I have to change to a new primary care doctor. I am going back to one that husband and I liked but changed from due to a combination of factors including a strange ins plan that limited us to docs with-in a certain area that meant all the docs were thirty to ninety min away. It will be nice to be five min away from the doctor! I don't know how to explain all the problems in one visit. i do feel that to get the best help the doctor needs all the info. Mostly I need IBS help. Ever since I got sick and ended up in the ER 2x in early Sept, my system is just not working. I either have explosive runs and gas like you wouldn't believe or else I am stopped up and cannot go. This flip-fops wwith 1-2 days of explosions and if I am lucky a day that is semi-normal and then 2 days of cramps and being stopped up. Regardless of what is coming out, if anything is coming out the back end, I am fighting to not vomit. I am living on phenergan. On the stopped up days I get the foulest tasting burps - they are enough to gag me. I have done everything I can think of to do. Increase fiber, decrease fats/sugars/etc..., I have an rx for a medication that is supposed to help and it does a little but not much. I am NOT using immodium because it is generally an awful idea and half of one will stop me up for two weeks and it is painful. When I do vomit, it is often food that I have eaten 12-24 hrs before. I feel like something is really wrong and I have NEVER had IBS symptoms this severe for this long. Yesterday at my pain doctor appointment they wanted a sample for a drug screen. I drank a 32oz drink before we got there. I couldn't go. I then had to drink 2 20oz bottles of water and wait almost an hour before I could give them the sample. This has NEVER happened to me, and I cannot help but think it is related to the other problems. I was horribly sick after I left the dr's and it is AWFUL to be nauseated, vomiting and having stomach cramps when you are 90 min from home and have to be able to drive. I went to placed that I knew had clean restrooms and waited a lot of it out, but it was awful. What sorts of things should I ask the dr about? I may print out what I have posted (JUST what I post, not your replies or info!) and take it to the doctor. It is bad enough to deal with migraines, arthritis, psoriasis, fibro, etc... but the IBS is just insult on top of injury, in my opinion!!!!! Thanks for any insights, info on medications that could help (the one I am taking is called donnatol (brand name) and I take carafate to help with the acid. Oh, and gas X.