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Louis Nolloth
New Member

Date Joined Apr 2009
Total Posts : 1
   Posted 4/20/2009 3:19 AM (GMT -7)   
Hello everyone,

Im new to the forums so firstly just wanted to say hi.

I've been suffering with IBS now for about 2 years. I'm a 24 year old male. In the least selfish way possible i am glad to read that other people are experiencing the same as me. I do not know any one else with this and have felt alone, almost alienated from others as they don't seem to understand.

My main problem is first thing in the morning, as soon as i wake up. I have need to go to the toilet some times twice before I leave for work! As the day goes on I tend to find the symptoms ease off however the mornings can be very unpleasant. I have also noticed that if I have made plans the symptoms are a lot worse prior to the day of said plan. It gets to the point where some times I have to cancel what ever it is i was going to do.

I have been to the doctors a few times and had blood tests. All have come back normal. I was prescribed Mebeverine, Fibre gel and for a short time a small amount of codeine as well as Colpermin. None of these have had any positive effect. He has now recommended i see a specialist and discuss a colonoscopy.

Really my questions are, does any one else suffer more in the morning? If so were you able to control this? Also what is the colonoscopy procedure like? Is there much pain? do you need to stay at the hospital over night?

Any help or information would be appreciated.

Regular Member

Date Joined Aug 2006
Total Posts : 126
   Posted 4/26/2009 12:27 AM (GMT -7)   
Welcome. You are not most definitely not alone. I have never had a colonoscopy. but have gone through them with both my parents several times. You will have to go through an evening of emptying your bowels the night before which is not fun. But, the procedure itself should be fairly painless due to happy drugs they should give you to help. In most cases, its outpatient.

I am glad you have found a place that helps you feel not alone. My IBS symptoms are different from yours. But, I would suggest looking at your eating habits. Are you eating more at night and then having problems in the AM? Just a thought. I know what you mean about acting up before plans etc.. I can have terrible anxiety and freak myself out totally. Try exercise or yoga to help relief stress. Good Luck.

Regular Member

Date Joined Apr 2009
Total Posts : 26
   Posted 4/30/2009 4:34 AM (GMT -7)   
For a colonoscopy youd not need to stay over nite. THe GI doc will either give you sedation or not. I had none. The pain for me was not bad just mild discomfort, but this is variable. It does make you gassy, I think thats just the natue of the exam. The procedure is an out patient one.

New Member

Date Joined Mar 2009
Total Posts : 19
   Posted 4/30/2009 10:15 AM (GMT -7)   
Hi there,

Once you really start to understand what causes the IBS it will make a lot more sense. The 2 key strategies we recommend to get the constipation or diarrhea to stabilize involve dietary changes to address the triggers that are affecting the dysregulation of the nervous system in the gut that controls the motility (frequency – too slow or too fast) and soluble fiber (acacia is the most tolerable for IBS) to help address the consistency of the bowel movements. The dietary triggers are the same for both diarrhea and constipation IBS, the individual just responds differently by either slowing down or speeding up the motility. Removing the dietary triggers for a while will allow the gut nervous system to calm down and ease the dysregulation that affects the motility. Once it is calmed down, the frequency will begin to normalize and you can then carefully start bringing things back into the diet following all of the tips Heather talks about in her books to prevent IBS from getting irritated again. To get the best results you should tackle IBS with both approaches……diet for normal motility/frequency and acacia for normal consistency. The fennel (for gas/bloating) and the peppermint caps and teas (for pain associated with cramping and spasming) are to help you manage the associated symptoms that often come along with IBS. The peppermint is soothing and calming to the dysregulated and hypersensitive nervous system in the colon. They are designed to calm things down before the food gets there to prevent any trigger foods in the meal from causing a flare up of the IBS nervous system dysregulation. Soluble fiber also works like a cushion between your colon and these trigger foods to help minimize the effect and in turn minimize the chances of aggravating IBS.

Taking too much acacia too fast can cause increased gas and bloating. Acacia is one of the lowest gas-forming fibers out there and going slow makes the gas issue totally avoidable. Please be patient because this really does work.

