Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Dehydration with mal-absorption with IBS Treatment- This is treatable as follows- Liquid diet, with Butter Milk x 2 times a day x 3-6 weeks Banana Milk Shakes x 2 times a day x 3-6 weeks Tab-Vit B12 / Folic acid/ Calcium /Vit D supplement and Zincovit- 1-Tab. for fast and early recovery of poor General health in your case. Normaxin-would take care of bloating, acid reflux, Tryptomer need to be reduced with advise from psychiatrist,as the Chlordizepoxide -in Normaxine Tab- would take care of anxiety and central connection with brain for the IBS with D, which you have. Add bland diet and Yoghurt would help recoup IBS D with long remissions. So just contact your attending Physician and discuss these issues on the lines suggested herein above. Other causes of IBS- such as accompanied undiagnosed ulcerative colitis, Crohn s disease / Tb Enteritis -like ailments etc need to be ruled out with help from your family / and GI-Endoscopist and GI-Surgeon/ and GI-Physician-or Gastro -Enterologist as specialist doctors. Treatment- suggested- PPI-like Normaxin-to control bile acid induced gastritis/ Tab Imosec-Lopamide / Vit-B12 -to treat resultant pernicious anemia /Folic Acid- to speed up the fast recoupment. Good low fat/ high carb / adequate proteins and low solid / high liquid diet in for 3-6 weeks for early and fast recouping / and healing are needed in your case Long term treatments as suggested above would recoup the Stomach bloating, muscle cramps and gastritis -problem in 4-6 mths time, under expertise of GI-Surgeon/Physician. This would help you to recover of this problem for the time being. Other causes as mentioned above need to be verified with your GI-Physician and Gasro-Enetrologist doctor-as the facts which you submitted, may in actual be different than what you may really have after actual GI-Physician Assessment. For this Second opinion from General-Surgeon/ and Gastro-Enterologist doctor and if need be with Specialist-GI Endoscopist doctor, is needed who would do proper investigation after proper physical assessment to resolve your health issues. For early recovery-please follow above do s which would resolve your issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS