Irritable bowel syndrome (IBS): is a common condition that affects the digestive system. It causes symptoms like: stomach cramps, bloating, diarrhoea constipation. These tend to come and go over time, and can last for days, weeks or months at a time. This is a lifetime illness but is well manageable with proper treatment Prolonged unmanaged IBS especially chronic constipation type can lead to HAEMORRHOIDS which may require Surgical intervention Currently 20 % of IBS patients develop haemorrhoids due to improper management of IBS Foremost reason of improper management is not starting patient on antidepressant