The terms proximal (from Latin proximus, meaning 'nearest') and distal (from Latin distare, meaning 'to stand away from') are used to describe parts of a feature that are close to or distant from the main mass of the body, respectively.
But, with Citrucel and/or Metamucil you can start with one teaspoon mixed in water or juice. If you have diarrhea don't use the preparation with artificial sweeteners. Use the one with sugar. I think artificial sweeteners (some of them) might cause more diarrhea.
1 Smooth muscle relaxants, including hyoscyamine (Levsin) and dicyclomine (Bentyl), may help relieve cramping. 2  Tricyclic antidepressants such as amitriptyline (Elavil) imipramine (Tofranil) have been shown to relieve symptoms for people with severe pain and diarrhea.any over-the-counter medications can help relieve symptoms of IBS. These include: 1  Fiber supplements or mild laxatives such as Milk of Magnesia to relieve constipation. 2  Anti-motility medications such as loperamide (Imodium) or Kaopectate to reduce diarrhea.