Hi there everyone, I'm new here. I'm a 22 year old female.
So I have been struggling with stomach problems for over a year now.
My symptoms (which may be graphic):
On and off diarrhoea
Mucus in stool
Bright red blood sometimes when wiping bottom (specks of it on toilet paper)
Constant stomach pain in lower right stomach region
Lower back pain which shoots down into buttocks
Pain in groin and right leg
Shortness of breath sometimes and a "weak" feeling in arms
Intense stomach cramps which are relieved sometimes by pooing
An urgent need to go to the toilet when needing a poo
Diarrhoea sometimes only 10-20 minutes after eating
So about a month ago I went to my GP about this, as I'm tired of it and I can't continue to shrug it off like it's nothing. I said to them I think I might have IBS, the first GP I saw just gave me a weeks sick note and said "I think you'll be ok after a week of rest". Nope, diarrhoea episodes were still persisting, stomach pains, cramps etc.
So I went back and saw a different GP and she examined my stomach (Murphy's Sign) and said she thinks it could be my gallbladder, so she referred me for an ultrasound. She also sent me to do blood, urine and stool tests.
The blood tests came back that I had an extremely low B12 level (86pg/mL) reference range: 180-1000pg/mL. So I was called into the GP about this and initially was told I would have to have B12 tablets to replace this. Then the next day I was called and made to make 6 appointments for my B12 injections (which I wasn't told about...). So fast forward a bit, I've had 5 B12 injections so far and I asked one of the GPs I saw if they would retest my B12 when I have finished this 6 dose course. He said no, the NHS don't typically retest or look for low B12 levels. I should also mention that my low B12 is not dietary related because I eat plenty of meat, eggs and have milk etc.
This leads me to believe that I may have a problem absorbing it in my digestive tract. The GP said I wouldn't be given anymore injections after these are done and I won't be retested... Is this common? I feel like because of the nature of my problem they should retest me. My liver function test also came back slightly abnormal, which they have planned to retest in 3 months.
About 2 weeks ago my stomach pain started to become intense and constant in my lower right and sometimes upper right abdomen, so I went back to the GP and he called for my ultrasound to be pushed to an urgent appointment due to suspected gallstones. I had the ultrasound on Friday and she said my pancreas, liver, kidneys, spleen and gallbladder all looked okay, no inflammation and no gallstones. She said where I explain the pain is in my bowels and stomach region.
I also started getting really bad back pain and pain all down my right leg. I have been taking 30mg cocodamol which do not help the pain and Buscopan to help with the spasms, which don't really do anything either. I'm making another appointment with the GP tomorrow hopefully so we can discuss my ultrasound results.
One night before my stomach pains started becoming intense I nearly fainted at work. I had to go outside and sit on the wall, as I became extremely nauseous and everything was spinning, I thought I was going to pass out. (I have had these episodes in the past) I felt like I was going to die. I went to vomit and nothing came up. I went back into the office and everyone said I looked extremely pale and they told me to go home.
The next day after this happened I was at the doctors for one of my B12 injections and the nurse checked my blood pressure, she said it was on the lower side. This is uncommon for me because my blood pressure is usually pre-high.
My fiance and I went for a meal after my ultrasound scan. 2 minutes after eating I suffered an extreme pain in my stomach everywhere. I've never felt anything like it in my entire life. I struggled all the way back to the train station, nearly in tears from the pain. I couldn't think of anything else. I felt like there was a 1000 knives inside of me. It hurt this way for around 2 hours, I had to go straight to bed when we got home. I didn't have any diarrhoea, I was just in absolute agony. I didn't eat a lot either...
I should also mention my stool result came back negative for H. pylori, so I'm almost certain that I don't have a stomach ulcer. I do not take anti-inflammatory medication usually. I don't take any medication on a regular basis apart from my contraceptive pill, Lucette and I am generally very healthy.
I am yet to be referred to a gastroenterologist, they really don't seem to care honestly...
Does this seem like typical IBS?... Is it really that hard to diagnose IBS? Could I be looking at something else entirely different?