Mark, thanks for the suggestion. I am a male. I didn't have any serious work up for TOS. As for as spine concerned I have done MRIs and X-Rays after my injury and according to docs there is nothing needs to be fixed. No one ever mentioned TOS and ofcourse specialists don't like if I suggest something and well they are tired of me as I am tired of them. I mention it to my PCP who is a great listener and seriously wants to help me.

I had mild IBS -D and not constipation and when I lived in Canada I used to take DICETEL and worked great. Even after I moved to U.S. I still was getting it from Canada which is expensive and some plans do cover part of the cost. Not sure why it is still not available in U.S. when it is available all around the world now. It is not a supplement and a prescription medicine. Anyways I quit taking them few years before my TBI and able to easily control with exercise, diet, avoid lactose, some supplements and at some point didn't even notice I have that issue. Everything was good.

Now after my TBI it gave me huge problem (besides other numerous issues) and Elavil sure helps with that and many doctors prescribe Elavil for IBS. Having IBS alone people can go on disability. Seems like there are lot of studies with IBS and Brain and sure having IBS with TBI makes things worse and I am a living example.