OpenHealth Q&A

Finding Relief from IBS Symptoms

Hello everyone, I’m a 28-year-old male residing in Indore, MP, India. Standing at 180 cm tall and weighing around 95 kg, I used to engage in smoking and occasional drinking—perhaps once or twice a month. However, I have completely quit both habits for the past eight months. In January 2025, I was diagnosed with an H. pylori infection and underwent treatment with a kit that contained vonoprazan, amoxicillin, and clarithromycin. The treatment successfully eradicated the bacteria, yet my gastrointestinal problems have not subsided since that time. Previously, I had no significant digestive issues. I sought advice from various gastroenterologists, but they mostly referred me to psychiatrists, leading to prescriptions for antidepressants and anxiety medications. Unfortunately, the SNRIs exacerbated my stomach problems. The gastro specialists prescribed proton pump inhibitors (PPIs), which I continued for nearly five months. When I stopped taking them abruptly, I experienced severe withdrawal symptoms, but I've since adjusted and no longer feel the need for them. Some symptoms did improve post-PPI, as my bowel movements have become slightly more regular; however, I often experience incomplete evacuation along with troublesome trapped gas. It’s not as intense as the bloating I experienced during the H. pylori infection, but at times, I find it painful and difficult to release gas. I have tried various techniques for relief, such as the knees-to-chest and child’s pose stretches, along with deep breathing exercises, but without success. Once I manage to release the gas, taking dicyclomine provides significant relief for about 5 to 6 hours. Yet, whenever I introduce any probiotics into my routine, I end up with excessive flatulence. Thus, there seems to be a constant cycle of discomfort. People frequently advise me to avoid stress and anxiety, but the physical pain is undeniable and can't simply be brushed aside. Naturally, worrying about my health adds to the stress. I’ve committed to an exercise regimen, including regular Zumba classes and daily walks, yet the relief I seek remains elusive. There have been moments when I felt completely fine, which briefly restored my confidence, only for flare-ups to return and induce fear. I continuously reassure myself that I'm okay, but it provides little solace. For several months, I’ve adhered to a low FODMAP diet, yet it hasn’t yielded the expected results. Interestingly, using isabgol (psyllium husk) leads to severe discomfort the following day—feeling bloated and heavy—contrary to its reputation as a remedy for constipation for others. I ensure I drink 2.5 to 3 liters of water daily and have recently added L-glutamine, slippery elm, fish oil capsules, zinc carnosine, and curcumin to my routine. While I experienced some relief initially, it seems to have plateaued. I’ve also entirely cut gluten and dairy from my meals. I've explored both Ayurvedic and homeopathic therapies, yet none have provided lasting relief. It’s disheartening, as many medical professionals in India downplay the seriousness of H. pylori, often stating that a high percentage of individuals might host it without any resultant gastritis. If anyone has successfully navigated similar challenges and found lasting relief, I would greatly appreciate your insights. A healthy gut truly correlates with a happier life and mental tranquility.

Answers (1)

8/16/2025, 5:11:31 PM

OpenHealth AI

Finding effective relief for IBS symptoms can indeed be challenging and frustrating. Your experience with H. pylori, the treatments, and ongoing discomfort is understandable, and it’s important to address both your physical and emotional well-being.

Key Points:

1. Ongoing Symptoms and IBS: Your symptoms of incomplete evacuation, trapped gas, and difficulty finding relief suggest that you might be dealing with Irritable Bowel Syndrome (IBS) rather than a direct consequence of the previous H. pylori infection.
2. Lifestyle Modifications: Despite your efforts with diet, exercise, and supplements, other lifestyle factors may also play a crucial role in managing your symptoms.

Explanation:

IBS can manifest as abdominal pain, bloating, gas, and altered bowel habits. It's often influenced by various factors, including diet, stress, and gut motility. Given your response to probiotics and dietary changes, let’s focus on refining your approach.

Next Steps:

1. Dietary Adjustments:

   • Reassess Low FODMAP: Continue with the low FODMAP diet for another 4-6 weeks but consider reintroducing foods one at a time to identify any triggers. Sometimes, working with a dietitian familiar with IBS can provide tailored guidance.
   • Look at Fiber Types: Since isabgol caused discomfort, consider alternative fibers (like oats or flaxseeds) that might suit your digestive system better.

2. Enhance Gut Health:

   • Stick to your hydration routine (2.5 to 3 liters of water) and gradually introduce probiotics under the guidance of a healthcare provider, focusing on strains that may be known for being gentler on sensitive stomachs.
   • Keep a food and symptom diary to track what works and what doesn’t, which can help pinpoint triggers.

3. Stress Management Techniques:

   • Since stress management is often easier said than done, incorporating methods like mindfulness meditation, yoga, or even gentle support groups can assist in addressing anxiety related to your symptoms. You might also look for specific relaxation techniques aimed at managing physical discomfort.

4. Medication Review:

   • Given that dicyclomine helps you, discuss alternatives or a potential adjusted regimen with a healthcare provider familiar with IBS. They may suggest other medications like certain laxatives, antidiarrheals, or medications specifically approved for IBS, such as rifaximin or lubiprostone.

5. Monitor and Adjust:

   • Since the changes you've been implementing may take time to show results, be patient and monitor your improvements or any changes in symptoms closely.

Additional Support:

Keep advocating for your health when speaking to professionals. If at any point you feel your needs aren't being met, seeking out specialists who are more familiar with IBS or functional gastrointestinal disorders can be beneficial.

While this process can feel daunting, remember that you’ve already made positive lifestyle changes and there are many avenues left to explore. Your determination and commitment to finding relief are commendable, and with persistence, you can find a combination that works for you.