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Ive seen doctors from emergencies and mine and i have an appoitment with a specialist the 30th but the pain soesnt let me rest and i have a strong sleeping pill that usually help me sleep this night despite ascice to avoid at best i took tramadol and woke up soon 5 hoirs after the pain was back i called the emergency desesperate in pain tired, told me to take another tramadol and they cant do much I even call suicide hotline because im at the edge with my eating disorder and ibs Help the pain is killing me and the doctors i saw seem not to know how to help with it and advice it not to take frequently tramadol which contrary to the other med ive been given calms the pain but thry told me it gives constipation and is too strong and very addictive. I agree its strong and its hard but i need to rest, im lost i need help i ask for help but its so hard to be heard and helped because ibs doesnt kill u so i feel the message is deal with the pain Please please help me give me advice im so tired its painful physically and mentally ive tried lot of led and see several doctors, please if u read this help me please...

L Chang: Wide prevalence of comorbid conditions in IBS. Quality of Life (QOL) suffers with the greater number of conditions L Chang: FGiDs (Functional Gastrointestinal Disorders) and IBS comorbidities especially significant for women L Chang: Role for central neuromodulators (antidepressants) for managing FGiDs and IBS L Chang: Tricyclic antidepressants are considered first line for pain modulation. SSRI's antidepressants not as effective for GI pain. SNRI's antidepressants effective for pain. Tetracyclic antidepressants for early satiety, nausea/vomiting, weight loss and sleep disturbance L Chang: New data with pregabalin (Lyrica) for greater than 3 FGiD pain attacks per month. Could be considered for pain L Chang: Co-morbid migraine: CGRP receptor antagonist for IBS-D/M might be an option

IBS really ruined my whole life, and just like everyone here, I felt