I am 45 years old woman who has suffered from some form of IBS my whole life. As a child it was very bad constipation, where I couldn't sit down for hrs after a bowel movement. In my early 20's it switched to occasional constipation and frequent diarrhea. Nothing I have ever eaten has changed it for better or worse and no over the counter meds or supplements have ever helped. Over the years it has gotten worse where i not only can have 5 or more bowel movements in a day (all varying degreesof diarrhea), but also it can take 10 to 15 min on the toilet till I'm done. A little over a month ago I had a really bad episode. It felt gravity was working overtime in my lower abdomen pulling everything down. It took wrapping my lower abdomen in a heating pad and curling up into the fetal position for over 3 hrs before I felt better. Since then i have been experiencing pain (sometimes sharp bursts, mostly steady & continuous), burning, and spasms inside of my rectum. At first thought it might be hemorrhoids (even though there was nothing wrong on the outside of the rectum) and used hemorrhoid suppositories and Aleve. That did nothing and it has only gotten worse. Finally went to Urgent care yesterday. The Doc there said it wasn't hemorrhoids and is referring me to a GI Doc. After doing my own online research I'm thinking my IBS has turned into something more severe. Looking for any advice on questions or testing I should talk to the GI Doc about when I see him/her. I have been through a lot of other non related medical issues in the past 5yrs and am in no mood to listen to any Doc shoot this down as nothing serious when I know it is. Any advice or info will definitely help. Thank you.