<human>: I have a history of IBS and have been dealing with abdominal pain on and off for years... I have had my appendix and gallbladder out. My abdominal pain subsided for a while and then since september Ive be bouts with it.  Just recently; I havent been able to go to the bathroom since Monday, my stomach seems very bloated and I am having abdominal pain, not like my usual pain it just comes and goes all day...what could this be?
<bot>: For us to say this as a IBS i.e. Irritable Bowel Syn Chat Doctor. I would advise the following investigations and treatment in a such a case:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Treatment:STRESS = stress is the most important cause of IBS. Please remember, and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle. I think maybe you are not coping with something. Vacation outside your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss. If the change of routine helps, the necessity of medicines is 