I started out with IBS-D when I was first diagnosed years ago, but I was prescribed Pamine (methscapolamine bromide), which can cause constipation, so now I consider myself an IBS-A (not because I'm that way naturally, but because I end up having to deal with both C and D).
It's a vicious cycle. I have an IBS-D episode out of the blue and then start taking the Pamine, but get backed up and stop taking it after a few days to a week, which results in incredible unpleasantness in the other direction.
I haven't been "regular" since I first started having IBS issues, and I feel like my biggest problem is not being able to fully empty my bowels due to unformed BMs. I've noticed that Citrucel definitely helps with formation and the emptying, but for me, it also results in terrible bloating, cramping, and urgency. Also, after having about three formed BMs that day (these usually occur within the same hour), I'll get diarrhea for a bit if I don't take Pamine or Imodium.
I know I probably don't have enough fiber in my diet, but I'm apprehensive about how to gradually add it, because taking half of a dose of Citrucel doesn't do anything, but a full dose does too much. I really like the idea of soluble fiber supplements helping both diarrhea and constipation, but I have yet to see these effects.
Should I just assume that my body hasn't gotten used to the sudden influx of fiber and keep taking a full dose until I grow more accustomed to it?
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Citrucel conflicts
