### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
im a 36 yr old female, i really could do with some new suggestions.... i was diagnosed several years ago with ibs, i have been having severe constipation, bloating, stomach pains, night sweats, itching, lower back pains and a general feeling of unwellness on and off for several years, i have had the usual, colonoscopy and scans which were clear, (apart from gallstones - gallbladder removed 2 yrs ago) ive tried many medications which havnt worked, including many laxatives from my doctor, i can go weeks without bowel movements, when things are that bad the only thing that helps is picolax from the hospital, although im scared even that is not as effective as it once was ( had 1 sat morning another sunday morning and didnt work untill sunday evening!) ive just got back from seeing my gp again and although hes sending me for another scan, i really feel like he just said it to fob me off as he said i should try hypnotherapy, im fed up with constantly feeling so rubbish, its getting me down and its seriously impacting on my life, is there anything you could suggest that may help, i feel like im just being told oh its your ibs get on with it and that im wasting peoples time ....... many thanks for any suggestions you may have

### output:

Hi, Thanks for your query, an elucidated history. Since you are a known patient of IBS- C meaning constipating form, the treatment has to be directed accordingly. You may try Remain plus at bedtime-the dosages to be adjusted as per your requirements. I would suggest you the following ::: Treatment:STRESS = stress is the most important cause of IBS. Please remember, and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle. I think maybe you are not coping with something. Vacation outside your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss. If the change of routine helps, the necessity of medicines is Chat Doctor. Medicines :: You need to have a prescription of a Doctor, please discuss this with a Gastroenterologist to get a prescription. I would like to know which medicines have you taken in the past and in which dosage A and It D in therapeutic doses, Multiviatamins, probiotics, anxiolytic help a lot. Remember the simple dictum in IBS : you have to undergo necessary investigations before you are labelled as a patient of IBS. Secondly IBS is easily treatable, controllable and within the ambit of your psychological set-up. The moment the instigating or precipitating factors come into play the problem may re-start.