[29F] Experiencing abdominal and back pain with gastrointestinal symptoms

What might be happening

Based on the information you've provided, possible diagnoses include:

• Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea. IBS is a chronic condition that you'll need to manage long term. The fact that you've had these symptoms for over a year and that they seem to be triggered by certain foods could suggest IBS.

• Gallbladder Disease: The gallbladder is a small organ under the liver that stores bile, a fluid that helps in digestion. Gallbladder diseases such as gallstones or cholecystitis (inflammation of the gallbladder) can cause symptoms like pain in the right or middle upper abdomen, nausea, vomiting, bloating, and diarrhea. However, your pain is on the left side, which is less typical for gallbladder disease.

• Pancreatitis: This is inflammation of the pancreas, an organ that aids in digestion and regulates blood sugar. Acute pancreatitis can cause upper abdominal pain that radiates to the back, nausea, and vomiting. Chronic pancreatitis can lead to diarrhea and weight loss over time.

• Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause heartburn. Over time, GERD can lead to complications like an inflamed esophagus or difficulty swallowing.

Please note that these are potential conditions and you should see a healthcare professional for a formal diagnosis.

What you can do

Here are some general suggestions that might help alleviate your symptoms:

1. Try to identify and avoid foods that trigger your symptoms. You've already identified spicy food, caffeine, and alcohol as triggers. You might also want to try a low FODMAP diet, which has been shown to help some people with IBS.

2. Stay hydrated, especially if you're having diarrhea. Water is the best choice. Avoid alcohol and caffeine, as they can lead to dehydration.

3. Try to eat smaller, more frequent meals instead of three large meals a day.

4. Regular physical activity can help regulate your bowel movements and reduce stress.

5. Over-the-counter medications like loperamide can help with diarrhea, and simethicone can help with gas and bloating. However, you should consult with a healthcare professional before starting any new medication.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

• Severe abdominal pain
• Blood in your stool
• Unexplained weight loss
• Persistent or high fever
• Persistent vomiting or inability to keep down fluids
• Yellowing of the skin or eyes (jaundice)

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment.