many versions (its hard work) of the various diets to get a “consensus” diet. For example In the HID diet many say bananas are acceptable. However some others list bananas as a histamine “liberator”. Excellent- http://mastcellblog.wordpress.com/histamine-diet/

    General- to go with any health seeking activity the following is also needed
    Vit D (20 min noon sunshine), clean drinking water (add bicarb soda optional), avoid air contaminants (burning plastics, exhaust fumes etc), sleep minimum 8 hrs per day total (sleep at any time) avoid EMF (home wifi, cell phone, cordless phone, etc), do earthing (preferably along beach or non-developed areas), exercise ( +HIT according to age) , avoid mycotoxins in food and environment (esp most fungi, WDB etc, consider sinus cleansing), attempt to get all vitamins and minerals from foods rather than tablets, avoid GMO, glyphosates and insecticide compromised foods. Dr Mercola has excellent material on most of the above on his web site
    Additionally each individual must consider other “matters”- vaccinations, nuclear radiation, the pea soup of emf radiation (wifi in busses, cars, Highway toll bridges and tunnels, smart meters (to name just a minute fraction of them).

  92. C2theP June 4, 2014 at 7:30 pm #

    Hello,
    I was wondering if you can please recommend a food allergy testing lab? I know there are Cyrex labs, ImmunoHealth, Immunolabs… do they all do the same panel and is one better than the other?
    Thanks,
    C2theP

  93. Md. Mamun Morshed June 5, 2014 at 11:35 am #

    Hello Dr. Mark Hyman,

    I think I am a patient of serious IBS. My father and I have almost the same problems for a very long time. as far as i remember specifically from 2004 after getting cured from typhoid I have been suffering from irritable bowl.

    My symptoms are :
    1. I all time feel my internal part of the abdominal (Intestine) has swelled.
    2. bitter saliva or water comes from my mouth.
    3. Bad smelled sticky liquid type of stool with lots of mucus in it.
    4. lower Left part near to the last rid cage bone of my abdominal is painful all the time.
    5. I feel lack of energy and serious upper thrust or vomiting feeling, when ever I try to do something physical like gym exercise.
    6. Finally when these problems are troubling me I face serious hair fall and skin problem.

    Please doctor, If there is any way I can get back to my normal life from these problem I would be great full to you with my life. not to forget to mention In my country “Bangladesh” I have already tried more than 10 different doctors who tried but could not able to give any solution to my problem.

    Thank you.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 31, 2014 at 6:49 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  94. Alberto June 6, 2014 at 6:40 pm #

    I have been suffering with IBS for about six years now and I have been taking medication for about 4 years to help ease my symptoms. I have been taking vitamin b pills twice a day as well as enzyme pills twice a day as well for those 4 years. Am I damaging my digestive system by taking too much enzyme and vitamin b pills?

  95. Sultan Sumit Arefin June 7, 2014 at 4:33 am #

    I am a IBS patient. I have been suffering from IBS for 6 years. I need your suggestion. Please help me. I want to drink milk. I want to eat meat. But I cant. Help me please. I want your help :(

  96. Rajeev SIngh June 8, 2014 at 2:54 am #

    My father has similar symptoms as described for IBS(constipation) on your website. Do you have treatment facility in India ?
    Thank You

  97. Meesha June 8, 2014 at 4:48 pm #

    I am years old and have never had a problem until two months ago when i stood up and felt like i was going to pass out and i had to go to the bathroom. I spent the next several hours laying in bed with hot and cold flashes and extreme dizziness. The next day it went away only to come back two weeks later on my honeymoon, where once again i felt the urgency to use the bathroom. It took me eight days to recover and it happened again a few weeks ago. Both doctors i have seen said panic attack. I do not believe that is what it is. I have now gone completely vegan and I am wondering after you change your eating how long before you see results. I am still having to go to the bathroom and i am always tired. I also have been getting headaches and am very sensitive to light. I am taking vitamins b12, vitamin d and iron. I am eating about five prunes a day but still feel pretty awful. Any advice?? I go to the doctor in a few weeks but need some relief, i have a 4 year old and hate seeing him like this.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 31, 2014 at 6:37 pm #

      Hi Meesha,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  98. Debarpita Das June 11, 2014 at 6:00 am #

    Hi,

    Could you please let us Indians know how we can reach the doctor?

    I have been suffering from IBS for over 25 years!

  99. Megan Fisher June 14, 2014 at 7:08 pm #

    Hi, I have been suffering IBS for 3 years and suspect a multitude of causes. I eliminated all grains, nuts, red meat, soy. corn, caffeine, sugar and dairy (especially yogurt). 12 mnths ago I had to eliminate most vegetables as they were causing me extreme pain. More recently this extended to salads and I started to panic wondering what was going to be left to eat? My usually healthy diet got replaced with packaged chips and crisps as my body was able to tolerate them. Imagine a large bag of chips for lunch. I even started getting severe reactions after eating an apple! (suspect reactions to pestisides) Tried expensive supplements (enzymes & probiotics) with no difference. Drinking juice with grapeseed extract helped kill the infections accuring all the time in the small intestine SIBO, but interestingly I read that in order for our gallbladder to work properly to release essential enzymes to digest protiens and carbs you need fat. So I lathered organic butter over everything I ate and have had the best relief. Put on 3 kg so am now going to try fish oil capsules with my food. Still get IBS around and after periods, after consuming too much sugar in one sitting or overfilling my stomache with too much food or liquid (even water) but it has helped me the most. I also suffer severe constipation and am completley immune to laxatives from 10yrs of overuse so I just have enema every second day. Hope this helps someone, not a cure but add good fats, animal fats or coconut oils..not vegetable oils from supermarkets. meg

  100. Victoria June 15, 2014 at 12:24 am #

    My comment did not post well. I was saying I keep feeling pain in my side and pelvic area and then when I have a bowel movement, I feel better. My stomach looks a little puffier and bloated at times. My doctor did an ultrasound and she said I am fine and paranoid and said it is just stress or muscle pain but I know my body and I have never felt this before. Could this be IBS?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff June 16, 2014 at 1:01 pm #

      It could be IBS, food allergies, bacterial overgrowth, or a wide variety of other issues. Have you followed one of Dr. Hyman’s programs? They could really help eliminate some of your discomfort, especially if it is due to food allergies.

