MJ, I noticed you have never been on anti anxiety meds. These may actually help both IBS and the anxiety and pain, through the bodies serotonin pathways. It may also help what I am mentioning above in getting you more relaxed to be able for the other things to take effect. It also does not have to be long term by any means.One to ask your doctor about is Amitriptyline otherwise known as Elavil, which might also help the d as a side effect.I know people are concerned about antidepressants and the side effects here and I am sure you are, but you can stop them after a month if it causes any problems and it may greatly help also, something to consider really. Like I said, you don't really have to take them forever, just to deal with things at first. When the anxiety lifts and you feel better, you will also be able to relax better, have less pain and less d.