[56F] Experiencing abdominal bloating, rash, and joint pain

What might be happening

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

• Small Intestinal Bacterial Overgrowth (SIBO): You've mentioned that you've been diagnosed with SIBO, which could explain your bloating, constipation, and weight gain. SIBO is a condition where there is an abnormal increase in the overall bacterial population in the small intestine, particularly types of bacteria not commonly found in that part of the digestive tract. It can cause malabsorption and lead to symptoms such as bloating, gas, diarrhea, and weight loss. However, in some cases, it may also cause weight gain.

  • Treatment typically involves antibiotics to reduce the bacteria in your small intestine. Your doctor may also recommend changes to your diet and lifestyle.

• Food Intolerances: Your symptoms worsen with certain foods (beans, onions, dairy), suggesting possible food intolerances. Common ones include lactose intolerance and intolerance to FODMAPs (a group of carbs that are hard to digest).

  • Management typically involves avoiding the offending foods.

• Granuloma Annulare: This is a chronic skin condition that forms circular, raised lesions, usually on the hands and feet. It's not typically itchy or painful, so it may not explain the rash you're experiencing. However, it's worth mentioning as you've been previously diagnosed with it.

• Dermatitis: Given your description of the rash, a form of dermatitis could be possible. Dermatitis is a general term that describes inflammation of the skin. It can have many causes and occurs in many forms. It usually involves itchy, dry skin or a rash on swollen, reddened skin.

  • Treatment typically involves identifying and avoiding any triggers, using moisturizers, and applying topical corticosteroids or other creams.

What you can do

1. Follow your doctor's advice regarding the treatment of SIBO. This typically involves antibiotics and possibly probiotics.
2. Try to identify any food intolerances. You've already identified beans, onions, and dairy as possible triggers. Try eliminating these from your diet and see if your symptoms improve.
3. Keep your skin clean and moisturized. Avoid scratching your rash, as this can lead to infection.
4. Maintain a healthy diet and lifestyle. Regular exercise, a balanced diet, and adequate sleep can help manage your symptoms and improve your overall health.

What you should look out for

• If your symptoms worsen or you develop new symptoms, seek medical attention.
• If your rash becomes painful, starts to spread rapidly, or you develop a fever, seek medical attention immediately.

Remember, I'm an AI and this advice is based on the information you've provided. It's always best to consult with a healthcare professional for an accurate diagnosis and treatment.