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Discussion Starter · #1 ·
A few years ago I definitely had a mild case of C. diff from an antibiotic.Months after that, I had problem with a little fecal incontinence, pressure like I had to go but couldn't, NEVER ANY PAIN, BLOOD, ETC. Maybe I had mucous. A gastro doc called it IBS without any tests.Finally, one of their nurses just told me to take Miralax, which I do. Most of the time, it makes me go, sometimes several times a day. No diarhea. Sometimes just small pieces come out when I urinate and then when I wipe myself, it's all messy because the last piece refuses to drop out. Still never any pain, etc. I never can figure out how much Miralax to take to get it exactly right.Does this sound like I actually have IBS or could it just be my age-69- or because I take lots of meds for depression? Nobody ever cares about what's happening in other departments. I also take two thyroid meds as I had my thyroid removed.Does this sound like a condition one could call IBS? Are there any tests that would give a definitive diagnosis?
How does one get a correct diagnosis?
 

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Could be a bit of constipation from the meds and thyroid stuff, or just people tend to get constipated as they age.The incomplete messy thing could be not getting quite the right amount of miralax.Usually FEWER symptoms than IBS is something to be LESS concerned about rather than way more concerned about.Things "worse" than IBS (IBS can be very bad so worse is kind of a relative term, but things with more serious consequences) have MORE symptoms than IBS or different symptoms, like blood in stools.With your age if you haven't had regular screening colonoscopies it is worth doing that and that will rule out pretty much everything else. Usually the "not IBS" things cause diarrhea more than constipation. But a blood test for celiac may be worth it, but usually that causes diarrhea.There are a bunch of "not enough symptoms for IBS" functional bowel disorders that researchers use. However in the clinic calling it functional this or that rather than IBS is meaningless as they would give you miralax for the constipation no matter what they call the constipation.
 

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Discussion Starter · #4 ·
The doctors I saw were Gastrointestinal Specialists. I have had colonoscopies within the past ten years. They were clear.Are there IBS Specialists? I'm afraid to stop taking the Miralax. Is that an OK thing to do? You know, I'm not going to take it today.
 

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Miralax is safe to take daily. It is an OSMOTIC laxative so all it does is pull water into the stool. Even the greatly feared stimulatory laxatives (which do effect the muscles) aren't the danger people think they were. The dangers of cathartic colon are overblown and no modern laxative at standard doses has been shown to make constipation worse than it would be if you didn't ever take anything and just suffereed.GI docs are the ones that treat IBS. A few specialize in functional GI disorders (but that is a few clinics in the world so most people go to a GI specialist), but any good GI doc can diagnose and treat IBS.
 
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