I'll try to summarize as much as possible, though you all know how complicated symptoms can be. My IBS started about 10 years ago, with symptoms of bloating, gas, and pain. Ever since I can remember though, I've always had trouble getting an "urge" - I could never go in public, and even at home, with plenty of time and privacy, had to work at it and concentrate. So I always considered myself constipated, though I realized the problem was more mental than physical (a psychiatrist was unable to help). However, until about 6 years ago, once I did get an urge, I would go completely and everything would be fine. Then, following a series of 4 colonic irrigations (coincidence? who knows?) I began having problems with evacuation. I could tell (by cramps and pain) that I wasn't getting it all out, and would have to go multiple times a day, whereas before it had just been once. And at an hour each time to get an urge, this became rapidly problematic. For the last several years, I've resorted to using suppositories, having accepted my "getting an urge" problem as a life-long one. My current situation: multiple suppositories (12-15) and multiple trips to the bathroom (5-6) each morning clean me out enough so that the bloating and pain is minimal. If I don't get cleaned out, within hours I'm in agony. So right now the incomplete evacuation is my main problem. I've tried everything I can think of over the years, high-fiber, low-fiber, antibiotics, probiotics, Miralax, Zelnorm, many other things I don't even remember anymore. Even when I load up on laxatives, the evacuation is still incomplete, and I have to use suppositories to finish it off. HOWEVER - over the last several months, I've been doing abdominal massage, particularly in the sigmoid area, and this has decreased my evacuation time from an hour+ to 40-45 minutes. This may not seem like much, but it's the only improvement I've seen in the last 6 years. Which brings me to my test results. A year and a half ago, I had a normal colonoscopy, but in reading over the results, I found something interesting. I'd love to ask a doctor, but A. I don't have insurance anymore and B. the GI who did the test is also the moron who repeatedly referred to my "persistent diarrhea" even though I told him I've never had D a day in my life. So I'm asking you all if this means anything (which he obviously didn't think it did): "...cecum, ascending colon, transverse colon, descending colon normal. There was a sharp turn whithin the sigmoid colon which slipped off the scope quickly during withdrawal of the scope and could not be reclaimed for further visualization in spite of multiple efforts." Is that "normal" like my doc thinks, or, given my symptoms, does it mean something?It's also interesting to note that, after the evacuation problems started, I had a barium enema, which was also normal: "The post evacuation film demonstrates virtually complete evacuation of the colon with very small residual of barium identified in the distal ileum."Does anyone have any ideas about what's going on, or what to do about it?Thanks so much,Susan