ancupuncture can work well for management i find, but also the other option if it doesn't work as well as you want it to, is to try the natural anti depressants and se if they produce ibs relief in the same way that ssri's do. Zoloft worked quite well for me, but i hated the side effects, soon i will be trying sam-e to see if it works on my stomach the way that the ssri and tricyclics do. Good luck with the acupuncture, if anything it is very relaxing.