Reviewed the same day by Texas-licensed clinicians

IBS care online in Texas

Belly pain, bloating, diarrhea or constipation that keeps coming back? A clinician checks for warning signs and builds a plan for your IBS.

Insurance or a flat cash priceYour pharmacy, your choiceIn-person care if needed: our DFW clinics, or near you
Online evaluation
Same-day review24/7 weekdays · 7 AM–9 PM CT weekends
Short answer

Can I get online care for IBS in Texas?

Yes, for adults 18 and older in Texas. Belly pain, bloating, diarrhea or constipation that keeps coming back? A clinician checks for warning signs and builds a plan for your IBS. Review is by a Texas-licensed Passion Health clinician, 24/7 on weekdays and 7 AM–9 PM CT on weekends. The flat price is $89, or use insurance. If labs are needed, your clinician usually orders Complete blood count and High-sensitivity CRP, $54 including the $29 draw-and-review fee, through Passion Health Blood Work (plus celiac antibodies, fecal calprotectin, billed by the lab), drawn at a Passion Health clinic or any CPL patient service center in Texas; with insurance, the lab bills your plan directly. A prescription goes to the pharmacy you choose only if it's appropriate; controlled medicines are never prescribed online. If you're over 45 and these bowel changes are new, you need an in-person visit within a few days instead, and you don't pay the online fee.

Medically reviewed by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health · October 22, 2026

Price
$89 flat cash rate or insurance
Visit type
Online evaluation
Labs if ordered
Complete blood count + High-sensitivity CRP · $54 self-pay, or the lab bills your plan
Turnaround
Same day · 24/7 weekdays, 7 AM–9 PM CT weekends
Insurance
BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana, Healthcare Highways
Prescriptions
Only if appropriate, sent to your pharmacy · never controlled medicines online
About the condition

What to know about IBS

Irritable bowel syndrome (IBS) is a common, long-term condition in which the gut and brain don't communicate smoothly, causing belly pain with diarrhea, constipation or both. Bloating is common. Triggers include certain foods, stress and past stomach infections. IBS is more common in women and usually starts before age 50.

Mucus in your stool

A little clear or white mucus in your stool is normal, and many people with IBS notice more of it. Mucus that comes with blood, fever, ongoing diarrhea, or belly pain that wakes you at night can mean infection or inflammation, so your clinician will want to look further.

Before you start

Is online care right for you?

A good fit for online care

  • Belly pain linked to bowel movements, with diarrhea, constipation or both, for months
  • Bloating, gas or mucus in your stool, with no blood or weight loss
  • IBS already diagnosed, and you want to update your plan
  • Help with a diet approach such as low-FODMAP

Book an in-person visit instead if

  • You're over 45 and these bowel changes are new Within days
  • Weight loss you didn't plan Within days
  • Blood in your stool or on the toilet paper Within days
  • Symptoms that wake you up at night Within days
  • A parent, brother, sister or child with colon cancer, Crohn's disease or ulcerative colitis Within days
  • Yellow skin or eyes Same day

Not near one of our clinics? Online Care is open to adults anywhere in Texas; our clinics are in Dallas–Fort Worth. If the safety questions or your clinician show you need to be examined, we tell you what kind of care you need and how soon — an emergency room, an urgent care center, or a clinician near you. If you've already paid, the full fee is refunded and you get a written summary of your visit to take with you.

Call 911 or go to the ER now if you have

Emergency room now

  • Vomiting blood or material that looks like coffee grounds
  • Black or maroon stools, or heavy bleeding from the rectum
  • Severe or worsening belly pain
  • A swollen belly with confusion
  • Vomiting with no stool or gas passing

Also call 911 for chest pain, trouble breathing, stroke signs, a sudden severe headache, fainting, a seizure, severe bleeding, new confusion, throat swelling, an overdose or thoughts of harming someone else — and call or text 988 for thoughts of harming yourself. If screening routes you before you pay, nothing is charged. If a clinician routes you after you've paid, the full fee is refunded.

