Question: I am trying to figure out what consultancy service I need. I have 2 problems, both impacting hugely on my life & I need to know where to begin- while both problems are in the same region of the body, they seem to be operating independently , while simultaneously having a knockon impact, one on the other. I was diagnosed with mild IBS about 4 years ago, which is when I can trace the origins of my first problem to. namely, I can get stomach spasms after I eat followed by total evacuation, always diarrhoea. I have had food intollerance tests, tried to stay off but no XXXXXXX I cannot find common pattern or foods when these spasms may/may not occur cept that, if it occurs it is usually 30 mins after food consumption. My 2nd problem in short is that I can't hold it or urine for that matter. I know there is a new pelvic floor centre in Dun Laoighaire but will they address both issues there. All guidance to put me on the right road would be hugely appreciated as things are getting much worse lately & I'm terrified of loss of control in public. I have private insurance- where do I begin, do I need a referral to 2 consultants? XXXX

Thank you Dr XXXXXXX for that. Is there any consultancy , of which you are aware which can address both problems. I may not have been clear with my initial information but I also have bowel incontinence? And if so can you direct me a particular route?
Thank you, XXXXXXX