I need to clarify. She wasn’t saying it was “all in my head” or that I was depressed, but that the pain from my migraines was likely triggering (for lack of a better word) my gi system, as both are part of central nervous system and play off each other. So solution to gi issues is to fix headaches, which I have been attempting to do for over 30 years. Her only suggestion was to try the SSRI, which can calm the CNS and may help constipation. My frustration was her saying I needed to fix the migraines, like I hadn’t been doing that. Then she asked what I needed and I told her I couldn’t regulate meds to go regularly. Asked 3 times. Finally she said previous gi had me on good meds, saw no need to change. But they aren’t working for me. No answer. Said previous dr said extremely tortuous colon playing large part in my issues. Her answer, yes, saw that in your records. So basically I got absolutely no advice on anything. As far as the drug goes, believe me, I looked at all the side effects. I also emailed my neurologist to be sure it was ok with all my multitude of migraine drugs. I’ll give it a try, because, who knows? She says she has a different approach than most drs. I’m also calling for an apt tomorrow with a different gi!