How it works

How your IBS visit works

  1. 1
    Answer the IBS intake

    About 5 minutes, with photos if they help. Emergency and safety questions come first.

  2. 2
    A clinician reviews it the same day

    A Texas-licensed Passion Health clinician reads everything and calls or videos you if they need more.

  3. 3
    You get a plan

    If treatment is appropriate, a prescription goes to the pharmacy you choose.

  4. 4
    Follow-up is built in

    A 48-hour check-in and secure messaging. If you need to be seen, a same-day visit at our Dallas–Fort Worth clinics, or clear advice on where to go near you.

Your care

What to expect from your clinician

What your clinician may consider

  • Checking for warning signs and, if appropriate, simple blood tests such as a blood count and a celiac test (accurate only if you've been eating gluten), plus a stool test for inflammation if diarrhea is the main problem.
  • Diet changes, such as soluble fiber (like psyllium) or a short, guided trial of a low-FODMAP diet.
  • Medicines matched to your main symptom — diarrhea, constipation, cramping or pain — if appropriate.
  • A low-dose medicine from the antidepressant family that calms gut nerves, if appropriate. It's used for gut pain, not because symptoms are "in your head."
  • Gut-directed therapy, such as cognitive behavioral therapy, when stress plays a part.

Shown so you know what to expect. The reviewing clinician decides what, if anything, is appropriate for you — a prescription is never guaranteed, and controlled medicines are never prescribed online.

Labs, tests and Passion Health services

  • If your clinician recommends working with a dietitian on a low-FODMAP or other eating plan, you can see a Passion Health dietitian.
  • If your clinician recommends blood or stool tests, you can have them done at a Passion Health clinic or at any CPL patient service center in Texas.
Price & insurance

How much does an online IBS visit cost?

Standard evaluation
$89
  • Everything in Quick
  • Lab orders when needed (labs billed separately)
  • 30 days of secure messaging

Using insurance: we're in network with BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana and Healthcare Highways, and we verify eligibility for every plan before review — you see your estimated cost-share first. New patients have a short video visit, because plans pay for a visit, not a form. Same-day review applies to self-pay visits; insurance visits begin once we've verified your plan, which is the next business morning if you submit overnight or on a weekend. Medicare, Medicaid, CHIP and TRICARE are billed to the program, and the cash rate isn't offered for covered services.

Full refund if your case isn't accepted: if the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card within 10 business days, and we help you get the care you need: a same-day visit at one of our Dallas–Fort Worth clinics or, if you're not near one, clear advice on where to be seen and a written summary of your visit. With insurance, no claim is submitted for the online review. Paying the flat price yourself? You can ask for a written Good Faith Estimate before your visit.

Labs your clinician orders are priced through Passion Health Blood Work if you self-pay, or billed to your plan directly by the lab (CPL) if you use insurance; imaging is billed by the imaging center and medication is paid at your pharmacy. Passion Health doesn't sell, ship or mark up medication.

Follow-up

A 48-hour check-in, 30 days of secure messaging, and lab follow-up when labs were ordered.

Labs your clinician may order

Priced through Passion Health Blood Work

Blood count and CRP help rule out inflammation. Celiac antibody testing (tTG-IgA with total IgA), when needed, is run and billed by the lab. Ordered only if your clinician decides it's needed — the visit price never includes a test you don't need.

All Blood Work tests
Complete blood countRed cells, white cells, platelets (14 results)$10
High-sensitivity CRPLow-grade inflammation$15
Draw and clinician-review fee One per order of single tests; not charged when the order includes a Blood Work bundle$29

Typical self-pay total for the Blood Work tests above: $89 visit + $54 labs = $143

Not included in this total: Celiac antibodies (tTG-IgA with total IgA), Fecal calprotectin, when needed — run and billed separately by the lab, or to your plan.

