I'm sorry to read that you feel this way, I live in Canada so I do not know anything about Madicaid, I guess it's the health insurance?

I started with the diet Fodmap, you have recipes on the internet that can help you, Please out Stop coke or any refreshing with gas, probiotics every day, antidepressants to take at night to help you sleep and calm anxiety Ativan, anti-exspam painkillers Bentyl (dicyclomine)

Yoga has helped me, meditation to calm my anxiety, and do not forget Metamucill to control my bowel.
look for a dietician specializing in torturous Colon, sure to help you, and have adequate exercises to place your colon.
I do not advise operation unless your situation is already very serious.
My son is a pharmacist and it is the advice he gives me, and I am 70% better than when I was diagnosed with this problem.
Good luck you deserve it.