keep going with the rem, my gi said that he can add other type drugs along with rem, I thought the same way at first, but I gave it longer and my dose had to be increased, so I'm at 5mg plus pain med's. not pain or symptom free, but less symptomatic, you know the pains are less, no major cramping episodes, small ones, not like the ones where we have to get in fetal position and every 45 seconds it's a wave of cramps. so I don't get those, but I'm still afraid, those cramping sessions are brutal, I've had 2 major obstructions, that required surgery to correct, the first one was in 1971 and I was very close to dying, at the ripe age of 20. so it is tough to get those images out of my head when I get those gas blockages(cramp)