I agree Nancy, if i had just C or D i could use a particlar med or otc, but it gets so frustrated with being A u constantly have to work to achieve a balance between the two, then the stress and anxiety really messes things up.just when i think i have things under control, it changes on me. Good luck, Sincerly Laura IBS/A, c predominately for over 30 yrs, unless stressed or anxiety or forbidden foods eaten.Started out with D all the time when first diagnosed at 21 yrs age, now 50.