hi all,i know my question has no real definitive answer, but i need to get some valuable suggestions.briefly, i've been battling ibs-d & p since it got real bad about 3-4 years ago. i dropped out of college and went through my share of drugs, depression, judgemental friends & family, giving up, suicidal thoughts, severe symptoms, ...etc etc. anyway, i've improved enough over the past year to lead a productive life again, first getting medical help (which has only helped a little) and then enrolling in a local university for a semester. though it was a daily struggle, i did very well in school during the semester, and i was accepted to return to my former college for the upcoming fall. it will be the first time i'm returning to my school's area (pittsburgh,pa) since i left in the depths of ibs problems a year and a half ago. this is my last chance at this school as i am on final academic probation, and conquering this challenge is extremely important and personal for me.so i have one more dr's appointment before i head to pittsburgh next week to settle in. though i'm able to be productive these days, i still lose hours per day due to the D and Pain of ibs, and i'm still living a life full of high anxiety and stress over this. i'd like to ask my doctor to prescribe me something that has a real good shot of working, as some improvement with my symptoms would give me a real needed boost with this crucial semester looming. what might have a good shot of working?i'm currently on levbid and chinese herbs (from my acupuncturist, who works with my gi); it has had limited success, at best. i have also tried effexor xr, bentyl, calcium, flaxseed oil, fiber, acidophilus, and elavil- some with limited but substantial success, but none that really gave me any firm control of my symptoms. my problems, some D but mostly Pain and urgency, tend to be in the first few hours awake although sometimes they last throughout the day. anxiety and stress also play a huge role for me. oh, i also have started the hypnotherapy cd's but have struggled to move on cuz i keep falling asleep (i'm aware this isn't so unusual, i'll post about it in the ht forum later).so what might work for me? i know the possibilities are nearly endless. would remeron, or zofran, be good candidates for me? questran? please, the more advice the better, i really need some guidance on this one.thanks everyone, as always.methical