Get a detail assessment and investigation Skip the constipation causing medications

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Passing small amounts of mucus in stool can occur in people with IBS, especially when anxiety, irregular digestion, bowel sensitivity, or stress are present. Since your symptoms are fluctuating for around a year with periods of normal stools in between, it does not immediately sound dangerous, particularly if major warning signs are absent. However, mucus should still be evaluated clinically if you also have: • Blood in stool • Significant weight loss • Fever • Persistent severe abdominal pain • Night-time diarrhea • Family history of inflammatory bowel disease/colon cancer • Severe weakness or anemia Your low Vitamin D (12.8) can contribute to fatigue, body aches, low energy, and sometimes worsen anxiety perception, so correcting it is important. Regarding Amitone 10 mg — low-dose amitriptyline is commonly used in IBS with anxiety because it can help reduce gut hypersensitivity, bowel overactivity, stress-related digestive symptoms, and improve the brain-gut axis. In many patients, it also helps breathlessness related to anxiety and excessive body focus. Improvement is usually gradual over a few weeks, not immediate. Along with medicines, try: • Regular meal timings • Adequate hydration • Limiting excessive spicy/oily foods if they trigger symptoms • Sleep regulation • Stress reduction and breathing exercises • Avoid constant symptom-checking/Google searching A gastroenterologist review may still be useful if mucus becomes persistent or symptoms worsen, but anxiety and IBS commonly coexist and can strongly influence each other.