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Is this standard of IBS or am I just extremely virus prone

Trying to minimize the disgust here but my story is as follows

Long term ibs person , main symptom is unrelenting nausea . Drs think it’s a vicious cycle of anxiety causing nausea . Nausea causing the anxiety with a dash of ibs . But this past year after a run in with the spicy cough seems to have really amplified things .

To manage the nausea I take zofran . Unfortunately , this makes me unable to go to the toilet for up to 3 weeks at a time .
Almost every 3 weeks like clock work , I have a really bad week where I can take in no food , and get diarrhea almost without warning , especially after 3 weeks of nothing it can be intense .

Wasn’t sure if it was standard of ibs , overflow diarrhea or if my 60 pound weight loss from this nausea in the past year has just left me extremely virus prone . I went from 170 down to 110 , I am 5 ft 4 for context.

Has anyone experienced anything like this ? It is really crushing my mental health and affecting my work performance .

  1. Hi , I'm so sorry that you're dealing with this. Having constant nausea sounds really horrible. 🙁 Is there any other medication you could take for your nausea that doesn't cause constipation for 3 weeks? This sounds really intense. What does your doctor say about this side effect? IBS can definitely cause both constipation and diarrhea, but it doesn't usually cause weight loss, so if you haven't already, I'd definitely ask for some tests to make sure that nothing else is going on.
    Are you currently doing anything to help with your anxiety? I also have both IBS and anxiety and my symptoms are so much better when my anxiety is under control.
    I'm also going to link an article about nausea here, it goes into detail about potential causes and treatments: https://irritablebowelsyndrome.net/clinical/can-nausea-be-a-symptom-of-ibs. Hopefully, other community members will chime in soon and share their experiences with you. Karina (team member)

    1. I remember my first symptoms (which made me go to the doctor), and before any obvious bowel symptoms, were unexplainable nausea and a very weird feeling of exhaustion and general malaise. The nausea did pass but I can't remember exactly when, I don't know to this day what caused it. It was later that I got bowel symptoms. Meanwhile, the doctor's basic tests (blood, urine, palpation of abdomen, lymph nodes, heart and blood pressure, breathing etc, showed nothing at all wrong! That was in 2018 initially. I did go back later when the bowel symptoms started and was diagnosed with IBS after testing.

      I agree with Karina, and maybe there is another anti-nausea drug which won't cause constipation? Maybe you could ask your doctor about it?

      It's a catch-22 situation too, because being "backed up" in the digestive system can frequently cause nausea as a logical conclusion to digestion being so sluggish it almost stops.
      I am not surprised you have lost weight. 3 weeks is a very long time to go without a bowel movement. It stands to reason that when everything starts going again, it will lead to a few days of uncomfortable elimination.
      And then I suppose the whole cycle starts again? It may be a motility issue of a neurological origin? It may be something to do with serotonin? Or perhaps it's a "long effect" from some food poisoning or GI infection event But I don't know, and am not a doctor, so please bear that in mind.

      1. About a month ago I started having diarrhea as soon as I woke up. Then a few times during the day. A few days later abdominal pain. After eating feeling nauseas. I went to the doctor, had all the usual tests. All clear. It's the feeling nausea I can't take. Anyway, I am now constantly tired. Dr diagnosed something different. Diverticulitis. I think it's ibs. I have ordered probiotics hoping they will work. Has anyone else tried them. Every day I look on line for help. To no avail.

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