I am a 42 year old mother of three, who works full time as an engineer. I have just been told I have IBS, but am not comfortable with that diagnosis. Please let me tell you my history.In my twenties, I started suffering from bowel incontinence, but only in libraries, book stores, and grocery stores. This sometimes lasted for several weeks, but then may not reoccur for a few years. My doctor said these were anxiety attacks, and I did notice they occurred during times of stress. I started using these as ï¿½warning signalsï¿½, and knew when they occurred that I either had to deal with something, or take time to slow down. As a result of a family history of colon cancer, I started using Metamucil once a day.I had been treated for mild depression twice during this time. The first time was a result of graduating from college, getting married, moving 600 miles away, and starting a new job. The second time was after my father died.A year ago, I was hospitalized with abdominal pain. Quite suddenly, I started burping frequently. I would burp 2-10 times a minute for 15 ï¿½ 60 minutes, five to ten times a day. Some of these burps were so deep that they were extremely painful, and accompanied by vomiting. A Gastroenterologist was called in to do a colonoscopy and a gastroscopy (upper & lower scope). The conclusions were that I had an underactive stomach and an overactive colon. Also, my stomach and duodenum were inflamed. My gallbladder, however, is fine. I was sent home with Levsinex (2/day), Reglan (10 mg, 4/day), and Pepcid (20 mg, 2/day). My diet was severely restricted for awhile, and I didnï¿½t eat normally for about 3 months. I hated the Reglan because it made me so tired; with three very active children and a full time job, I donï¿½t have time to be tired! I weaned myself from the Levsinex and Reglan over a three month period, but continued taking the Pepcid. I still burped several times a day, but it was fairly painless.I was told that stress was a factor in my illness, and so I started in counseling in April, 1998. I started taking an antidepressant, Paxil in August (20 mg, 1/day). I also took a couple excellent courses at work, one focused on how to get more of what you want from life; the other taught how to be a personal coach, which is very helpful both at home and at work. This past December, I wanted to find the cause of the burping. I restricted my diet to bananas, rice, apples, toast with butter, fruit yogurt, eggs, and milk. (I continued on the Paxil and Pepcid.) Within three days I felt FANTASTIC ï¿½ no burping, and more energy than Iï¿½d had in well over a year. This is a difficult diet to maintain through the holidays, and as I ate holiday foods, the burping returned. A few weeks into the New Year, I saw my family doctor. I told him I wanted to find the cause of my intestinal distress. We agreed that I would start again on the diet that worked in December, and then add one new food every three days, keeping meticulous records. He also prescribed Propulsid (10 mg, 4/day), ï¿½just in caseï¿½. After a week of the diet, I was still burping. I decided to start the Propulsid, and see if it would help. At the same time, I also started eating more ï¿½normallyï¿½. After three days, the burping was worse: more frequent and deeper. I called my family doctor, who referred me to the Gastroenterologist I had seen in the hospital the year before. My appointment was for a week later. In my desperation, I went for a massage. As the therapist worked on my belly, she was amazed. She would clear my intestines of gas, and the gas would instantly reappear. She said there was a never-ending supply, and she couldnï¿½t imagine where it was coming from.I continued to feel worse and burp more. I was able to make an appointment with a Resident (my family physician was on vacation). She did blood work and took a stomach x-ray. My blood was very normal, but the x-ray showed lots of gas all through my digestive tract. She suspected an obstruction, and admitted me to the hospital. My burping was as frequent and as deep as it was the year before, including the vomiting.At the hospital, I did a barium swallow with upper GI. There was no blockage, and the radiologist was surprised that the barium moved as quickly as it did, considering all the gas I have. The Gastroenterologist again asked me about stress. I truly feel that it is significantly lower than it was a year ago, due to the counseling and antidepressant. I was released from the hospital. The doctors (Family and Gastroenterologist) said I have IBS. They changed my Propulsid dosage ( to 20 mg, 4/day), recommended I use the Metamucil four times a day, and told me to ï¿½learn to live with it.ï¿½ I am keeping the appointment with the Gastroenterologist, which is Tuesday, Feb 9. I want to know the underlying cause of my problems; I donï¿½t want to just treat the symptoms. I also donï¿½t want to be diagnosed with IBS just because he doesnï¿½t want to spend the time to figure out what else it may be. My questions include: What is generating this endless supply of gas? Why do I expel 98% of it through the mouth, and only 2% rectally? If I do swallow a lot of air, why has this only been a problem for the past year? (I am a slow eater and talker) Why have I continued to burp over the past year?Iï¿½d appreciate hearing your reactions to my history, and answers to the following questions: Does the diagnosis of IBS seem reasonable? I do suffer from occasional D (once a month, except during these annual ï¿½spells). C is not a problem, because I use Metamucil. Also no problem with reflux. In fact, I feel better when I lay down; I sleep well. But nothing Iï¿½ve read about IBS mentions the extreme burping I have. Are there other questions I should ask the doctor? Are there other tests that may be helpful?Thank you for taking the time to read this long dissertation, and to help me, because Iï¿½m not sure what to do next. I've found this forum to be a wealth of information, and am so grateful that it exists!