What's happening with IBS-M?
It sounds like you're dealing with IBS-M (mixed type), which means you're experiencing both diarrhea and constipation. This happens when at least a quarter of your stools are hard/lumpy and at least a quarter are loose/watery on days with symptoms. The abdominal pain, gas, rumbling, and urgent Show Full Answer
What's happening with IBS-M?
It sounds like you're dealing with IBS-M (mixed type), which means you're experiencing both diarrhea and constipation. This happens when at least a quarter of your stools are hard/lumpy and at least a quarter are loose/watery on days with symptoms. The abdominal pain, gas, rumbling, and urgent bathroom needs you're describing are all common with this type.
The shift from IBS-D to IBS-M can happen, and certain foods (like street food) can definitely trigger flare-ups. The hemorrhoids you mentioned often develop from the strain of IBS symptoms. Why you might not be improving much:
IBS-M can be tricky to treat because doctors sometimes have to choose which symptom to target first - the diarrhea, constipation, or pain. You may need adjustments to your treatment plan or multiple approaches at once.
Beyond medications, consider these steps:
- Identify food triggers: Keep a food diary to spot patterns. Common triggers include high-carb foods, spicy or fatty foods, dairy, coffee, and alcohol
- Try dietary changes: Some myIBSteam members found relief by cutting out wheat/gluten or adding probiotics (like Greek yogurt or supplements)
- Regular exercise: This can reduce inflammation, support digestion, and improve mental health
- Stress management: The depression and overthinking you're experiencing can worsen IBS symptoms, creating a cycle About the emotional impact:
What you're feeling is completely valid. Many people with IBS-M experience depression and anxiety, especially when symptoms interfere with work and daily life. One myIBSteam member shared: "I get so depressed and my anxiety is also bad because of the pain and spending my life in the bathroom."
The embarrassment and worry about when symptoms will strike is exhausting. It's important to address both the physical and emotional aspects with your doctor. Sometimes a combination of lifestyle changes, dietary modifications, and possibly adjusting your medications can make a real difference.
Don't lose hope - many people find relief through trial and error with different approaches. Keep communicating with your doctor about what's not working.
February 3
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