Conversation: The conversation between human and AI assistant.
[|Human|] I suffer from severe anxiety. I wake though night with tingling pain from feet which goes to my bladder lower bowel & travels to my rib area, goes after a few minutes, but I think it has affected my bowel ( can t do healthy stools ) bladder feels bad, full sometimes, rib area feels tight, nervy pain. This is a vicious circle my symptoms make me more anxious. my Dr says I have IBS . & their are no tests for the symptoms I have, I am very depressed.
[|AI|]  HelloWelcome to Chat Doctor Usually IBS or irritable bowel syn Chat Doctor.  Anxiety increases the symptoms of IBS and IBS increases anxiety. So a vicious cycle results in deterioration of health. There are no specific tests that can detect IBS with confirmation. All major tests of stomach and bowels come normal. You should visit a psychiatrist for expert opinion. There are various medicines which can be used in anxiety and IBS. Medicines like SSRI as Paroxetine, sertraline are very useful in IBS with anxiety. A specific medicine Libra which contains clinician and chlordiazepoxide is very effective in controlling bowel symptoms in IBS. In some patients stool softeners are also used to relieve constipation. As you are in pain, have tightness in rib cage, I will advise you to visit a Psychiatrist. Thanks