I don't know if I can help, but I will tell you a little bit about my experiences. I, too, have been told to eat a lot of fiber (bran cereal, whole wheat bread, etc) by doctors intending to help. My body can't handle that much insoluble fiber  I've had Heather's books since 2001 and I have followed the diet to some extent off and on since then. I've had times when I could eat whatever I wanted, and then it seemed like all of a sudden, I'd have an attack  I have finally realized that it's not worth taking the chance and I am really trying to strictly follow Heather's diet now. I'm still not 100% stable - in fact, I had a really bad day yesterday - but I do feel better overall when I follow the recommedations in Heather's books.
I have tried some different anti-spasmodics, including Levsin (which I'm allergic to) and Bentyl (which did nothing for me). Right now I am drinking peppermint tea to help soothe my stomach. Also, since I did have a bad day yesterday, I am eating a very limited diet today (plain English muffin for breakfast, Arrowroot cookies for a snack, white rice for lunch, etc) and drinking lots of peppermint and fennel tea. It seems to be helping and I might try to have a little something more for dinner.
I also just started the Hypnosis CDs this week because my biggest trigger is stress. Based on listening so far, I would recommend looking into this if stress is a factor in your IBS too.
Hope this helps and good luck 
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Re: contradictory advice b/w Heather and GI doc--I'm confused
