Your suffering from IBS Irritable bowel syndrome (IBS) is a functional gastrointestional (GI) disorder characterized by abdominal pain and altered bowel habits in the absence of a specific and unique organic pathology, although microscopic inflammation has been documented in some patients. Population-based studies estimate the prevalence of irritable bowel syndrome at 10-20% and the incidence of irritable bowel syndrome at 1-2% per year. Signs and symptoms Manifestations of IBS are as follows: Altered bowel habits Abdominal pain Abdominal bloating/distention Altered bowel habits in IBS may have the following characteristics: Constipation variably results in complaints of hard stools of narrow caliber, painful or infrequent defecation, and intractability to laxatives Diarrhea usually is described as small volumes of loose stool, with evacuation preceded by urgency or frequent defecation Postprandial urgency is common, as is alternation between constipation and diarrhea Characteristically, one feature generally predominates in a single patient, but significant variability exists among patients Abdominal pain in IBS is protean, but may have the following characteristics: Pain frequently is diffuse without radiation Common sites of pain include the lower abdomen, specifically the left lower quadrant Acute episodes of sharp pain are often superimposed on a more constant dull ache Meals may precipitate pain Defecation commonly improves pain but may not fully relieve it Pain from presumed gas pockets in the splenic flexure may masquerade as anterior chest pain or left upper quadrant abdominal pain Additional symptoms consistent with irritable bowel syndrome are as follows: Clear or white mucorrhea of a noninflammatory etiology Dyspepsia, heartburn Nausea, vomiting Sexual dysfunction (including dyspareunia and poor libido) Urinary frequency and urgency have been noted Worsening of symptoms in the perimenstrual period Comorbid fibromyalgia Stressor-related symptoms Symptoms not consistent with irritable bowel syndrome should alert the clinician to the possibility of an organic pathology. Inconsistent symptoms include the following: Onset in middle age or older Acute symptoms (irritable bowel syndrome is defined by chronicity) Progressive symptoms Nocturnal symptoms Anorexia or weight loss Fever Rectal bleeding Painless diarrhea Steatorrhea Gluten intolerance Diagnosis of irritable bowel syndrome require that patients have had recurrent abdominal pain on average at least 1 day per week during the previous 3 months that is associated with 2 or more of the following : Related to defecation (may be increased or unchanged by defecation) Associated with a change in stool frequency Associated with a change in stool form or appearance The Rome IV criteria (May 2016) only require abdominal pain in defining this condition; discomfort is no longer a requirement owing to its nonspecificity, and the recurrent abdominal pain. Supporting symptoms include the following: Altered stool frequency Altered stool form Altered stool passage (straining and/or urgency) Mucorrhea Abdominal bloating or subjective distention Take tab. Normaxine twice a day. Tab. Rifaximine 200 tid. If no response consult your physician.