So very very sorry you aren’t having the quality of life we all deserve. Pretty much ditto of my tests & pain.
Everyone raves about IBguard it did nothing for me. Low fod map diet nothing , however starting soon with registered dietician who has extensive training in this diet and has IBS herself keeping fingers crossed.
I only use Soyrdough bread .
Last GI recommended was lidocaine patches , did nothing . Also lidocaine oral solution nothing. Tried hypnotheraphy gut related nothing. Tried 4 different antidepressants horrible side effects. Increased water and excersise and listen to tapes daily.
I am on my 7 th GI still looking to due more than bandaide.
Dr finally agreed to SIBO testing.. again positive however Xifian is expensive and in the past is effective as long as I am on it. Trying to find answers why this keeps reoccurring. No abdominal surgeries no adhesions but years of antidepressants. ??
Mayo Clinic will not due virtual apts for GI.
Have you tried seeing a GI specialist thru Mayo?

Hoping pain gets better never give up!