      • dharshan June 17, 2014 at 2:40 am #

        Hi There,

        I have the below discomforts for the past 8-10 months

        i) Whenever I miss a meal or if I don’t take the meal on time I can feel gas moving through my stomach ,I feel like farting but I am not able to since it’s not coming out easily( I feel it watery ) .I can feel that it touches my anus but I can’t fart.

        ii) I feel an urgency to get to the toilet whenever I eat spicy or fried foods have been avoiding these foods as much as I can.

        iii) I get a very mild pain on the lower part of my stomach, not very frequently though. Probably once in ten days that too very mild pain

        If my observation was correct all this symptoms started when I had tooth ache for a period of one month and I was taking a lot of pain killers

        I meet two different doctors one diagnosed it as IBS and the Other as gastritis, I was taking Robotic supplement called as VIBACT-IBS and esomeprazole for two to three months but the results weren’t that desirable.

        I have almost quit drinking coz of this but I smoke 4-5 to cigarettes a day

        Your help and advice is needed

        .

        • Profile photo of Team Hyman
          Team Hyman June 29, 2014 at 3:53 pm #

          Hello,

          Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

          You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/

          Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching, please see: http://store.drhyman.com/Store/List/Coaching-Programs

          In Good Health,
          Dr. Hyman’s Wellness Staff

  101. dharshan June 17, 2014 at 2:38 am #

    Hi There,

    I have the below discomforts for the past 8-10 months

    i) Whenever I miss a meal or if I don’t take the meal on time I can feel gas moving through my stomach ,I feel like farting but I am not able to since it’s not coming out easily( I feel it watery ) .I can feel that it touches my anus but I can’t fart.

    ii) I feel an urgency to get to the toilet whenever I eat spicy or fried foods have been avoiding these foods as much as I can.

    iii) I get a very mild pain on the lower part of my stomach, not very frequently though. Probably once in ten days that too very mild pain

    If my observation was correct all this symptoms started when I had tooth ache for a period of one month and I was taking a lot of pain killers

    I meet two different doctors one diagnosed it as IBS and the Other as gastritis, I was taking Robotic supplement called as VIBACT-IBS and esomeprazole for two to three months but the results weren’t that desirable.

    I have almost quit drinking coz of this but I smoke 4-5 to cigarettes a day

    Your help and advice is needed

  102. Edwin June 17, 2014 at 8:34 am #

    Hi doctor, I have been having a problem with my gut, since october 2013, this was also followed by chest pain and needle like pains on my back. I have seen many doctors and all was not going well, i saw one doctor who prescribed celecoxib 200mg and some how the chest pains went away and my stomach started feeling alittle better, i recently saw a gastroenlologist who after listening to my descriptions diagnosed that i suffer from IBS, but this doctor wants to do an endoscopy on me all the same. Is it really a must to do this procedure?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 31, 2014 at 6:31 pm #

      Hi Edwin,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  103. nholm June 18, 2014 at 1:23 am #

    Hi,
    I have IBS-C . Do you suggest the same steps for someone suffering with IBS-C?

    Thanks,
    nholm

  104. Jakki June 19, 2014 at 5:13 pm #

    How can I actually find a doctor that will follow this course of treatment? In my experience (almost 10 years with IBS-C) doctors just try and throw useless pills (antidepressants, laxatives, etc.) at the problem that make me feel even worse. Now I’m confronted with an even worse issue of joint pain during my flare ups making it a struggle to even get out of bed for work. I am blatantly ignored when I tell them I can’t take fiber supplements because the fiber actually makes my symptoms worse with bloating followed by joint pain and fatigue.

    I’m actually to the point where I hate food. If a hypoallergenic pill was invented that I could take for my nutrition and not feel this way I’d give up eating in favor of the pill in a heart beat and not miss food one bit. It’s getting to the point where I’m developing a fear response to the very act of eating.

    • Profile photo of Team Hyman
      Team Hyman June 21, 2014 at 1:18 pm #

      Hi Jakki, we have a resource for helping you get what you need from your doctor, you can sign up

  105. Glen June 20, 2014 at 3:59 am #

    Hi, I have recently SUDDENLY had stomach problems about two months ago that fit IBS symptoms to a the mark…it was back and forth between constipation and diarrhea and often both at the same time (if that makes any sense). Before then I could eat ANYTHING without having any sort of issues. What has made me over 80% better is going to the Chiropractor. I told him about my IBS and I started going to him 3 times a week for the past two weeks…my cramps are virtually gone and my bowel movements have been so much better. I am still releasing a little mucus though (sorry for TMI), is that normal? Also, is it normal to SUDDENLY have IBS after being able to eat pretty much anything?

  106. Janet June 22, 2014 at 1:40 pm #

    I have recently followed the Ultrasimple Diet and am in the stage of reintroducing potential allergens. Soy seems to be a problem for me. I have been steadily following the guidelines, but then a week ago had unusual circumstances and ate mixed gluten, eggs, and dairy before their time. The next day I had stomach cramps and diarrhea that have waxed and waned for the succeeding week. I never had digestive issues before so this was not one of the reasons I did the detox. I stopped adding new foods and reverted to the previous level. Is this a result of the sudden addition of the three potential allergen foods, or have I made myself ill with this diet, or what? Should I wait it out or see my doctor? Thanks.

  107. arif June 23, 2014 at 8:10 am #

    whats about ibs constipation treatment.

  108. Jade June 23, 2014 at 5:58 pm #

    my ibs has put my life on hold for 2 years. im 17 and its effecting all my exam results, attendance at college and social life/work. it has ruined my life and is controlling it.
    i am in desperate need for help, ive tried every diet and medication prescribed to me.
    rifaximin sounded like a dream come true for me, but is unavailable in the UK. i need help have you any advise for me?
    thanks in advance, jade.

