Truthfully, I find this information quite confusing as to clarity or making much sense. I would say that IBS is sometimes not the only condition operating in someone with IBS. These things deserve further exploration if appropriate fiber and balancing soluable and insoluable fiber properly does not help clear the symptoms (in my case, diarrhea), thus IBS-D.
My worst trigger is stress, and I'm fully aware of that. Even so, I'm making permanent changes in my diet. I wasn't absorbing what I was eating and even a multivitamin taken with water or tea raced right through me in an explosion. I went to liquid vitamins that can be absorbed in the mouth if one can tolerate the taste. I can, I just follow-up with a peppermint candy and then some tea.
My colonscopy was performed in November 2008. I did well, UNTIL the scope was being withdrawn and further air and inspection was being performed. My descending colon began to spasm with a vengence! The IV med was stepped up and I went back into 'twilight zone'.
When the procedure was complete, my gastroenterologist told me that I had spastic colon (IBS), though no tumors nor polyps were found. My colon (according to her) was healthy and very clean. I asked her what I could do about the spasms and the diarrhea, she told me to take OTC Imodium and step up my fiber. Thanks a lot!
There was nothing said about the differences between soluable and insoluable fiber, nor any written information provided. I thank God that I found Heather's books and have learned so much, and am still learning.
I have become to believe that I also have developed a glucose intolerance, and I will be paying attention to this as well.
Now, Syl, can you translate what this Rome III criteria actually means in the diagnosis of IBS? 
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Senior female, IBS-D, presently stable thanks to Heather & Staff
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Syl... Rome III Criteria for IBS
