2tone,I am a male M.D., 61 years old, married to my first wife, with 4 children and 7 grandchildren. My symptoms date back almost as long as I can remember. I think the childhood symptoms are mostly important because they seem to confirm the duration of this problem; how much they contributed to my personality and social development, I can't say, but IBS definitely limited my career choices within medicine. ( I practice internal medicine in a small New England city.)I manage my condition only fairly well. The pressures of family and career have put me in some incredibly uncomfortable spots, have apparently flared my symptoms at times, and although individual episodes have occasionally had their humorous side, overall I find little to laugh about on the subject.My problem is further compounded by panic disorder, which I didn't recognize as such, and which wasn't treated until about 4-5 years ago. That has been a success story and has changed my life; now I only have the IBS-D as a significant problem.I have built features of my life around my IBS, but have remained active with the help of planning, medicines (many different ones over the years) and sometimes just sheer determination to do something. I've missed a lot of stuff I'd have liked to do, have caused upsets and conflict in my family and with my wife ( she and they have some understanding) because of the avoidance pattern I've adopted so often.About 10 years ago I decided to give up on counseling attempts, diet manipulation and just take medicines to relieve symptoms. About 4 years ago I became even more aggressive and decided to take medicines for D quite liberally, to try to prevent symtoms (basically to constipate myself) when I needed to fell "safe". I was afraid initially that these medicines would lose their effect, and to some extent they have, and so I work hard at minimizing usage times; but if I've got a plane to catch, or a golf tee time, or want to ski, I take my Imodium or Lomotil (the only drugs I use for D) in as big a dose as it requires to guarantee C. Currently. I have a daily dose of clonazepam (Klonopin) for panic, which works well. I have been trying to minimize the known bowel irritants (spicy foods, cooked tomatoes for me, baked beans, highly hopped European style beer, etc.) and have been trying Caltrate Plus 3 a day. I've been a little better for 2 weeks, after a fairly rough few months.Right now I prefer to do all my communicating on the board, and don't do e-mail. I am a little reluctant to "come out" on the net, but also believe that our communications often contain stuff that is of great help to somebody else on this board or planet.Keep in touch. Good luck. Please post to me anytime, I stay in pretty close touch with this board only.