    • Profile photo of Team Hyman
      Team Hyman June 29, 2014 at 3:10 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there. (There are quite a few in the UK!)

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/

  109. Narjis Maqsood June 23, 2014 at 9:12 pm #

    Hi my name is Narjis. I was diagnosed for IBS 2yrs ago..I have anxiety. gas .constipation. Abdominal pain. Body shacks. Mental stress. I am mother of two and its very hard for me to take care of my kids..plz help..I want to see doctor Hyman…I live in new York USA..plztell me how can I meet him..thank you

  110. Kaykay June 25, 2014 at 2:01 pm #

    iv been suffering from this condition since 2008 after the birth of my second (and last thank God) child. anywho, it began as very mild fleeting cramp like pain in different spots in my abdomen. then spead to more widespread periodical stomach pain. i thought it was terrible gas bc i would pass gas a lot with it and also had much relief after bowel movements.

    today, 6 yrs later, i feel good most of the time but still have have major cramping preceeding bowel movements. i also experience an urgency to use the bathroomthat makes me want to stay at home. i never know when the urge to #2 (bowel movement) is going to strike. i have had one major accident away from home but luckily i was at a laundromat drying clothes so i had a quick change of clothes available. God was with me!

    i have to use the bathroom and #2 like 5-10 times a day. a very soft brown stool. b/c of the premature full feeling, i now eat like a bird and have lost tons of weight from that over the last 2 yrs. i try to eat healthy greens and fruits with every meal to make every calorie count. i notice my symptoms get worse if i have anything fried. fried foods and fast foods are a no-go. i joined my local gym and lost even more weight and i wanted to report that regular exercise (walking 30 mins a day) helped to greatly improve my digestive system. i went from #2 5-10 times a day to maybe 3 times a day when im being a good girl excercising regularly and eating properly.

    thats about all i have to share. a better diet and regular aerobic exercise greatly help me. i havent tried any medications as of yet as i dont have health insurance or a doctor.

  111. sathya June 27, 2014 at 7:28 am #

    Hi, I’m Sathyamoorthy from India,

    These are all my symptoms , at times i have any one or more of these

    1)Many times i’ve acidity and similar to reflux
    2)Dry mouth and frequent urination,
    3)Belching and bloating , i feel stomach is full
    4)Before using toilet i get pain in the abdomen
    5)Constipation and loose motion once in a month
    6)Bad breath for more than 3 yrs

    I have visited for 2 gastro consultants for this problem and done with the endoscopy they all suggested the medicine for the acidity which is least helped.. after doing so many research in internet i found these are all the symptoms of IBS..So pls guide me how do i take it further and what test i need to do and what medicine i need to take..Can you explain the procedure Pls

    Thanks in advnace

    • Profile photo of Team Hyman
      Team Hyman June 29, 2014 at 12:49 pm #

      Hi Sathya,

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/

  112. Amanda June 27, 2014 at 11:11 pm #

    Hello, I have been suffering from IBS for three years. It really sounds like it is an overgrowth in bacteria in my gut. However, I experience a lot of constipation. I am on the low fodmaps diet, take a probiotic, and mirolax daily. I have a lot of gas. It is at the point where I can’t where jeans and I am limited to stretchy clothing. I was wondering if I should still ask my doctor if I can try rifaximin (Xifaxin)? Thank you so much

    • Profile photo of Team Hyman
      Team Hyman June 28, 2014 at 5:22 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/

  113. Zaljko June 28, 2014 at 3:31 pm #

    Regarding the VSL probiotic, is the 450 billion product necessary? I have a prescription from my doctor for VSL#3, but I don’t believe it contains that many healthy bacteria. I think I remember hearing there are different “types” of the VSL product and hence my question. I believe my prescribed product has “only” 90 billion bacteria. So should I take several per day to get close to the 450 mark, do you think?

    Also, I am wondering whether a person takes the VSL product (and/or, say, the S. boulardii) while the person is taking the Xifaxin, or rather if they complete the course of the Xifaxin and then immediately start taking the probiotic(s) afterwards? I imagine the Xifaxin would just kill off the healthy bacteria from the probiotic, so it might be pointless to do so, but at the same time I was not sure.

    Thank you in advance.

  114. Minhaj June 30, 2014 at 12:29 am #

    dear sir,
    I have read this article carefully. I have been suffering from IBS constipation for 10 years. only a few times I got diarrhea. due to constipation my digestive system is not working and am getting weaker day by day. please tell about IBS constipation.

  115. Chad Milczarek July 6, 2014 at 8:28 pm #

    Hi there, in high school I had IBS D only in the mornings on days if school. After high school, I was fine for quite awhile, until I started drinking coffee, which gave me urgent diarrhea. Working part time, and being young (still only 22 now) I drank coffee almost everyday. I figured when I stopped drinking it my stomach would return to normal. Now around two years later, I still have urgent bowel movements everyday. Also, before I drank the coffee I could eat chocolate, drink alcohol and have dairy without it bothering me. Know they all do. Any suggestions on what might fix this? I miss my old life.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 30, 2014 at 6:25 pm #

      Hi Chad,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  116. Sangeeta July 7, 2014 at 3:19 am #

    Dear Dr. Hyman,
    My 24 year old son has been suffering from IBS since 4 years. Last year he suffered from severe diarrhea and doctor asked him to go for Endoscopy/Colonoscopy. After checking results, doctor diagnosed he is suffering from celiac disease and recommended he go gluten free and since then he has been following the diet as closely as possible taking mainly rice based foods, yogurt, fruits, nuts, a cup of milk and probiotic in the night before sleeping. However, since starting this diet, he has been going more often to the toilet, 5-6 times or more per day and sitting on the pot sometimes for than 40 minutes at a time. I am extremely worried. What diet should he follow? Should he take any medications? Highly appreciate your feedback.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 30, 2014 at 6:24 pm #

      Hello Sangeeta,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide your son the proper care he needs we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you and your son the best of health,
      Dr. Hyman Staff

  117. Camille July 9, 2014 at 7:21 pm #

    Hi:

    It is not clear from the protocol described if the probiotics are taken during the antibiotic treatment or once completed. Could this be clarified please?

