The GI Jigsaw!

Thursday, I attended an ultrasound appointment at a decidedly empty St Mary's Treatment Centre in Portsmouth. This latest consultation is yet another in a long line, as I try and get to grips with my IBS diagnosis. As a rule an IBS sufferer would not have to undergo such a series of comprehensive tests, but as I approach fifty years of age, it is important that my GP rules out anything sinister that may account for the severity of my symptoms. I have been suffering from a number of gastrointestinal issues for several years now, ever since I was prescribed a course of antibiotics to treat a particularly nasty UTI; my gut health just hasn't been the same since.

I was diagnosed with diverticular disease several years ago, after undergoing a sigmoidoscopy; I thought I finally had a diagnosis, that with careful management, would lead to a more comfortable life. Eating the right foods and other lifestyle changes, should go a long way in helping me live with the common condition. It really isn't unusual for someone of my age to suffer from this disorder; a western diet and behaviours all contribute towards the small pouches that form in the sigmoid colon, creating discomfort, occasional infection and sporadic complications. However, the pain I was experiencing, didn't conform to the stereotypical norms for this indisposition.

I decided to try and find answers, as to what exactly was going on. The Doctors constantly put my GI malaise and anxiety down to IBS, as they frequently do, when they can't find answers. To be honest it was easy to see why, I have all the classic symptoms, which do seem to be exacerbated by stress. A prescription of Mebeverine, Buscopan, probiotic pills and enzymes were given, but did little to ease the symptoms. I changed my diet, discovering by accident that I was lactose intolerant. I stopped eating normal bread, swapping to Sour Dough alternatives instead and significantly reduced my intake of fatty, sugary and spicy foods. This dramatic change has actually helped a lot, and I am no longer suffering from the extreme complications I used to experience; nevertheless, something inside was telling me there was more to this and I continued to seek answers.

Three months ago I was taken to Hospital, in the middle of this pandemic, with a suspected heart attack and was given a series of tests to determine the cause of the agony. Eventually the A&E Doctor came back to me with a Hiatal Hernia diagnosis, and I was immediately prescribed Omeprazole to help with the intense pain. The effectiveness of this drug soon waned, and I was given a twice daily dose of Lansoprazole instead, which thankfully does its job and I have little ongoing irritation and even less flare-ups than I used too. Once again, I thought I finally had the answer and hoped things would start to get back to normal; nothing could be further from the truth, and my symptoms just got worse, prompting me to insist that my GP does everything he can to get to the bottom of this saga.

It has been difficult and challenging trying to get answers during this COVID pandemic, but my surgery have been amazing at helping me try to solve this GI jigsaw. I have had blood, urine and stool tests as well as physical examinations, but am still no clearer as to what is going on. Recently, after a terrible bout of pain I filled in an online form at my surgery urging my GP to refer me for an ultrasound, a procedure I had read about online and something that could shed further light on my problems. He agreed to my request and I went for the scan on Thursday this week.

During the ultrasound, which did hurt it has to be said, the consultant discovered I had gallstones and said it was likely my gall bladder would have to be removed, as these small stones would otherwise keep coming back. She reassured me this was perfectly normal and would be carried out during keyhole surgery, stressing that you can live quite happily without the gall bladder. Again I was given yet another piece in the GI jigsaw I have been trying to put together, but whether this is the end of the matter, I very much doubt.

Because we are living through a pandemic, I am not able to have an endoscopy and further sigmoidoscopy recommended by my Doctor, so I still don't have a full picture of my circumstances. I have no idea when any operation will be scheduled, because all non-essential surgical interventions are on hold, but I am at least happier I am beginning to understand the issues, that have been affecting me over the last few years. Everyone I have spoken to and discussed my problems with, thought I was overreacting I am sure, saying my anxiety was responsible for the pain, but I know now that wasn't the case, and I was right to pursue answers. I do have IBS, but there are clearly other factors at play here; as the consultant said on Thursday, 'I will probably see a reduction in symptoms, when all the gastrointestinal problems are solved,' muddling through temporarily, until I can finally breathe happily again. Too often we are fobbed off and discouraged from seeking answers to problems, that can all to easily be defined as IBS. It is up to us to insist, scream and shout if necessary, in order to feel well and alive once again, getting the treatment we deserve and care that is so often lacking!