[36F] Experiencing chronic 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 or constipation, or both. IBS is a chronic condition that you'll need to manage long term. Your history of colitis might make you more susceptible to IBS.

• Gastroesophageal Reflux Disease (GERD): This is a chronic disease that occurs when stomach acid or bile flows into the food pipe and irritates the lining. Acid reflux and heartburn more than twice a week may indicate GERD.

• Food Intolerance or Malabsorption: Certain foods can cause digestive symptoms in some people. Lactose intolerance and fructose malabsorption are common examples. Your symptoms seem to worsen with certain foods, which could suggest a food intolerance or malabsorption.

• Gastritis or Peptic Ulcer Disease: Given your history of a stomach ulcer, it's possible that your symptoms could be due to gastritis or another ulcer. These conditions can cause pain, gas, and bloating.

Please remember that these are potential explanations for your symptoms based on the information you've provided, but they are not definitive diagnoses. You should consult with a healthcare provider for an accurate diagnosis.

What you can do

1. Dietary changes: Try to identify any food triggers that worsen your symptoms and consider reducing or eliminating them from your diet. Common triggers include dairy products, certain fruits and vegetables, grains, and processed foods.

2. Lifestyle modifications: Regular exercise, adequate hydration, and stress management can often help reduce symptoms of many gastrointestinal disorders.

3. Over-the-counter remedies: Over-the-counter antacids or gas-relieving medications may provide some relief from your symptoms.

4. Medical consultation: Given the chronic nature of your symptoms and your past medical history, it would be advisable to consult with a healthcare provider. They can provide a more accurate diagnosis and guide you on the best course of treatment.

What you should look out for

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

• Severe abdominal pain
• Blood in your stool or black, tarry stools
• Unexplained weight loss
• Persistent or worsening symptoms despite dietary changes and over-the-counter treatments
• Difficulty swallowing or persistent vomiting

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.