Asked for female, 56 years old from Jamshedpur
Since you are an health care provider your self. You also seem to have knowledge about your disease. If you are not getting relief for 4 years then you must meet a qualified doctor who have good experience. To me it looks like IBD (inflammatory bowel disease) like ulcerative colitis or Crohn’s diseases and not simple IBS that is irritable bowel syndrom. You need to take different medicine when you have ulcer in colon. please take proper consultation.