Hi Badger! IBS means I alternate between the runs and constipation. I find sipping warm water throughout the day helps (cold water can cause spasms). Also take Movicol or Laxido when danger of impacted poo occurs, despite the fact they taste like bath water. Co codamol is notorious for causing constipation. When my gut goes into painful spasm I take Buscopan (though not everyone can - it can cause visual disturbances). With any medication, I use warm rather than cold water. The only painkiller I can take is paracetamol, as my heart condition means aspirin and ibruprofen are not advisable. Don't overdo it re insoluble fibre- I've had 3 lots of surgery after band adhesions which I think was caused by fibre, despite it being the main advice given by medics! All the best finding something which relieves you personally.