I think only 2 things really work after many years

1. Fasting, not eating much, avoiding large meals.

2. Pain reducing antidepressants like amitriptyline.

Tried everything else from buscopan to dr gut, cbd oil, turmeric, antacids of every variety, massaging, hot water bottles, exercise, yoga, saunas, hot cold baths, swimming well you name it even meditation and then gut brain specific meditation. They ALL work maybe SOMETIMES

Only TWO THINGS actually work CONSTANTLY and Consistently for me

1. A sort of life long fast that involves only eating when you feel like it and have low ibs symptoms as well as (for me) keeping it light and vegetarian (meat just is harder to digest that simple sunless it's super fatty AND crispy.

2. Amitriptyline. I only wish this didn't come with the side effects of making me even on 5mg feel slightly 'wound up / aggravated' or insomnia if I take it at night. Those aside yes it makes bowls feel stronger and way less painful and symptoms go way down. Hut the side effects for me aren't worth it.

I've come to accept just don't eat much, eat not too often, and keep it light but very nutritious so I eat lots of fruit and vegetables and generally a veggie diet.

I give up on everything else it's never ending and I'm not depressed so stopped amitriptyline.

Just accept not to eat much food as that's literally always what causes bloating and pain and constipation and fatigue.

Simple as it gets and it works just have to be mindful of it when out with friends and family for special occasion meals not to get caught up in the excitement and have heavy food or even light food PLUS dessert just stay with light food.

This is all that really works for me.

Train myself to think of myself like a buddhist / catholic monk when it comes to food. Light and infrequent and think about more important things. Its effort, takes discipline but it works.

Anyone else got to this place yet?

I swear it's the only thing that works both constantly and Consistently for me.