Five years of alternating constipation and diarrhoea with no relief usually means two things: either the diagnosis of IBS was never confirmed, or the treatment kept targeting symptoms and never the triggers. Before we accept IBS-M, I want celiac serology, thyroid, CBC, stool routine and a colonoscopy at least once at 43 - especially if there is blood, night-time diarrhoea, unintentional weight loss or anaemia, which are not IBS and need urgent scoping. If it is genuinely IBS, what works is a supervised low-FODMAP trial for 6 weeks, soluble fibre, an antispasmodic for pain, rifaximin if SIBO is proven, and gut-directed treatment for stress, not endless antibiotics. Your weight and sedentary work are adding to it. Bring all your old reports to a Practo consult with me and we will restart this properly instead of another random prescription.

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

LONG TIME HISTORY CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST OTHERWISE NO THERAPY GIVES U PROPER RESULT.

Make diet changes,  consult a professional dietitian to work out a diet plan, as per your routine and choice.avoid stress.

First'of fall change in lifestyle Avoid spicy and oliy ,junk food Many water intake More Fiber deit intake like banana guvava etc. Small amount meal intake in night time And this advice follow after taking madicine I gurentee improve this condition follow like

Requires a proper assessment to understand the underlying cause and guide you. Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.

No definitive treatment of IBS .you need to change your dietary habits and lifestyle modifications. Its an gut irritation, so avoid food which irritate and dont sute you or you feel for defecation after est this food ,then avoid this food or meal.

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

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

Need few more details for further evaluation. Please consult

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

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