@graceandpeace Thanks for your kind words. Would that our doctors had all the answers, but they don't. This is a good place to learn, I think. Susan30 said something about sugar in a recent post which caught my attention, causing me to do some Google research, which I then will discuss with said doctors. Having struggled with IBSd all these years, I can only imagine the problems encountered in dealing with IBScd, but am so glad to see that you work with a therapist! Mine keeps me going - think while dealing with complex internal problems, it's easy to forget physical things one can do with the help of a therapist.