    Camille

  118. joel July 10, 2014 at 10:38 pm #

    hi i live in Brisbane Australia, i would love to have some help with my ibs using your method. whats the best way to find a doctor who can help me?

  119. Zoe July 12, 2014 at 11:33 am #

    I am so happy that I found this article. Alexis’ former symptoms are the exact same as mine. I have previously been diagnosed with Fibromyalgia, PCOS (Poly-cystic Ovarian Syndrome), and IBS. All 3 of these have overlapping symptoms and I’m hopeful that Dr. Hyman’s treatment plan will help my body all around. I’m super excited to get some good results, thanks for the help!!

  120. Lee Cook July 13, 2014 at 2:49 am #

    Hi,
    Very interesting website and info.
    I found a terrific product and support team (in the area of functional nutritive medicine) called Digestacure.
    I had suffered with full column GERD acid reflux for some time (runs in my family too) didnt want to get hooked on pharmecuticals, after using the Digestacure product for 2 weeks —I havent had any GERD symptoms for over 2 years —amazing results. Attacking Autoimmunity with a product which restores and nourishes the Immune System.
    Fyi, their guide states this on using Probiotics and digestive enzymes: These items are cosmetic and superficial. Not unlike other supplements and medications they will not address the root cause. Without proper immune support these items will persish within 24 hours of ingestion. when immune system support is reotred, they are found naturally in the trace, without supplementation.
    If this is true, and it seems likely, as their product and support is backed up by alot of solid scientific evidence and testimonials, the probiotics and digestive enzymes craze, could be yet another profitable marketing campaign, adept at separating us from our money…check out this product and system please, after the great results Im an evangelist.

  121. Vicki Dillon July 17, 2014 at 11:01 pm #

    Hi…I have suffered with IBS & chronic yeast for almost 12 years now…with no relief in sight! I don’t eat much..cause the pain is so awful. The yeast flares up so bad..I just don’t know what to do. My gastro doc said a high fiber diet & to deal with it.
    It’s just awful!!!

  122. Vaishnavi, India July 18, 2014 at 1:55 am #

    Sir, I am 16 yrs. old and suddenly had this problem of IBS and have ben missing my college for two months. With your line of advice, I tried with yoghurt+yakult + seacod tablets and now have seen a massive improvement and big relief. Thanks for the advice. Keep doing the good advice.

  123. Natja Kristy July 19, 2014 at 2:21 am #

    I’ve had often very severe intestinal issues to the point that it get’s so bad that I only eat two days a week some times. Obviously this has affected my health over the past 18 years I have been going through this. I learned that Lyme disease can often be an underlying cause of IBS and other intestinal issues, and that many people who have Lyme never knew they had it, even after they are tested for it several times with conventional tests.

    Often people who have intestinal symptoms from Lyme will also have one or more debilitating symptoms. But often one will become profound while the other simply subsides until the other clears up, then the one that subsided starts again. That has beenthe problem in my case. IBS symptoms would just start and get worse, then these other mentally tormenting symptoms like severe fatigue, feeling wiped out, not able to think clearly would beging to vanish.

    Then after a few weeks the head symptoms clear and then the intestines are fine for another week or so but begin to return and get bad again. And then when the mental symptoms came back the intestinal issue would just vanish as if I never had any issues with IBS. There are some studies I have read that have indicated that Lyme may be a primary cause of IBS.

    If any readers here experience IBS symptoms but also have another serious condition even if they do not happen during the same times, it may be that you have Lyme disease. Some studies I read seem to suggest that Lyme may very well be one of the leading causes or possibly even the only cause behind disorders and disease like MS, fibromyalgia, chronic fatigue syndrome, IBS, gut paralysis, and many other conditions.

    You may want to find a Lyme specialist through the ILADS community on the net, who can recommend Lyme specialists, who happen to be few and far between. It may require you to travel in some cases quite a distance to see one. I’m in the process of making an appointment with a Lyme specialist they recommended to me if the results of my first colonoscopy scheduled for early next month shows nothing.

  124. virender sharma July 19, 2014 at 1:00 pm #

    Sir
    My wife is suffering from chronic IBS since 14 yrs. She has been diagnosing by the medicine namely : 1.Normaxin-TDS, 2.Duxet-20 BD, 3. Pentocid DSR -BD 4. Rifagut-550 OD 5. SR Prevesca Plus OD.
    My question is that this treatment is going in right direction ? How much time will take to cure ? Kindly help me.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 26, 2014 at 2:17 pm #

      Hello Virender,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide your wife the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

    • Sachin July 28, 2014 at 1:58 pm #

      Mr.Virender

      From the drugs you mention i can tell you from where you are taking treatment…PSRI..infact i know the name of doctor??
      am i right?

      coolsachu@gmail.com

  125. Jody July 19, 2014 at 8:12 pm #

    I want to thank you so much for this article. My doctor won’t look into my suggestions about antibiotics or SIBO, and will not check for food allergies. He tells me it’s stress and said he has no more recommendations for me. I have anxiety as well but my symptoms are above and beyond anything stress can cause. I’ve never had digestive problems like this since I got food poisoning last year. I’m paying out of pocket to see a different doctor next week. I’ve gone to ER twice with cramps and all he tells me to do is take Ammodium A.D. So glad more and more doctors are keeping up to date with current treatments so people don’t have to needlessly suffer.

  126. Janel July 22, 2014 at 7:21 am #

    Hi there! I am breastfeeding and was wondering if the antibiotics and the antifungals are safe for my little one. I have been wondering if the athletes foot and toenail fungus I haver never been able to cure is connected to my autoimmune disorders/ Thanks!

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 26, 2014 at 1:36 pm #

      Hi Janel,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  127. Jody July 24, 2014 at 4:04 am #

    I also wanted to mention enteric coated peppermint capsules helps IBS cramping.

