As we age, our stomach health can become more complex. Conditions like elderly erosive esophagitis and geriatric reflux esophagitis become more common. Mixed irritable bowel syndrome (IBS-M) is a big challenge for older people. It can really affect their life, causing problems like senior citizens' peptic strictures and pensioners' esophageal ulcers . Managing elderly IBS-M needs a caring and detailed approach. We must understand the symptoms, risks, and effects of this condition. This way, we can make a plan to help older adults with IBS-M. We aim to ease their symptoms, boost their gut health, and keep them independent and happy. Key Takeaways Elderly mixed IBS (IBS-M) is a chronic condition that affects older adults, causing both constipation and diarrhea. It can really affect the quality of life for seniors, leading to physical discomfort, emotional stress, and problems with everyday tasks. Handling elderly IBS-M needs a full approach, covering diet changes, lifestyl