i AM SURE THAT MOST OF US WITH IBS-C ARE AWARE OF SENACOT. BUT IN THE EVENT U R NOT, IT HAS BEEN OF GREAT HELP IN MANAGING MY CONDITION. IT COMES IN VARIOUS STRENGTHS AND IS TOTALLY HERBAL.bEING ON OXYCONTIN FOR BACKPAIN MAKES THE USE OF THIS OVER-THE -COUNTER MED EVEN MORE NECESSARY. UNFORTUNATELY, IT IS NOT A CURE, BUT IS A HECK OF ALOT BETTER THAN WALKING AROUND FEELING LIKE MY COLON IS ABOUT TO BURST!!!!!!!! ALSO , FIBER CAN BE TAKEN IN CAPSULE FORM AS PSYLLIUM-I PERSONALLY CANNOT DEAL WITH THE Metamucil POWDER. IF YOU HAVE ANTHING THAT WORKS ON IBSC LET ME KNOW. INCIDENTALLY, I HAVE TRIED PEPPERMENT PLUS AND MENTACIN FOR CRAMPING--DOES NOTHING!!!!!!!!!! MY primary mangement weapon is a bland diet, low in sugar and fat and taken in small quantities-boring as hell but it has allowed me to access remissions over a period of many months ( PATIENCE , PATIENCE, Patience ). note---a good sugar substitute with no side effects is the herb called stevia ( get it in clear white liquid )have courage-xo jerry ( IBS for 5 years plus on and off )