<s>[INST] Help! Please... I have been diagnosed by Mayo with pelvic floor tension myalgia, IBS, and IC... these have proven to ge totally disabiling 2 or 3 days every week. I ve tried so many medications, accupuncture, ice packs, high-fiber, gluten-free, whatever, whenever... Nothing is helping. Any suggestions? [/INST] For pelvic floor tension Sylvia along with IBS, you have tried with medication, fiber rich diet and hot and cold pack also. I suggest you should take physiotherapy treatment along with this. There are specific treatment available along with exercise therapy which can help you a lot with IBS and pelvic floor tension Sylvia. It will be more effective again when you do a combine treatment along with medication, diet management, and use of hot and cold pack. I also suggest improving your lifestyle and food habits in terms of timing and add more colors by adding more fruits and vegetables in your diet, add omega 3 along with fiber in diet. Do regular morning and evening exercises as guided by physiotherapist. As well take proper medication as directed by your doctor. Mylgia is basically pain in muscle due to over strain, so I also suggest to practice meditation and try to control your bodies natural normal functioning along with that with power of meditation and body healing. Here I have given you general guideline but bi am sure this will definitely help you if you follow properly. Take care. </s>