A member asked:

Any good ibs-diarrhea meds your internist can prescribe that don't have crazy side effects, such as death, exploding eyeballs, etc. you know the fun stuff. or gastro need to be involved?

5 doctors weighed in across 3 answers

See detail: The most effective therapies are available only by prescription. Any internist should be able to do this for you.

Answered 1/2/2014

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Dr. John Scuba answered

Specializes in Oral and Maxillofacial Surgery

IBS Symptoms: There are many anti diarrheals which although many side effects are listed, few are that significant. All meds of this type may have some undesired effects. But the idea of Lomotil (diphenoxylat and atropine) or other otc drugs causing "death" or "eyeball explosion" is quite far fetched. For patients with established ibc like crohn's or uc, a GI doctor would be of significant help as these can be difficult to manage.

Answered 6/27/2014

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Sure it is just IBS?: The GI tract has a very limited # of symptoms to signal its distress--nausea/vomiting, diarrhea/constipation, bloating, pain, fullness, bleeding, etc. As you know, many of these characterize ibs, but are also seen with inflammatory, infectious, ischemic, malabsorptive, and functional disorders. Directed lab work, imaging, biopsies, stool studies are appropriate in excluding non-ibs pathology.

Answered 6/30/2020

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