IBS, gastroparesis, endometriosis, type 2 diabetes; what to do?

I am sorry for your health problems. I had surgery, 2 years ago, to remove my large intestine due to congenital malrotation. I have my small intestine connected to my rectum. I have diarrhea daily. Its a relief from the constant constipation I had before. In addition to diarrhea I have nausea also. I take zofran for both these issues. I take 2 citrucil tablets AM and PM. these were suggestions from my GI. Also through trial and error I realized that I can't eat much vegetable salads or fatty foods. Living for me is day by day; sometimes I have a good day and sometimes not so good. I also had a hysterectomy 30 years earlier. My therapist emphasizes gratitude.

@kmr756
Are you working with a nutritionist/dietitian for your type 2 diabetes and gastrointestinal issues to review diet and supplements? Do you take any medications that are making your symptoms worse?

Have you had allergy testing/seen an immunologist? Have you had autoimmune testing?

I am currently working with a dietitian for gastroparesis. I take medications like motergrity, famotidine, pantoprozole, meclizine, and metocloprimide but I don’t see a difference with these medications. Meclizine and metocloprimide work but the others don’t help. I do work with an allergist for my allergies and have been allergy tested but I have not seen an immunologist and have not been autoimmune tested. Would you recommend I do that?

@kmr756

If I were you, I would want to know if I had inflammation in my body due to autoimmune issues.

Here is what AI lists as autoimmune bloodwork panel tests:

Common Tests Included

Antinuclear Antibody (ANA) Test: This test checks for antinuclear antibodies that can indicate autoimmune disorders like lupus or rheumatoid arthritis.

Rheumatoid Factor (RF): Measures the presence of rheumatoid factor, which is often elevated in rheumatoid arthritis.

Anti-Citrullinated Protein Antibody (ACPA): This test is more specific for rheumatoid arthritis and can help in its diagnosis.

Anti-DNA Antibodies: These are often associated with systemic lupus erythematosus (SLE).

Anti-Smith Antibodies: Specific to lupus, these antibodies are highly indicative of the disease.

Complement Levels (C3 and C4): These proteins help assess the activity of the immune system and can be low in certain autoimmune diseases.

Thyroid Antibodies: Tests for antibodies like anti-thyroid peroxidase (TPO) and anti-thyroglobulin can indicate autoimmune thyroid diseases such as Hashimoto's thyroiditis or Graves' disease.

@kmr756

You may want to see a rheumatologist/immunologist to evaluate potential autoimmune issues causing some of your symptoms.

What type of doctor diagnosed your allergies and what allergies do you have?

Did you ever review your medications with your pharmacist to get their input on drug interactions that may be causing some of your symptoms?

Here is what AI says an immunologist does:

Diagnosis of Immune Disorders: Immunologists diagnose conditions such as allergies, autoimmune diseases, immunodeficiencies, and certain cancers. They use various tests, including blood tests and skin tests, to assess immune function.
Treatment Plans: They develop treatment plans tailored to individual patients, which may include medications, immunotherapy, or lifestyle changes to manage symptoms and improve immune function.
Research: Many immunologists engage in research to better understand the immune system and develop new therapies. This can involve studying diseases, vaccine development, and exploring new treatment modalities.
Patient Education: Immunologists educate patients about their conditions, treatment options, and preventive measures to enhance their immune health.
Collaboration: They often work with other healthcare professionals, such as allergists, rheumatologists, and oncologists, to provide comprehensive care for patients with complex immune-related issues.

@kmr756

You may want to talk to your doctor to consider adjusting/stopping certain medications that may not be helping or of causing any issues/side effects.

You may want to ask your pharmacist about the combination of meclizine and meteoroids combination. My understanding is this combination is generally avoided due to potential antagonistic effects.

@kmr756
Correction: Meclizine and metocloprimide are the combinations you want to further investigate.