IBS-C (irritable bowel syndrome with constipation) is a condition in which bowel movements are slow, and the gut becomes more sensitive than usual. This can lead to lower abdominal pain, bloating, constipation, and sometimes a burning sensation due to bowel irritation and increased nerve sensitivity. Even when standard medicines such as antispasmodics, fibre supplements, and acid-reducing medicines are used, symptoms may persist in some patients. Management usually needs a combined approach. Dietary changes are very important, including regular meals, adequate water intake, and gradually increasing soluble fibre while avoiding foods that worsen symptoms, such as very spicy, oily or processed foods. Some patients benefit from a low FODMAP diet under guidance. If constipation persists, doctors may consider osmotic laxatives or newer medications that improve bowel function. Probiotics may help in some cases. Regular walking, stress reduction techniques, and good sleep also improve gut function. If your symptoms persist despite treatment, it is important to consult your doctor again to review your diagnosis, rule out other causes, and consider further treatment options.