I have some health issues 1. Tension headache 2. Not able to sleep properly 3. Morning vomiting 4. Ibs diarrhea I have consulted gastroenterologist for ibs d, he has prescribed providac and libotryp ds providac for 14 days libotryp ds for 2 months and he told me stop libotryp after 2 months and consult psychiatrist for issues other than ibs d.he told me that ibs d is not a serious issue. Please suggest treatment for all of the above issues.

Dr. Saranya DevanathanPsychiatrist52yrs exp

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Dear lybrate-user, please consult a psychiatrist, even if you have more libotryp with you. You may need therapy in addition to live better with all these health issues.  

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Hello, take plain lybotryp instead of libotryp ds. Increase the dose of lybotryp by 10 mg if still having diarrhoea continue lybotryp for atleast 6 months make some dietary changes eat those foods which are easily digestible. Avoid fatty and spicy foods.  

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Dr. Prof Jagadeesan M SPsychiatrist19yrs exp

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Ibs is a disorder of mind (stress/ tension) which has effects on the bowels. So your gastro has told rightly. You need to consult a psychiatrist and seek remedy to treat your brain-gut axis, for preventing frequenting flaring of ibs. If acute ibs symptoms do occur, you need to consult the gastro for treatment of the inflamed bowels. Good luck.  

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Dr. P K SukumaranPsychiatrist58yrs exp

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