Like many of us I have suffered a long time with IBS D. Doctors and specialists have prescribed many different medications, few have worked - I have also tried at some cost hynotherapy. In the end, and from my own personal experience, Imodium has helped me more than anything else. Things have recently changed a lot. Unconnected with IBS D I am currently on a diet to shed some weight to control blood pressure and generally to get fit. The diet is the Dukan Diet from France. This is protein rich and very thin on carbohydrates and fat. My weight is falling and to my great relief my symptoms of IBS D have greatly improved. Urgency is no longer an issue and my stools are properly formed. I am not saying this will help others but it is certainly helping me. (But I am still maintaining a regime of 1 or 2 Imodium daily, just in case!)I just wonder if diet is a vital key in all of this.