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Does any know what happens with IBS-D if CBT begins to become effective? At the moment I am on a number of anti-diarrheal medications (immodium, TCA) and have been doing CBT. I have been experiencing a strong sensation of constipation for the past couple of days (although I have still been having a BM in the morning and so am not truly constipated). Is this just my gut getting used to a slower transit or is it a sign that I should stop the immodium? Or is it just (yet) another symptom of IBS?