Dealing with IBS for 20 years, nothing seems to work

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Try taking IBGard, it's peppermint oil in capsule form. I have been taking it for years and it helps with the pain. It also helps with the other symptoms as well. You need to be careful with OTC medicines for constipation and diarrhea, both taken too much may damage your gut even more. I'd recommend speaking to a gastroenterologist about your symptoms. I've been going since I was in my 20s and she has helped me a lot. I'm 31 and I have had 2 Colonoscopies done along with an endoscopy. The prep is the worst part of it, but they (the Colonoscopies) both came back negative for Crohn's and colitis for me. People can get colon cancer no matter what age they are. However IBS will not lead to it since it's not damaging like Crohn's and Colitis are.