  128. amanda bush July 25, 2014 at 9:45 am #

    hi my name is amanda
    my husband has ibs and he is having alot of promblems they gave him so meds to help but its not helping we have changed his diet. im trying to find something that might help him. hes been in alot of pain and bloating.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 26, 2014 at 1:15 pm #

      Hi Amanda,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/
      Wishing you and your husband the best of health,
      Dr. Hyman Staff

  129. Ayan July 28, 2014 at 5:54 am #

    Hi, my name is Ayan.
    I am having IBS for about last 4-5 years. I am always having this feeling like there is excessive gas formation in my stomach, blotting and in a day i need to go to toilet for at least 4 times, yet it does not make me feel comfortable. For these reasons sometimes i get stressed out a lot. According to some gastroenterologist the problem lies in my head. I have been treated with a lot of medicines in past but after sometime they seem to fail. Now i am being treated with Lesuride OD 75, ZIMIGUT 200 and Rexipra 10. Things were looking bright in the beginning but somehow for last few days it is not quite working.
    What should i DO?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 28, 2014 at 4:52 pm #

      Hello Ayan,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  130. Sachin July 28, 2014 at 2:03 pm #

    I am suffering from IBS from 5 yrs..and i am 27 now…it does not take your life but force you to take yourself..but we need to fight it bravely..no one can understand our problem neither doctors nor family and friends,,only we can understand each other…

    My Symptoms
    Sleeping Disturbances
    Mucus in Stool
    Cramps after Every Bowel Movement (for 2-5 hrs)..it hurts a lot,,a lot
    Bowel Movements 3-6 times (now 2-3 times) means cramps whole the day
    Weight loss
    Motion in Anxious situations
    Familiar with restrooms of every place i visit LOL
    Anxiety every time i have to go out of town

    Do following things

    Wake up early
    Do meditation
    Do Yoga
    Do exercise
    Avoid Stress
    Avoid anxiety
    Eat light food
    Eat only seasonable fresh fruits & vegetables
    Avoid Alcohol & Non-Veg
    Keep yourself busy
    Don’t think about the problem
    Don’t eat outside & junk food
    Avoid dairy products

    Right now i am taking both ayurvedic medicines and allopathic medicines (when i had rifaximin it worked like anything and i was cured..but my doctor stopped it saying its a course :( ),,,but from 2 months since i am having ayurvedic medicines pain/cramps i used to suffer badly after motions have nearly diminished..and have to go loo 2-4 times in the morning…after that i am free for whole day…

    we can make some group and discuss our problems and solutions..

    Sachin (INDIA)
    coolsachu@gmail.com

  131. Neha July 28, 2014 at 5:05 pm #

    Hi Dr.Hyman & da respective team
    thanku so much for da useful tips
    I had dis problem of IBS since two months, I consulted so many doctors but dat was of no use n den I came accross ur website yesterday n luckily I got solutions to dis irritating syndrome.
    1).I started eating zinc capsules called “zevit” and immediately I got a relief within minutes
    n I felt super energetic
    2).I’m following up my diet with a glass of probiotics milk in the form of “yakult” den i eat my breakfast n few snacks during brunch den i eat my lunch wid yoghurt n den a consume a capsule of zevit n den i tke my evening snacks wd green tea n sme sort of small meal n after dinner i consume psyllium husk i.e sat isbagol wch helps to thickrn ur loose diarrhea
    i basically hv da symptoms of loose stools follwed up by mucous n fatigueness
    I felt very much deprived frm my social activities
    but dis routine is rly giving me so much hope to begin my life wd loads of happiness
    in my diet um avoiding spicy stuff, milk, ice-creams, cheeze, carbonated drinks n nythin like fast food wch wud be heavier for me to digest
    trust me guyz if u hav a problem of ibs followed up by diarrhoeal symptoms den do try my tips
    n tnx a ton Dr.Hyman for such a great help to da patients of ibs who r being suffering since yr’z
    God bless u all :)

  132. Laura July 30, 2014 at 3:05 pm #

    Would it be safe to continue taking one of the probiotics after the two months?

  133. brandon July 31, 2014 at 5:21 pm #

    It is the worst i have had it for over 15 years now with no help..Have been on so many meds and probotics,diets and nothing it’s to the point i can’t take it anymore. Hurts so bad at times like today and after going to the bathroom over 15 times the pain is past the point of no return.. Wish there was a better cure for this. Even some of my doctors have said it’s all in my head just amazing pay 1500.00 a month for insurance to be told it’s all in my head…

  134. Hussein August 9, 2014 at 9:54 pm #

    Hi
    Should we take the 2 probiotics at the same time? Or start with one for 2months and then start the other one.

    Thanks

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 13, 2014 at 8:38 pm #

      Hi Hussein,
      We recommend that you work with your doctor to determine the appropriate dosage, timing, and type of probiotic for your specific health status. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  135. chelsey August 12, 2014 at 4:31 pm #

    I’ve been to several general doctors and even the emergency room (thinking my appendix had burst) but every doctor recommends laxatives and fiber supplements. What type of doctor do you recommend for IBS-C type symptoms? I’m ready to be tested for IBS and try some prescribed medications. Thanks!

  136. luis August 12, 2014 at 10:59 pm #

    Do you have any doctors that can help me in the washington d.c area. I have had gastro problems for 4 years now.

  137. Anish August 14, 2014 at 3:02 am #

    Anti-fungual is taking with Rifaximin or after 10 days of Rifaximin ?

    all patients need anti-fungual ?

    Rifaximin is taking before or after the food ?

  138. reza August 15, 2014 at 6:49 am #

    my problem with IBS is not that it was painful, but embarrassing, every time I eat dairy products (which I’ve reduced or avoided long time ago) or fatty food, I always have the urge to go to the bathroom, well actually it is not always bowel movement but gas burst, and it sounds very loud and awful, that I have to flush at the same time, how can I treat this gas accumulation?

