Many patients with Functional bowel disorders (FBDs) including IBS also experience pelvic floor problems, including dyssynergic defecation, a condition in which the muscles of the pelvic floor do not coordinate properly during defecation.  Despite this knowlegde, many healthcare professionals focus exclusively on gastrointestinal interventions, overlooking the contribution of the pelvic floor.  Dr Kuizenga-Wessel will present a case study to demonstrate that an integrative approach in which pelvic floor dysfunction and sexual health problems are addressed, combined with dietary and lifestyle interventions, significantly improves bowel function and quality of life.