 [ Symptoms ] i have small dark bumps on my forehead that do not look like blackheads what could they be [ Disease ] many women suffer from ibs    it is not clear whether it is related to menopausal hormone changes or not but it certainly is also very common as we get older a couple of thoughts that i have learned from my friends who are gastroenterologists have you tried a fiber containing product like metamucil or citrucel many gi folks recommend it and if you have not it is probably worth a try another product that many of them recommend for my patients is a fancy probiotic called align    it is available over the counter and it is supposed to be an excellent bacteria for the intestines even if you have tried other probiotics it is probably worth a try another and more esoteric thought is evening primrose oil    there are a couple of papers in the literature from many years ago touting its use in women with pms    and i have a few patients who tell me it has helped them    so it is probably worth a try again finding a good gastroenterologist is a good idea to try to help get you through these episodes    and again the local county medical society is a good starting place if you do not feel comfortable with your gi doc