  139. Azfar August 15, 2014 at 3:18 pm #

    I have recently some 5months ago figured that I have IBS-C. I had gone through checkups yet all reports were normal. Last week I visited gastroenterologist and I believe he thinks I have IBS. He gave me Gaviscon Liquid Peppermint (Alginate compound), Cremaffin (Cream of Magnesia with Liquid Paraffin), Levopraid(Levosulpiride Tablets), Librax(Chlordiazepoxide + Clidinium Bromide), and Fibo(Fiber supplement) and has urged me not to take Tea or any Soft drink (Such as Cola, Pepsi, Sprite etc). I’m taking these since a week ago but I can’t seem to find help with the gas problems and leaky gut but it has stopped bloating and cramping, do you think it will work? Or is my doctor missing out the necessary medicines, please give me advice as am hoping DrDyman may have solution to cure IBS ultimately. Any suggestion will be helpful.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 15, 2014 at 5:07 pm #

      Hello Azfar,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  140. Nelson August 16, 2014 at 7:29 am #

    Dr Hyman,

    How many mg’s of Glutamine and Zinc do you recommend taking? Thank You

  141. Neha August 16, 2014 at 1:53 pm #

    I am experiencing my tummy to be quite healthy I take one cod liver oil and one zinc capsule daily and a one hr exercise daily in my routine.
    I believe people who suffer from ibs mainly lack excercise n physical movement which our body requires daily…
    rest please feel free to discuss about ur opinions may be dat help us to cure this syndrome without any harmful medicines I feel da best way of dealing such digestion problem is to let them heal naturally instead of taking allopathic which may instead harm u in other way
    here’s my email id advocatenehajaggi@gmail.com
    guyz letz find out some solution to make our lives healthy & fit :)

  142. Gobi August 18, 2014 at 3:57 am #

    Hi Doctor,
    I had abdominal pain for three to four days in November 2013. I saw my doctor who prescribed antibiotics (something mixed with tinidazole) for three days. The abdominal pain settled down immediately. Subsequently I could open my bowels very easily three to four times not before that (slightly constipated for the last five years but with no problems). After the antibiotic course, I had rectal bleeding when wiping (never had before and had only one or two days). After that I went to see my doctor, he prescribed Lidocaine and Nifedipine cream. The bleeding had stopped completely. Since that time (up to date) my bowels open two to three times a day (but never felt empty) and feeling slightly hot at the bottom (sitting in chair 8 to 9 hours).

    At present I do not take any medicines. How can I treat my bowel habit and hot sensation in the bottom?

    Please help me.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 18, 2014 at 5:51 pm #

      Hello Gobi,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  143. Mekuria Gessara August 21, 2014 at 5:07 am #

    I am 43 years old male. I suffered from ibs for 24 years since 1991. I live in Ethiopia and got no help. My main disabling problem is excessive gas that is aggravated by eating oil. I don’t eat oil that I am forced to omit it from my meal.
    How could you help me?

  144. Rose August 25, 2014 at 5:53 pm #

    I’m confused about the recommendation to take the antibiotic rifaximin since IBS is so often attributed to the overuse of antibiotics.

    Can you explain a little more about how this works and how it wouldn’t exacerbate your IBS?
    Would just taking probiotics eventually have the same effect in killing off the bad bacteria?

    If one were to take the antiobiotics, would you start the probiotic regimen during or after?

    Thank you,

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 27, 2014 at 10:45 pm #

      Hi Rose,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  145. debora bosacoma August 29, 2014 at 8:32 pm #

    Having a parent that is elder and not being able to get out of the house due to constant diarrhea is devastating to the person with IBS as well to the care taker. My mom has tried everything and I mean everything ,nothing helps her to stop the 5 to 6 daily hours trip to the bathroom. at this point she doesn’t eat much for fear the will impact her stomach.Please, tell me what to do I ‘m afraid she has not nutrition and yet she she over weigh ( how is that possible) . She leaves out of the country and her doctor is out of options, I would like to consult with doctor Hyman via internet or as you tell me. I’m not sure what to do I willpurchase his book but I also need further advice as she have other gastro intestinal problems

  146. Stacy Holshouser September 1, 2014 at 3:29 pm #

    I had a hysterectomy last September, toward the end of October I started having horrible pains in my abdomen,right side.sometimes it is my entire right side, sometimes my left side, but the pain is mainly the right side. Some foods make it worse. Alcohol most definitely hurts, (only once in a while, well now never again). I have had ultrasound, ct scan,blood test, colonoscopy, upper gi. Nothing has been found. I go back to the doctor at the end of September. Is there anything you can tell me to help him find what is wrong. All I do is lay around, I feel sick after I eat, sometimes I don’t eat and feel sick. One week I have horrible cramps and am scared to leave my house, the next week I will go days without using bathroom.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff September 2, 2014 at 6:32 pm #

      Hi Stacy,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  147. Ms. Usha September 3, 2014 at 3:46 am #

    Please do not publish my mail id…

    Hi, I am from India…I recently came to know that I have IBS problem,, but problem was there almost from 4 years. But my problem is irregular,, I am aged about 45 years. and after periods, of 10-12 days I am without any pain, after that 10-12 days I have this IBS problem.. feeling acidity, feeling like my stomach is bloating, too much tiredness.. head ache and pain in lower abdomen. feeling to go to toilet every one and half hour.. Stool will be problem for me…during pain, I will go to stool 2-3 times, some time only 1 time. Please suggest and reply , tomorrow I will wait for the reply..

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff September 3, 2014 at 5:57 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  148. valc September 6, 2014 at 1:33 am #

    When starting the VSL3 and the S. boulardii, do I take the VSL3 first for two months, then take the s boulardii for the next 2 months, or take them together for 2 months? I couldn’t tell from the article. Thanks!

