I have ibs for past 17 years. constipation gone. incontinent trapped gas noise still present. its ruining my life. how do i cure it permanently?

Consider probiotics.: There is no quick remedy to IBS. However a trial of probiotics should be considered. Why probiotics seem to work is still something of a mystery, but some studies suggest that probiotic supplements, especially those with a predominance of Bifidobacterium infantis, alleviate IBS symptoms like abdominal pain, bloating, and bowel movement irregularity.

Challenging...: IBS can be a very challenging condition to treat. It would be good if you had any tests done since this is usually a diagnosis of exclusion (other things need to be checked for). If all tests have been negative and your doctor feels this is definitely IBS there are multiple medications that can be prescribed for this.Talk to your doctor or a gastroenterologist for more recommendations in management.