Drs unable to diagnose sister's extreme abdominal pain. Ideas?

@trishcnwma more is not always better. Learn about types of fiber, use the MiraLAX, maybe add a stool softener if it doesn’t help, trust the docs and try their suggestions for a period of time. It’s very easy to go down a hole with all the supplements and suggestions. Not all probiotics suit all situations. Take care of yourself! You’re a good sister ❤️

Not sure if this will help, but I’m 86 and had suffered from lower abdominal pain for years. I was diagnosed with multiple causes over the years to no avail. Finally, it was recommended that I consider an exploratory operation. I agreed, but my GP and my long-time friend recommended I seek a second opinion from a surgeon in Palo Alto, CA, which I did. She reviewed my medical files, which included multiple tests, MRIs, X-rays, and scans. After a 30-minute (I know, rare, huh) sit-down session, she recommended against surgery and instead layed out a diet that consisted primarily of fermented foods, and then referred me to one of their GI specialists, which took 6 weeks before the GI doctor could see me. She took me through a visual process of my entire lower GI tract, explaining in Detail what she believed the problem was. Put simply, she believed that bacteria in my gut microbiome were responsible for the persistent pain. From a large visual of the GI tract on her wall in her office, starting with the small intestine, she took me through what she believed was the probable cause and what I needed to do to resolve the pain issue which included drinking a lot more water (64 or more ounces per day) to move my poop along in my bowels and to change the biotics in my gut. The solution turned out to be consuming more fermented foods such as sauerkraut, kefir, yogurt, and kimchi (if you can handle it, yuck!). Plus, and this was Key to my recovery, she recommended 40 billion live probiotic cultures per day. I take a probiotic called Probiotic 10, which comes in 20 billion capsules twice daily. And a Fiber product to help regulate bowel movements. I take one called FiberOptic. Both products are available at Costco. But the key is the “dosage,” not the brand.
After following this regimen for about a month, my pain (Hallelujah!) started to go away, and it's never returned. But to be safe, I’ve stayed on the probiotics and drink a lot more water. I recommend that everyone learn as much as possible about the role of their microbiome and the second brain connection in relation to their overall well-being.

Not sure if this will help, but I’m 86 and had suffered from lower abdominal pain for years. I was diagnosed with multiple causes over the years to no avail. Finally, it was recommended that I consider an exploratory operation. I agreed, but my GP and my long-time friend recommended I seek a second opinion from a surgeon in Palo Alto, CA, which I did. She reviewed my medical files, which included multiple tests, MRIs, X-rays, and scans. After a 30-minute (I know, rare, huh) sit-down session, she recommended against surgery and instead layed out a diet that consisted primarily of fermented foods, and then referred me to one of their GI specialists, which took 6 weeks before the GI doctor could see me. She took me through a visual process of my entire lower GI tract, explaining in Detail what she believed the problem was. Put simply, she believed that bacteria in my gut microbiome were responsible for the persistent pain. From a large visual of the GI tract on her wall in her office, starting with the small intestine, she took me through what she believed was the probable cause and what I needed to do to resolve the pain issue which included drinking a lot more water (64 or more ounces per day) to move my poop along in my bowels and to change the biotics in my gut. The solution turned out to be consuming more fermented foods such as sauerkraut, kefir, yogurt, and kimchi (if you can handle it, yuck!). Plus, and this was Key to my recovery, she recommended 40 billion live probiotic cultures per day. I take a probiotic called Probiotic 10, which comes in 20 billion capsules twice daily. And a Fiber product to help regulate bowel movements. I take one called FiberOptic. Both products are available at Costco. But the key is the “dosage,” not the brand.
After following this regimen for about a month, my pain (Hallelujah!) started to go away, and it's never returned. But to be safe, I’ve stayed on the probiotics and drink a lot more water. I recommend that everyone learn as much as possible about the role of their microbiome and the second brain connection in relation to their overall well-being.