  149. Nicole September 8, 2014 at 5:53 pm #

    I’m currently 16 years old and I have had excessive gas for two years now. I recently changed my diet to eating healthier foods and drinking more fluids regularly. My doctor told me I need to see a psychotherapist because all of this is in my head (and I will) but that’s not it! I used to only get gas sometimes and now it’s taken over my life and I’ve been getting the runs! I currently am trying to recondition my body to pooping in the morning so I don’t have to at school. But so far no luck. Please any help?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff September 9, 2014 at 11:42 pm #

      Hi Nicole,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you and your parents will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  150. Laura September 13, 2014 at 9:01 pm #

    I find this topic very interesting. I’ve always had a sensitive gut reaction but usually could not pinpoint why I had various reactions. Stress or anxiety is the hardest thing to beat and cleaning up your diet is often not enough. For instance I did a 30 day elimination diet. When I added foods back in it seemed that wheat was the only thing to cause symptoms. So I went gluten free. Still though I had attacks of IBS-D but did not know why or when they would happen. Then I experimented with a low histamine diet as histamine sensitivity can cause everything from insomnia to anxiety and particularly digestive problems. That seemed also to help but still could not safely assume I wouldn’t have a random attack even when eating well. I also got tested for nutrients and it appeared that I was barely average in terms of the nutrition my gut was absorbing despite eating a nutrient dense diet. It really gets you down.

    I had not taken antibiotics in 20 years but when I found out I had an overgrowth of pathogenic bacteria in one tooth I had gum surgery and was given a broad spectrum antibiotic and an anti-fungal which I took because I read that SIBO could be helped by that therapy. I figured I would kill 2 birds with one stone. Still no true relief which was very depressing.

    Good diet, stress management, antibiotic therapy to reduce pathogenic bacteria and fix teeth, low histamine diet, Digestive and proteolytic enzymes, no pharma drugs, etc… All these protocols either did nothing or just helped with general well-being, but I still had recurring IBS-D What to do?

    I was reading about high dose vitamin C and decided to start with 1 gram (1000mg) 2x a day adding 1 more gram every few days. I use food based powdered acerola cherries for my C. All in all I was taking 20 capsules a day at my highest point. (probably 12-15 grams of C) All of a sudden my bowel movements normalized. Even when I ate something I shouldn’t. Whether I took my enzymes or not. Is it a possible cure? I don’t know. I’ve also read that Vitamin C in large doses can cause diarrhea. Maybe I needed that nutrient badly or food based C doesn’t cause problems like ascorbic acid does. Or maybe anti-oxidants help with leaky gut or kill H-pylori. The point is that you just have to keep trying. I think Vitamin C is pretty non toxic and if it helps why not? Just wanted to tell my story because sometimes you do everything like what this article suggests and it still doesn’t go away. Good luck everyone:)

  151. Jo September 17, 2014 at 9:50 pm #

    Hi, I live in Perth, Western Australia. I’m a skinny fat person weighing 53kg (116lbs). I am 55 and have suffered from IBS for 14 years. When I saw a Doctor 14 years ago he sent me to have a colonoscopy and an endoscopy. I believe they checked for Crohn’s Disease. Nothing else was done and I was told I had IBS and would have to figure out what foods were my triggers and basically just live with it. I’m now also going through menopause without any drugs (by choice!) I don’t take drugs unless I have to and have been fortunate in my life to be genetically blessed (as the Dr put’s it) but menopause on top of my IBS is now getting me down a lot. I am housebound and spend most of the morning going back and forth to the loo!!. I’m very keen to see a Functional Medical Practitioner in my State (if there is one!!). Any help would be greatly appreciated.

  152. Candace September 18, 2014 at 10:36 pm #

    IBS constipation is experienced by many irritable bowel sufferers. Sometimes the constipation alternates with diarrhoea which makes life even more difficult. Thanks for these available remedies which include some natural treatments, diet, no usage of medicines etc. It helps me a lot.

  153. sprocket September 26, 2014 at 11:47 pm #

    I’m 34, 6ft 1in. Between, 175lbs and 155lbs.I had pyloric stenosis as an infant and had the surgery. I have been diagnosed with IBS six months ago I had multiple er visits with abdominal pain and lower back pain. Nausea,diarrhea, constipation, bloody stools, fatigue, the list goes on and on. I also had a colonoscopy and endoscopy recently I had 3 precancerous polyps removed one was 16mm large. To top things off I have hepatitis c. I am a recovering drug addict and I am sober. Alcohol was horrible for ibs and no longer drinking helped to reduce the severity of some attacks of ibs. Unfortunately, all my symptoms are still present, they come and go but recently after the colonoscopy I can have the diarrhea, still painful and explosive with severe itching on a severe attack, but I can also have a week of constipation, accompanied by lower back pain, nausea and as usual a rollercoaster of an appetite. I never feel like I completely empty. Today I #2d about 10 times so far, yesterday once. I’m waiting to go back to gi next week. I just don’t get it, this is driving me crazy, and seems there are so many others with this problem! The doctors saying it’s all in your head, I just can’t believe it! I would probably slap my doctor proper like if he said this to me, get a new dr if they tell you that! It seems doctors that truly care about you are hard to find, at least in my experience. Thank you for this article, I will be looking in to this heavily and also speak to my gi about it. The capsuleny (pill cam) is next to see inside. I will pray for you all. Thanx again for this great information.

  154. Robbie September 28, 2014 at 10:34 pm #

    I believe that IBS can be triggered by menopause. My gastroenterologist (male) disagrees but my OBGyn (female) agrees. I began the symptoms right after menopause. I had all the tests done – colonoscopy, small intestine bacteria test, parasite samples, etc. No real cause. I took the antibiotics, pro-biotics, and antispasmodic. The symptoms are not as severe as they were 2 years ago – the prescriptions made it manageable. But I have to live with bloating, gas, some weight gain, & the cramping attacks.

    But the second reason I believe the IBS is hormone related is because now I have attacks about once a month. It correlates with a small hormone surge. I have discovered some literature on this, but have not been able to find a study (they have them at Univ. of NC) near me in which I can participate. It would be good if doctors would consider/explore what patients have discovered about their body’s responses and history, rather than relying solely on their experience.

    Anyone else experience this? Thoughts? Suggestions?

