It's been a while since I've posted here and actually I'm not doing well. I cannot eat 'anything' now for already a few months. My diet collapsed after a stressfull event and is now slowly getting even worse! I'm in a vicious circle and I cannot get out of it. I eat normal quantities, but about 6 ingredients.
Because of my poor diet I'm now getting deficiencies (iron, calcium). I'm seeing a GI about it at the moment. She's first excluding other illnesses again off course, but I'm sure it's just all IBS/functional issues.
I've been trying hypnotherapy, but without results so far. Still going on with that, because there was a big underlying psychological issue which is improved now (thank god). So perhaps the next round will be more beneficial for my symptoms.. fingers crossed.
Anyway, I have reached a point now that I want to try antidepressive drugs, to get out of this vicious circle.
The GI (junior doctor) seemed to be openminded about perhaps trying AD and she mentioned amitryptaline.
But I read that the tricyclic AD's (like amitryptaline) have constipation as a side effect, and since I'm IBS-C...?
Although constipation is not my major problem (I use macrogol for it, works great, I have 1-several BM a day). My major symptoms are nausea from spastic bowel movements and functional gastric pain, both mainly triggered by certain food.
I was wondering if anyone here is 'specialised' in AD for IBS symptoms? I've been reading a lot about it lately, but I cannot really figure out what kind (tca, ssri, snri?) would be best for my symptoms. I understand for most people it's trial and error, but off course I'd like to pick the right one asap 
I guess TCA would be better for pain-management/visceral hypersensitivity and perhaps slowing down my bowel could work for the spastic bowel movements/attacks, but not for the constipation (although I can use more macrogol). SSRI work better for IBS-C, but does it also ease spastic attacks?
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PI-IBS-C/A nausea & very bad gastric pain
meds: lansoprazol+macrogol
started EFI +FODMAPs 1/2011. 'Relapse' for 8 months. Now partly back on track again with the diet..
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Choosing antidepressive drug for IBS
