IBS-C IMO is the most difficult to stabilize. Many people have 'altered motility' from use of laxatives and harsh stimulants and harsh IF for many years. Being only able to poo after coffee, prunes and laxatives, the gut stops working on its own and needs a stimulant to poo every time. This is a bugger to cure!
When someone like this has a fatty meal or some other trigger they may have a poo reaction and initially feel better but the backlash is the gut being more dead and needing more stimulants because the insuing spasms lock everything up.
So in searching for answers and for personal best diet choices, it is important to remember what the long-term effect is of everything ingested. There are immediate and delayed reactions in IBS. The delayed reactions are really hard to decipher but having a trigger that causes a poo only to afterward irritate everything into locking up and needing that stimulant again- that is a house of cards.
IBS-C ers have to have a lot of patience to get through the worse times. It is still essential that they always buffer their IF with SF just like D-ers. They need more liquids, fiber and exercise. They also may handle and need a little more IF and fat than D-ers. It is important to remember the *same* spasms and reactions in the gut can cause C or D or gas or pain. The same soluble fiber can alleviate and soothe all the reactions.
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IBS-A for 20 years with terrible bloating and gas. On the diet since April 2004. Remember this from Heather's information pages:
"You absolutely must eat insoluble fiber foods, and as much as safely possible, but within the IBS dietary guidelines. Treat insoluble fiber foods with suitable caution, and you'll be able to enjoy a wide variety of them, in very healthy quantities, without problem." Please eat IF foods!
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