You have constipation
and gas problems that does not pass out. Also noted the medications history of Duphalac
and Lactifiber Sine barium meal
shows hyper-motility you might have diarrhea
and not constipation.
Hence it is best to go for the complete list of investigations as follows:
Sample of stool for 3 days.
Tests of blood for CBC. thyroid and liver functions.
CT scan of abdomen.Colonoscopy
All these tests will help you to get any disease that can be specifically treated and if all the tests are within normal limits then only this can be taken as IBS and treated accordingly.
Also watch for the foods and beverages that instigate or enhance your problems so that they can be stopped to get best results.
Control of the stress, anxiety and any other psychological factors is the mainstay of betterment.
Do not be psychologically down. You can find best solutions to be stress free.
Hope I have answered your query. Let me know if I can assist you further.
Dr. T Chandrakant,