By Tom Nugent

Cybill Shepherd gained fame in The Last Picture Show with her fiery performance as a Texas teen who didn’t want to grow up. She’s also been a beauty queen, cover girl and TV comedienne (remember Moonlighting and Cybill?).

But she’d rather talk about a new role. Today, she’s an educator out to improve women’s health.

Her goal: To help more than 10 million American women learn how to cope with a chronic digestive disorder — irritable bowel syndrome (IBS). The right diagnosis and lifestyle changes can ease its symptoms.

“I struggled with IBS and related constipation for more than 20 years, and nothing seemed to help,” says Ms. Shepherd, 55. “I went to doctor after doctor to complain about abdominal pain, constipation and bloating. But most of them told me it was all in [my] head.

“Without an accurate diagnosis, I went on suffering. The condition made me absolutely miserable at times, and it finally started interfering with my acting career and raising my three children.

“Fortunately, I decided to get very serious about managing my disease. I was also pretty lucky because I found a specialist who knew how to diagnose and treat my form of IBS, which includes constipation.” Other forms of IBS involve diarrhea alone or both diarrhea and constipation.

With her doctor’s help, Ms. Shepherd put together a disease-management plan two years ago. She changed her diet (cutting down on fried foods and caffeine, for example) and exercised more. She also started taking a new drug (tegaserod maleate) meant to fix a hormone imbalance in the digestive tract that can lead to IBS attacks.

“There’s no question that IBS can be managed successfully, once the disorder is properly diagnosed,” she says. “If your doctor tells you your IBS symptoms are all in your head, it may be time to change doctors.My hope in speaking out about this condition is that women will start getting over their embarrassment and begin talking openly with their doctors about symptoms. I don’t want them to suffer in silence the way I did.”

Abdominal pain, bloating and constipation marred a career that began at age 8, when Ms. Shepherd joined a church choir in her native Memphis, Tenn.After being named “Miss Teenage Memphis” in 1966 (and later dating Elvis Presley), she tried Hollywood. At age 20, she won the role of Jacy Farrow in 1971’s The Last Picture Show.

In the next three decades, Cybill starred in dozens of films and TV sitcoms. She acted on stage and penned a memoir, Cybill Disobedience. But IBS lurked in the wings.

“I tried nearly everything,” she says, “including fiber supplements and over-thecounter laxatives. But nothing helped relieve my symptoms. Finally, however, I decided to talk openly with my doctor, and to put together a treatment plan.”

Today, Ms. Shepherd says she’s “feeling great and working hard.”Her latest film, Open Window, is due out in late 2005.

Meanwhile, she plans to keep telling women about IBS.

“Learning how to take care of your health is an act of self-empowerment,” she says. “And that’s the heart of my health care message, wherever I go.”

Here's How You Can Manage
Irritable bowel syndrome (IBS) affects 40 million adult Americans. Seven out of 10 are women.

“Unfortunately, many women who struggle with the condition don’t realize that it can often be treated effectively by watching your diet, exercising frequently and taking medication designed to promote hormone balance in the digestive system,” says Susan Lucak, M.D., who treats IBS patients at Columbia- Presbyterian Medical Center in New York. Constipation, diarrhea or a combination usually mark IBS. Key symptoms are bouts of abdominal pain or discomfort and bloating that can last days, Dr. Lucak says.

Doctors don’t fully understand IBS. Some think that in genetically predisposed patients, sensitive digestive tracts misread signals from the central nervous system. When that happens, the digestive system for a time shuts down (constipation) or speeds up (diarrhea).

How can you deal with IBS? “The first step is to get an accurate diagnosis from your physician,” says Dr. Lucak. “Once you understand the particular form your IBS takes, you and the doctor can design an effective treatment plan.” That plan will vary depending on whether you mainly have constipation, diarrhea, [both,] or abdominal bloating and pain. As part of the plan, you might:

• Avoid food triggers (such as fried foods, caffeine and alcohol).
• Increase fiber intake.
• Drink more fluids.
• Exercise more each day.
• Take the right medication.