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

### input:
symptoms: chronic constipationskin around eyes darkening abdominal pain  upper left and lower lower back pain sulfur burps and gas fatigue I talked to my doctor and she put me on medication for IBS -constipation pred.  I have ended up in the ER 2x for abdominal pain and they just give me enemas.  I had a gastrograffin and I also have a redundant colon.

### output:

Hi. Thanks for your query and an elucidated history. Noted the detailed history of your symptoms and treatment history too. It is good that you have been kept on IBS-C regime, but one has to be certain. I do advise in all the patients with similar history the following:Firs of all to go for all relevant investigations like that of blood, urine, stool, CT scan of the abdomen, Upper GI Endoscopy and Colonoscopy. Only after all the reports are negative that we can say this is IBS. Secondly it is always better to get a course of 5-day antibiotic, metronidazole and be supplemented for by probiotic, activated charcoal, Risperidone as you have problem of gases and burping too. I am sure this will help you a lot. Please consult a Gastroenterologist for detailed history, investigations and treatment accordingly. 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.