Abdominal pain

I have been having episodes of really intense, lower abdominal pain for several months now. It only occurs about twice a month and always after eating. I have tracked my intake and I have been unable to find any patterns/triggers. It's a crampy kind of pain that becomes so intense that I sometimes faint. I also usually have several waves of diarrhea before getting any relief.

I should mention that I had an upper endoscopy earlier this month and it showed some chronic inflammation/gastritis. At that time I was also found to have a vitamin B12 deficiency.

Does anyone have any idea what could possibly be wrong? Does this sound more like IBS or IBD? Thank you in advance for your help.

[Ratnakar ., MD]

Hi,
The information you have provided is inadeqaute to say whether it is IBS or IBD.
Change in bowel habits with abdominal pain ( which gets relieved with defecation), with no weight loss, with no blood in stool, with no night time diarrhea most often is due to IBS.
IBD usually presents with abdominal pain, bloody diarrhea, weight loss along with some systemic symptoms.