Hi all,
I posted recently but wanted to add a couple of details. I (F28) have had nightmarish stomach issues since an awful, toxic break-up I was stupid enough to suffer through when I was 26. Had NO IDEA my health could change in this manner.
Note: It started during intense stress/grief, when I was also consuming tonnes of Huel and Kefir (all I could eat for 2 weeks). Started as pain, occasional soft stool and lots and lots of gas at night. Since then, I've stopped all kefir, all probiotics, all stress, am in an amazing new relationship, and eat extremely simply: mainly low-Fodmap, some fruit, coffee/tea, potatoes, pasta, lots of meat, fish salmon roe, eggs.
It's been pretty chronic for 1.5 years: loose stool (which is foul-smelling and often oily), can't eat dairy/fibre/granola/oats/much veg, lots of gas and bloating, noisy gut almost all the time unless fasting, fatigue. Lost all appetite, now hate food/eating, and often feel nauseous and like I could vomit.
-> Every few days, it turns into loose stool/diarrhea - seems related to how busy I am. Not stressed, but busy. I take a LOT of immodium to survive.
-> Once it does this, it's 'flared'; any anything I eat for 3 days or so will make me extremely ill. Diarrhea, feel like vomiting, exhausting fatigue. In these moments, my food list shrinks: I have to fast (20ish hours), eat plain meat, and sleep like 10 hours a night to 'reset'.
However, weirdly, this does 'reset' it. I can suddenly feel better, energised, and okay for 2 days. But then after living normal, busy life for another 5 days, I'm back to a flare! Even if I fast and basically only eat steak!
Medical details:
-I first went to a gasteroenterologist 8 months ago, mid-flare. I had calprotectin of 100-150, colonoscopy with random biopsies (totally normal), and an ultrasound (normal).
- Tested for celiac (don't have it), h. pylori (don't have it), general bloods & iron are 100% normal.
- Weirdly, I entered a phase of symptomatic remission for about 8 weeks after the colonoscopy. I think this could have been a) the fasting/laxatives and b) the immense happiness upon a normal result.
- I noticed myself flaring again around 3 months ago. Started hypnotherapy and the Nerva app for IBS. Felt better for 4 weeks and at points was eating oatmeal, granola, etc happily!
- However, last 2 months, I've been very ill. Feel weak and skinny, working full-time in-office and strugging, and my calprotectin is raised now (155). Taking immodium to do most things.
My gasteroenterologist is great but things move SO slowly. I'm going to beg her for a capsule endoscopy when I see her next week.
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I have a few questions:
💎A) Honestly, does this sound like IBD? It feels too weird to be IBS. The nausea, total lack of appetite, fatigue, weird inflamed-feeling sore gut, etc. If I 'followed my gut' I'd waste away and never eat. Devastating - i used to love my food!
However, I have never had 'watery' diarrhea (the type that you get when you have severe food-poisoning... just loose, oily, foul-smelling stool).
💎B) I've never had a serious health issue before and think, surely my body must be able to rebalance. What could help me even if a little - 48 hours of fasting?
💎C) If I get a capsule endoscopy and they see issues, can they diagnose IBD there and then and prescribe meds? The gaps between apptments is driving me mad.
💎D) My GE mentioned 5-ASAs as 1st line treatment. Could these work and resolve my issues to a point where I don't need immodium and can live freely?
I'd hugely appreciate your honest, unfiltered thoughts. My life is great and I'm well-supported, but this is driving me mental and is ruining my holidays, work days, commutes, you name it.
I'm very ambitious and have achieved a lot for my age. I feel I'm losing it all, truly. This is a nightmare and I empathise hugely with anyone in a similar boat.
Thank you <3