They are not sure. No surgeries however. three years ago I had terrible anxiety attacks that lasted about two months and they could not get rid of them. I was put on all different medications. Then the anxiety went away left with severe mobility problems of stomach and colon. I had a upper scope and the foumd that my Esophagus was narrowed so they did a dialtion hope that is what caused the problem. That was not the culprit. I went from 128lbs at 5 ft 9 to 93 lbs. I have had issues with my mobility since I was young but nothing like this. The Mineral oil at night with Applesauce seems to be working but I am sick on the daily. I am better then I was and have gone up to 112lbs. The last thing I want is to have surgery. I have a wonderful well known GI who is also trying to keep from having surgery.