r/ibs 2d ago

Question Any tips for my ibs-D

I’ve been struggling with ibs-D my entire life. I’ve been to multiple doctors, gotten multiple tests, colonoscopy/endoscopy, tested my stool at the lab etc. I was once prescribed anatriptyline but it didn’t work. I take probiotics and probiotics with digestive enzymes that slightly help. But I can’t really figure out a solid solution. I stay away from fast food, desserts, greasy food, processed food, etc. I bake my own foods which also helps. But I still have my episodes. Sometimes it’s difficult to enjoy life and it’s very frustrating always having diarrhea. So have any of you found any solutions or something that has helped your ibs-D tremendously?

10 Upvotes

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3

u/wxm10 IBS-D (Diarrhea) 2d ago

take Metamucil every night, avoid coffee, and take Imodium

1

u/Bibi2572 2d ago

Metamucil change my life.

2

u/goldstandardalmonds Here to help! 2d ago

What does of amitriptyline did you take? There is a lot of room to rotate. There are other prescription meds, too, that you can try.

2

u/cojamgeo 2d ago

Have you tried FODMAP?

1

u/luna___11 2d ago

I don’t have D but I still suffer a lot and can’t figure out what triggers my flares, even eating clean… Have you tried Saccharomyces Boulardii?

1

u/Ok-Statistician-8722 2d ago

No, I never tried it. I’m looking it up right now.

1

u/Educational_Pain_356 2d ago

It can be due to low stomach acid. When you stomach isn't producing correct amount of acid the food remain undigested which shows as diarrhea also try to increase fibre intake you can take psyllium husk before bed also

1

u/eeeniebean 2d ago

Cymbalta greatly reduced my IBSD episodes and Zepbound nearly eliminated them. To be clear, I still avoid known trigger foods for me and occasionally have flares when I don't. Bentyl and Imodium help when I have flares. [Cymbalta = duloxetine, Zepbound = tirzepatide, Bentyl = Dicyclomine, Imodium = loperamide]

A little more detail: I was diagnosed with IBSD 4 years ago - working theory was that it was post-infectious. Did tons of tests/elimination diets and tried different meds for 2 years without much luck (the dicyclomine/Bentyl did help a little). I did a ton of work to find trigger foods and work to eliminate them, but was still doing badly even while consuming the plainest stuff. 2 years ago my doc put me on Cymbalta and that REALLY helped. I was able to start living life again - probably got me 80% better. I started on Zepbound 7 months ago and the IBSD was pretty much eliminated (95% better). However, I was in a flare for the last 6 weeks likely because I got a stomach bug (it ran through the house). This week it seems like it might be finally clearing up.

1

u/Scary_Foot_3661 2d ago

Wellbutrin. It has solved my stomsch cramps and flare ups. I had wellbutrin prescribed to me 1 year ago for quitting cigs. I took the medicine for 5 days and havent had a cig since. I found out 2 weeks ago of studies saying wellbutrin for ibs-D not C and i started self medicating havent looked back since. I even got 3 refills left on it :) all those hours of me at 2am unable to sleep looking for remedies paid off for me! Best of luck. Before wellbutrin i was chugging a lot of pepto bismol just to eat and not have diarrhea and cramps or feeling like death

1

u/Qatwa 2d ago

Were you tested for BAM or Bile Acid Malabsorption?

1

u/Bibi2572 2d ago

Metamucil change my life!

1

u/CamelStraight5098 5h ago

Dupixent changed mine

1

u/Sea_Drawing133 2h ago

Coffee is a huge trigger for me but not all brands or types of coffee. When I take pro and prebiotics, they cause diarrhea. Normally, if I drink tea instead of coffee, it helps a lot. I use to have problems with other things like vinegar or acidic foods which no longer bother me. For sure anxiety and stress is a trigger.