I recommend starting with ½ teaspoon twice a day (daily dose of 1 teaspoon). You can split the daily dose up as many time as you like throughout the day, just divide it by 2 or 3 depending on the frequency you prefer. Try to increase the dose every 4th day or so by a teaspoon (add this to the daily dose). If you get increased gas and bloating by jumping the dose up by a teaspoon, try cutting this in half. Some people with IBS are so sensitive they have to go up at ¼ teaspoons every 4th day. Keep stepping up the dose every 4th day or so until you find a dose that resolves your constipation and/or diarrhea. Constipation is usually resolved with a daily dose of 4-5 tablespoons/day and diarrhea/loose stools usually resolves at a lower dose of 1-3 tablespoons/day. You shouldn’t take more than 5 tbsp/day. The maintenance dose is different for each person depending on their specific symptoms. Dietary changes are often necessary to make lasting changes. In the beginning until you stabilize, it works best to take the acacia before each meal to minimize the effect of trigger foods in the meal and to calm the intestines before the food arrives.

I would suggest reading both of Heather’s books so you can thoroughly understand all the ways to help stabilize IBS. The diet and soluble fiber will work more with the cause and help to stabilize you. Acacia helps people with diarrhea to have formed bowel movements and people with constipation to have softer and easier to pass bowel movements. People often experience significant improvement within a couple weeks when they make the dietary and fiber changes at the same time; although, constipation does take longer to resolve than diarrhea. It is not uncommon for constipation folks to increase the acacia very slowly because they are more likely to have trouble with painful gas and bloating. It can take 1-2 months to work up to the daily dose of 4-5 tablespoons/day sometimes. It will only make you miserable if you increase the dose too quickly. Important changes are taking place inside the colon as the body adjusts, so just be patient and let your body gently adjust to the acacia. Constipation folks will often need to continue to use whatever methods they were using previously to keep things moving until they are able to work up to the 4 tablespoons/day dose or so. Please don’t stop everything cold turkey and make yourself sick because this will take some time. The overwhelming feedback I hear from people is that once they reach this dose it is a magical experience and they are able to stop relying on the other medications etc they have always needed to have a normal movement at least once a day.

Go ahead and print up the IBS Patient Handout by clicking on this link. This gives a list of soluble/insoluble fiber foods and trigger foods to stay away from.

I hope this helps!


Veteran Member

Date Joined Jun 2005
Total Posts : 2976
   Posted 5/1/2009 9:49 AM (GMT -7)   
You could try Caltrate 600 w/ vitamin D. I'd suggest taking one at bedtime and another in the morning, as soon as you get up. It's naturally constipating, so it helps a lot of people with milder forms of D. And, unlike Imodium, it's safe to take long term.

Most people with IBS are worse in the morning. I think it's because your guts go to sleep at night and when you get up, so do they, and they can be grumpy and overactive first thing in the morning. Personally, I don't eat breakfast when I get up; I don't eat my first meal until at least a couple of hours after getting up, if not until mid-day. When I was working, I would take my breakfast to work with me. As I took an hour to exercise and get ready for work, and another hour to get to work, I ate no earlier than two hours after waking up, and I usually didn't eat until about 10am, which was about 3 hours after I got up. That's because putting food on my guts stimulates them even more. But if I wait, they get calmed down and are usually in normal functioning mode before I insert food. I've noticed a definite correlation: I had a bowel movement shortly after getting up (always before I left home for work), but if I give myself an hour after that before eating, that's usually my only bowel movement of the day, or I'd have one more that would be normal. But if I eat before that bowel movement, or immediately thereafter, I usually had at least one other one in rapid succession and it would be diarrhea-like.

Something else you might try is probiotics in pill form. Sometimes diarrhea can be caused by not enough good bacteria in your guts--or too much bad--and probiotics can help people get back into balance. They're safe to use (no drug interactions, no overdosing) and the only known side effect is gas, which, like fiber supplements, has a tendency to go away after you get used to them.
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