johnwes5819 I would strongly recommend if you are in USA and not far from the Mayo clinic they have 3 locations or near UCLA that you get a referral to be assessed for Dysautonomia or what I suggested .the other thing is to go online and look up Mims pharmaceutical book .which has all medications listed and referred to by doctors and specialist and have a look at the medications and see what the contraindications are involved and or see if the medications aren't reacting with each other and the constipation and insufficient fluids and kidneys issues and liver and gut issues could mean inflammation of the gut lining and intestine . .the important thing is to get someone to write down all the meds you are on and have a look and query if too many meds . but a review at mayo clinic and or Ucla if in America would be strongly advisable