Self-pay prices are billed by Passion Health. If you use insurance — including Medicare and Medicaid — the lab (CPL) bills your plan directly for the tests under your plan's lab benefits, and the prices above don't apply. Blood is drawn at a Passion Health clinic in North Texas or at any CPL patient service center in Texas; your clinician reviews your results and contacts you.

Questions

Questions about IBS care

How much does an online IBS visit cost?

The flat cash rate is $89 for a standard evaluation, or use your insurance and pay your plan's cost-share — we show you an estimate before review starts. Medication is paid at your pharmacy. If the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card.

Will I talk to someone, or is it just a form?

A Texas-licensed Passion Health clinician reviews every intake and decides your plan — not software. For IBS, Texas law lets the clinician evaluate you from a condition-specific intake plus your photos and records, and they'll call or video you whenever something needs a conversation. New patients using insurance have a short video visit, because plans pay for a visit, not a form.

Is a prescription guaranteed?

No. You're paying for a licensed clinician's evaluation and plan. Many visits end with a prescription; some end with a different plan, a test, or a referral. Controlled medicines — stimulants, benzodiazepines, opioids, testosterone, sleep aids like zolpidem — are never prescribed at an online visit.

Where do I get labs drawn, and what do they cost?

If your clinician orders labs, they're priced through Passion Health Blood Work: for IBS that's usually Complete blood count and High-sensitivity CRP, $54 including the $29 draw-and-review fee, through Passion Health Blood Work (plus celiac antibodies, fecal calprotectin, billed by the lab) (self-pay prices, billed by Passion Health). If you use insurance, including Medicare or Medicaid, the lab (CPL) bills your plan directly and those prices don't apply. You can have blood drawn at a Passion Health clinic in Dallas–Fort Worth or walk into any CPL patient service center in Texas with a photo ID; your clinician reviews your results and contacts you.

How do I know it's IBS and not something more serious?

IBS is diagnosed from your symptom pattern — belly pain linked to bowel movements over months — and by making sure there are no warning signs. Your clinician asks about blood in your stool, weight loss, night-time symptoms, family history and your age, and may order a few simple tests. Warning signs mean an in-person visit and possibly a colonoscopy.

What is the low-FODMAP diet?

FODMAPs are carbohydrates found in foods like wheat, onions, garlic, beans, some fruits and dairy that can trigger gas and bloating in IBS. The diet removes them for a few weeks, then adds them back one at a time to find your triggers. It's easier with a dietitian's guidance, so you don't cut out more foods than you need to.

Do I need to eat gluten before a celiac test?

Yes. The celiac blood test is only accurate if you've been eating gluten (found in bread, pasta and other foods made with wheat, barley or rye) regularly for the past several weeks. If you've already cut back on gluten, or you're on a low-FODMAP diet, tell your clinician before the test is ordered. The test is usually checked along with your total IgA level, because people with low IgA can get a falsely normal result.

The Texas law behind this visit

A clinician may form a valid patient relationship online using store-and-forward technology — your condition-specific intake, photos and records — paired with a call or video when needed, as long as the in-person standard of care is met (Tex. Occ. Code §111.005(a)(3), §111.007). Your clinician gives you guidance on follow-up care and, with your consent, sends new patients' visit notes to their primary care physician within 72 hours (§111.005(b)).

Full Texas-law summary →

AC
Medical reviewer

Dr. Anantha Chentha, MD, FACP, CHCQM-PHY ADV

Chief Quality Medical Officer, Passion Health · Texas-licensed internal medicine physician

Reviewed October 22, 2026

Reviewed for medical accuracy by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health, on October 22, 2026. Pages are reviewed again when clinical guidance or our visit rules change, and the date shown here is updated each time.

Sources: ACG · NIDDK

Not sure online care is right for you?

Book a same-day visit at a Passion Health clinic in Dallas–Fort Worth, or call and we'll point you to the right visit — or, elsewhere in Texas, to the right kind of care near you.

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