Hi, this is my first topic on these boards. I used to be IBS-D, but I switched medicines to see if it would help and now I am IBS-C, which I find less irrating. Currently I seem to have a pretty basic pattern going on: I will feel absolutely great for a period of about 6-8 days, but I will not make any bowel movements in that time, the anti-depressant I am taking (Effexor) seems to calm me down, but also constipates me. Once my time runs up as I like to say, I usually get a stomache ache and a urge to make a bowel movement finally, however it is extremely difficult and often takes multiple trips to the bathroom before I am able to go. As soon as I go I have a EXTREME amount of pain in my rear. This pain simply drives me crazy - I believe my colon is flaring a lot, and I have no control over it. To deal with the pain I almost always must hop in a warm shower/bath to calm myself down. The pain makes me think very irrationally, almost always suicidal thoughts come up (I would never intentionally hurt myself, but when I am that amount of pain the idea of ending it by any means sounds reasonable). I become very negative and most times, but after the initial 10-15 minutes or so I slowly go back to normal.My question is what can I do to treat myself when I have these intense pains after a large (or many) bowel movements? I have been considering a strong painkiller to take only when I am in agony from an attack. Currently Kaopectate (sp) and anti-spasmodics seem to work well, but it takes too long to work for my comfort (I need something to help me within 5 minutes!). Sorry for the rant, but any help is VERY appreciated.