You have a complex picture — IBS with anxiety, panic attacks, a persistent right lower abdominal pain for 6 years, and now a USG showing mild bowel wall oedema and increased peristalsis. The bowel findings on USG are not typical of simple IBS and suggest something more needs to be investigated — inflammatory bowel disease (like Crohn's disease) or infective causes should be ruled out before attributing everything to IBS and anxiety. A colonoscopy would be a very reasonable and important next step given 6 years of localised abdominal pain.

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Hi, Sounds like a mix of IBS and anxiety, which feed into each other.  The mild bowel changes on scan are common and not dangerous.  Continue your current medicines and focus on calm routines.  Feel free to consult for further guidance.

Consult superspecialist like gastroenterologist n psychiatrist

Kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

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Consult Gastroenterologist

Need a few more details please consult for further evaluation and treatment

Bland diet helps

Can help you kindly consult and provide detailed history for proper diagnosis and further management

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Avoid sugar rice potatoes Do connect and consult Will help you