  155. Carla October 1, 2014 at 10:29 pm #

    I was diagnosed with IBS 20+ years ago, but has gotten progressively worse. The pain and bloating is almost daily with no relief. In 2011 I had a colonoscopy and was diagnosed with ulcerative colitis. I wasn’t able to take Asacol because it gave me nauseous and severe headaches. And was then prescribed Entocort. It seemed to help somewhat, but I also eliminated gluten, sugar, dairy and raw fruits and vegetables. I take a digestive enzyme with meals, Vitamin D, probiotic daily, fish oils and L-Glutamine. My diet has been minimal for the past 3 years and I am not getting relief, but I know if I eat any of the items that I’ve deleted from my diet it will cause me severe pain and bloating, constipation and alternating diarrhea. I have no energy and I keep gaining weight even though I don’t eat much :(
    Today I had a follow-up colonoscopy and my Dr. told me the ulcerative colitis is not present any longer, and everything is clear. How does that happen? But I still have pain, bloating and I just feel crappy all the time. I use to be a very energetic person, worked out 6-7 days weekly and now I’m lucky if I can manage a walk because of fatique.
    I’m feeling extremely frustrated. I just want to know how to manage these issues.
    I will try the Probiotics mentioned and speak to my family physician about an antifungal to see if these will help.
    Just wondering if it is possible that ulcerative colitis disappears, yet all the pain, bloating and constipation is still present. Gee, maybe I’m a hypochondriac?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff October 4, 2014 at 10:41 am #

      Hi Carla,
      Your symptoms are real and we recommend that you find a doctor who practices functional medicine like Dr. Hyman to help you heal your digestive tract. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

    • Glen Scott October 11, 2014 at 11:12 pm #

      Hi Carla, you might want to try what I tried. Look me up on facebook ‘live life love forever’ and I can explain what worked for me :)

  156. Shannon October 5, 2014 at 12:27 am #

    Hi,
    I was wondering, why would it not surprise you that the lady you treated was 20 pounds overweight? Could this be a reason why I can’t lose weight, because of my ibs? I lost 30 pounds and stopped at around the last 15 to 20 pounds, gained it back (I was still growing at the time being I was a teenager), and now i can’t lose weight! please help.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff October 10, 2014 at 7:13 pm #

      Hi Shannon,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  157. deb October 5, 2014 at 9:02 am #

    A lot of people on here suffering with the very loose stools sound like they may have C-Dif. Get your stool tested for this. It does not just strike after taking an antibiotic or being in a hospital. I know from my own experience.

  158. Anne October 11, 2014 at 6:14 am #

    Hi there,

    I have been suffering from very urgent, watery diarrhoea for about 10 days. This has mostly been in the morning but on x2 occasions has been before bed or I’ve woken up after being asleep for 3 hours. In the morning I usually have to go back to the toilet 2-3 times.

    I have been experiencing extra stress at work (a new difficult class- I’m a teacher). But the diarrhoea persists over the weekend which makes me question whether it’s anxiety-related. I have experienced anxiety-related diarrhoea before but never for this long.

    I had some gas and gurgling after eating but not every time. I’ve found taking charcoal tablets after most meals is helping with this. I’m also taking probiotics and peppermint oil.

    Would love to hear an opinion, as the thought of developing IBS is causing lots of stress in itself!

    Many thanks in advance for any advice.

    Anne

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff October 18, 2014 at 6:31 pm #

      Hello Anne,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  159. Glen Scott October 11, 2014 at 11:08 pm #

    I’ve suffered from IBS for many years and there are certain trigger foods, along with times of the day, which left me in a lot of pain, bloated, tired and just fed up! I researched alternative medicines and after much thought I decided to try something that sounded too good to be true. (I’m a skeptical person but also open minded). After 5 days I felt like a new man and I’ve never looked back! If you want to ask questions and find out more you can look my group up on facebook… live life love forever. I honestly, hand on heart, haven’t had a pain in my stomach in the last 6 weeks and I now can enjoy those ‘trigger’ foods without the fear of pain following! (A cup of coffee with my cereal in the morning for instance).

    As above, I strongly recommend you visit your local Doctor before embarking on any self-medicating routes as you need a proper diagnosis so you know what you are treating. All the best, Glen.

  160. khizar October 14, 2014 at 4:00 am #

    hello,
    i have a problem for more then 6 years, the problem is after every meal i have to go to toilet, i dont know this is dieria or what some times my poop is waterly and some time it become semi hard i dont remember that when i did hard poop, its been years ago i used omeprazole for my stomach inflamation that works but my toilet habbit remains the same i loses 22 lbs weight and i need help. plz do contect me i am waiting for you reply
    do contact me on my email khizar_hafeez@yahoo.com

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff October 18, 2014 at 6:21 pm #

      Hello Khizar,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  161. antho October 14, 2014 at 1:54 pm #

    I notice that your #3 recommendation-Get rid of the unwanted visitors in your small bowel-

    How do you do that without prescription medicine

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff October 18, 2014 at 6:20 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  162. Bridget October 16, 2014 at 1:11 am #

    So after having this severe pain nausea and bloating for years my doctors found scar tissue on my Sigmoid colon causing the sharp pains in my abdomen. I was then diagnosed with IBS. No form of medication helps and after using the elimination diet, nothing seems to make sense as a sensitivity. First of all, is scar tissue on the colon prevalent in people with IBS and second, my doctor has dismissed my request for antibiotics stating the bacteria is in my small intestines not my large and therefore cannot be the issue. How can I get them to give it a shot?

    Thanks!!

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff October 18, 2014 at 6:39 pm #

      Hi Bridget,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  163. Sabrinna October 16, 2014 at 2:33 pm #

    Hello, thank you so much for this article, I am young only 26 and five months ago started very severe symptoms for IBS, your patient you talk about in your article sounds just like me so I am definteily going to talk to my doctor about all that you suggest. My question is I heard a vegan diet as well as lowiring your intake of FODMAPs are crucial to living with IBS but it seems as though your saynig it may be just food allergies? I’m looking for relief without having to give up meat so I am just looking for some clarification.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff October 18, 2014 at 6:01 pm #

      Hi Sabrinna,
      IBS has many possible triggers, and your symptoms could be affected by food allergies/sensitivities or carbohydrates such as FODMAPs. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

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