IBS - mixed. Are there medications for this?

Posted by savvyme1 @savvyme1, Mar 28, 2025

I was diagnosed with IBS -D in 2009. Later. this switched to IBS-C. Now, I would say it is Mixed.
My Gastroenterologist gave me a food restriction chart. That’s it.
I am I interested in what medications might be helpful?

Interested in more discussions like this? Go to the Digestive Health Support Group.

Yes, Overactive Bladder. It used to be treated with OTC meds but there were too many side effects. Now it is treated with Medtronics (Inter-stim) - implantation of device to control leakage. At my age (or any age) I would not want to be implanted.

I'd rather just have the side effects the OTC meds gave you-- dry eyes, etc.

There are different treatments now, but all of them seem to have some kind of implantation.

I just depend on Depends.......

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Profile picture for exeter @exeter

Yes, Overactive Bladder. It used to be treated with OTC meds but there were too many side effects. Now it is treated with Medtronics (Inter-stim) - implantation of device to control leakage. At my age (or any age) I would not want to be implanted.

I'd rather just have the side effects the OTC meds gave you-- dry eyes, etc.

There are different treatments now, but all of them seem to have some kind of implantation.

I just depend on Depends.......

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Hi, @exeter - thanks for clarifying.

Do you also have a tortuous/redundant colon?

@farmersmith - were you saying that with your redundant colon and working to manage your regularity, stress control has played a role in that?

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Profile picture for Lisa Lucier, Moderator @lisalucier

Hi, @exeter - thanks for clarifying.

Do you also have a tortuous/redundant colon?

@farmersmith - were you saying that with your redundant colon and working to manage your regularity, stress control has played a role in that?

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No, not that I know of. Just IBS M - Mixed - sometimes diarrhea, sometimes constipation.
I don't feel as if I have stress problems. I'm not anxious and I have no other issues.

I'll look that up to see what it is, but I know I don't have it.

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Profile picture for Lisa Lucier, Moderator @lisalucier

Hi, @exeter - thanks for clarifying.

Do you also have a tortuous/redundant colon?

@farmersmith - were you saying that with your redundant colon and working to manage your regularity, stress control has played a role in that?

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I looked up tortuous redundant colon and it sounds a lot like Crohn's disease which my son-in-law had when he was about 20 years old. He had a stoma on the side of his abdomen and did very well with it.

No, I don't have that. I'm sorry if that is what you are dealing with. He never complained but later on had short-bowel problems. Lived with it for 50 years. Never complaining about it.

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Profile picture for exeter @exeter

I looked up tortuous redundant colon and it sounds a lot like Crohn's disease which my son-in-law had when he was about 20 years old. He had a stoma on the side of his abdomen and did very well with it.

No, I don't have that. I'm sorry if that is what you are dealing with. He never complained but later on had short-bowel problems. Lived with it for 50 years. Never complaining about it.

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Hi, @exeter - you might be interested in these Mayo Clinic Connect discussions on IBS M (Mixed):

- IBS - mixed. Are there medications for this? https://connect.mayoclinic.org/discussion/ibs-mixed-are-there-medications-for-this/

- Size of poop https://connect.mayoclinic.org/discussion/size-of-poop/

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Profile picture for exeter @exeter

Yes, Overactive Bladder. It used to be treated with OTC meds but there were too many side effects. Now it is treated with Medtronics (Inter-stim) - implantation of device to control leakage. At my age (or any age) I would not want to be implanted.

I'd rather just have the side effects the OTC meds gave you-- dry eyes, etc.

There are different treatments now, but all of them seem to have some kind of implantation.

I just depend on Depends.......

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@exeter my dr. has suggested that botox into the bladder may be an option for me. I have my follow-up in January.

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I have IBS - and it does go from diarrhea to constipation as well, but more with the diarrhea. I have been on Bentyl for many years. This helps with the spasms. I also use Acidophilus when I have a sudden IBS attach. A good one with many different strains is important. Hope this helps.

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Profile picture for cheyne @cheyne

Hi,
The short answer is yes there are medications for IBS. But it really depends on each persons IBS as it is a term used when all other diagnosis have been eliminated, in short they don't know. There are such things as fecal transfer, Omeprazole, Acidex and more, Fodmap diets and some even find benefit from probiotics although depending on who you talk to they can be for or against probiotics, even amongst Gastrologists. If it is really bad then prebiotics to help the probiotics to survive while trying to estabilish in the gut.

A word of caution here, with severe IBS it is not advisable to just launch into probiotics as the gut yeast based enzymes can consume it before it has a chance to do it's thing, making the IBS symptoms even worse.

My gastrologist has used everything but fecal transfer and come to the conclusion for me if it feels good, do it. There are foods I'm not supposed to be able to eat which infact I thrive on and yet other foods I'm supposed to be able to eat that react with me. So very much trial and error is how I have come to as very restricted diet that gets me by with less fuss.
I have moved on from mixed to chronic C, unless I over do the laxatives or eat something I know can throw me into D for a few days. It is a constant balancing act to restrict your choice of food but eventually the brain recognises that the pain is not worth breaking the diet for. A constant fight against the see food diet. Everything I see I want to eat!
Cheers

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@cheyne Your account is similar to my experience.

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