Jochen said:
One thing I don't have energy to handle is my IBS, and now I have flare-ups more often. I just don't have the energy to stay on the diet I know work. Before when I tried to eat well it was mild but now it has become worse. This weekend I went on a trip with friends. ... It.is just to much with the pelvic pain, IC, depression. And now the IBS.
Since the autumn of last year, I have been experiencing IBS-D (diarrhea) more frequently. I have since learned to stay away from certain foods - this has been critical. The one other thing is coffee/tea, but I still dabble in black coffee. If I am at home for the day, I'll have one in the morning and usually pay for it for the afternoon until the bowels are emptied.
As a diabetic, I already have a long list of foods I cannot have (or at least not in tasty quantities). So I know how hard it is. Also, whether it's my age or diabetes, there isn't much appetite left to begin with. So I am not anxious to cross even more foods off of my list. But for me, it's either that or wiping up excrement later.
Jochen said:
I don't want to be in a diaper or pull up all the time. How do you people manage?
I didn't want to wear a diaper either. My IC started as urinary but has progressed into IBS-D.
From the initial start of threats of IBS to present day, I wore a TENA Ultimate Extra pull-up, when I can get them on sale. I am also using up some Molicare Mobile pull-ups, which are more absorbent but have a strange "cut" (I don't like them as much). If I am going out, for short runs, I'll put on plastic pants and compression shorts. The plastic pants are for protecting my clothing, in case the worst should happen. Always wearing pull-ups around the house means a simpler clean up when things go bad (and they have).
If I am going out for longer, I now wear the North Short Supreme Lite Briefs, with plastic pants and compression shorts. Ya, it's a diaper but it is discrete especially with the compression pants. Even though the diaper is plastic backed, the plastic pants provide that extra level of containment from fecal matter, and odour confinement. The last thing you want is to leak and ruin your clothes/furniture.
Jochen said:
Can you tell before you have a bad IBS day? For the IC I have become quite good at knowing when I need more protection and when Tena male inserts are enough. But the IBS I don't know how to handle.
My wife gave me the "guards", and they're ok as far as they go. But even before I was diagnosed/discovered U-IC, I had one F-IC accident. Since then it has got worse. So I have always insisted on pull-ups around the house even though I don't usually have U-IC accidents.
But IBS is something else again. I can leave the house feeling good and confident only to discover later that it is not going well. If going shopping or to a sporting event, I now plan for the worst (otherwise
I suffer the embarrassment). You have to plan it such that you can drive yourself home while sitting in your mess. Keeping that mess
contained until you get home (or to a stall) for cleanup,
requires non-mickey mouse protection. For example, you don't want it squirting up your backside. Plan for the worst.
So even though I found it humiliating that I needed a diaper when I went out, I had to get over that. Nobody knows about it if you dress right. I have had accidents in pull-ups a few times because I was cheap and taking chances. But my luck is going to run out, so I don't risk it anymore.
My advice: Get yourself some NS Supreme Lite briefs (white is cheapest), some plastic pants to cover them (protection against leaks). I found that compression pants over all that helped hold everything in place, slimmed it down so you don't have a diaper outline. It will also protect against tapes that might come unstuck and will mostly contain odours. It will feel a bit confining, but I got used to it.
Like me, you got lucky and was able to "sneak in to your shower". But also like me, the day will come when your luck will run out. So prepare for it. If IBS never happens when prepared, then celebrate. I keep a garbage bag in the car also so that I can sit on that when the time comes, to protect the car seat.
This is a very difficult thing to deal with, as I am finding out. I have had to give up cruciferous vegetables (cabbage, etc.) and certain fruits like apples and pears, which are rich in fructose. Coffee and tea are another irritant. Google IBS and look for dietary advice in the meantime. It's likely you're going to get the same dietary advice when it comes to IBS from your doctors.
There is no half-way measure to protect against IBS. I hope that helps.