IBS is a functional gut–brain disorder, so it is manageable (often well-controlled) but not a one-time “permanent cure”; your concern about fissure recurrence is valid because hard stool is the main trigger, and not all psychiatric medicines cause constipation—this depends on the drug choice; instead of antipsychotics, first-line in IBS with anxiety is usually gut-friendly options like SSRIs (they often soften stool) or certain non-anticholinergic medicines, along with lifestyle measures; the focus should be on maintaining soft stool consistently (high-fiber diet with soluble fiber like ispaghula, adequate water, avoiding straining, regular bowel timing, stool softeners if needed) and reducing gut sensitivity via stress management; you should consult a psychiatrist + gastroenterologist together so medications can be selected that do not worsen constipation, and with the right combination, both IBS symptoms and fissure recurrence risk can be effectively controlled.

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IBS is often classified as a psychosomatic disorder, meaning stress and anxiety directly affect your gut. It is absolutely possible to manage and significantly improve Functional Bowel Disease IBS using a combination of Homeopathy medications and Psychological Counseling. At 33, your body has a strong recovery potential, and we can address your concerns without the side effects. Dr.Senthil Kumar D Consulting Homeopath & Psychologist, Vivekananda Homeopathy Clinic & Psychologist Counseling Center, Chennai & Panruti https://homeoall.com/

We have to assess the root cause of ibs.. it occurs because of some stress and when that is properly addressed things can be managed properly. So what is in the base of IBS needs to be identified.

Functional Bowel Disease like IBS are very commonly associated with anxiety, depression and chronic stress. Which is why medicines like SSRI work well. What treatment you need will depend on what symptoms you have as ecah patient is different based on their symptoms and what medicines they can tolerate.

Hi.. yes consult online for treatment