Yes, the senna might be irritating.
There is also something you could try called FruitEze which they use in many senior centers for constipation.
Also maybe a sitz marker tests for motility and transit studies.
The scar tissue could be a bad thing either way. I am not as familar with endometriosis as IBS or some of the other functional gi disorders. One thing is be very careful with narcotics and IBS, because that can make the pain worse long term and cause more constipation, just to know about, not that she is on them, but even for future reference.
"She is on 25mg of the antidepressent. After almost 2 weeks, it has not made a difference yet."
It might take up to a month possibly. They also seem to help 1 in 3 people statistically and it maybe added to other forms of treatments. Let me know later about how that works out.
"The probiotic brand is acidofolus ?spelling with other cells added."
You might actually try the activia they advertise a lot on TV as well as perhaps Digestive advantage.
This is a video and some info on probiotics and IBS.
Only one starin has been tested and shown to work, although its worth trying others and is unlikely to make anything worse. Mainly they cannhelp reduce gas and hence pain and some bloating and may make it easier to go.
Probiotics in the Treatment of IBS
A number of researchers have been looking at whether probiotics might improve symptoms of IBS. Probiotics are live micro-organisms found in foods and supplements that can have a beneficial effect.
"The review study concluded that B. infantis 35624, based on current evidence, appears to be an effective treatment for some people with IBS. Other probiotics may prove beneficial in the future, but well designed studies are needed first."
There is a hypnotherapy for home use for both kids and young adults as well as adults. I am very familar with it and it helped me personally with pain especially, but all my ibs symptoms. I do work on this therapist website as a webmater so you know. However he is very well know in the IBS communities and has helped thousands of people. I would have to ask him if the child one or the adult one would be better suited for your daughter. The therpaist has to know about IBS and they use specific therapy for IBS, but it doesn't have to be with a live therapist all that much, just fyi. If you decidie to see one live let me know also, as there is a list of trained ones.
The child program is for kids IBS Audio Program 60®: Treatment of Irritable Bowel Syndrome in children using guided imagery is for Ages 8 – 13, so it might be better to go the adult route one. I can personally highly recommend this and wish I did it when I was a lot younger. Other forms are CBT and mindfulness meditation, but they are more work just fyi, not that they would not be benefical, but personally I would try the HT firsts as its faster and almost no work then then listening.
"Do these people talk to you about nutrition as well?"
I have a ton of information on that as well. My personal website. I have IMPORTANT information on eating and IBS I will have to gather and post for you. I am also a chef for the last 25 years.
IBS and diet
Diet, food and eating can affect symptoms in IBS. Many people with irritable bowel syndrome (IBS) notice that their symptoms appear to get worse following a meal. They may wonder if they have a dietary allergy or intolerance. More confusing, they may notice that a food seems to upset them on one day but not another.
Hypnosis for IBS
There are some major misconceptions on why someone would try clinical gut directed hypnotherapy for IBS a physical disorder. But it works for most people.
There is also this worth watching.
September 1, 2009
Topic: "Psychological Approaches to IBS Symptom Management"
Presenter: Stephan Weinland, Ph.D.
Instructor of Medicine
<!-- -->Watch / Hide video
Listen / Hide - audio only
I also recommend you come to the chat with the experts and ask question on Nov 3, its free and one of the world authorities on IBS and other functional disorders and he knows a lot about kids and hard to treat disorders.
One of your biggest assets with dealing with and treating IBS is good and accurate information. However it is a extremely complex condition which is not fully understood yet, but they have made big strides in progress on it.
Hope all this helps.
I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.
Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.