I am a 39 year old female. I have been having "episodes" of severe pain in mid left flank area (front/radiates to back) for over 4 years, with bowel symptoms common to IBD/IBS (alternating loose bowels and constipation, vomiting, severe nausea, low grade fevers, joint pain, etc.). Because of the location of the pain, it was originally thought that I was suffering from kidney stones. The kidney, gallbladder, pancreas, and liver have been ruled out as the cause. About 2 1/2 years ago I was evaluated by an obgyn. A scope was performed and adhesions were discovered attached to my bowel. Please note that I had a hysterecomy about 11 years ago. I still have 1 ovary (left side). The ovary was fine and left intact. In the beginning, the episodes would last a few weeks. But over the last 2 years, the episodes have increased in duration, with the last episode lasting almost 5 months. The severity of the pain and other symptoms eventually caused me to go to the ER. On the second visit to the ER, the ER doctor (chief of department w/extended training in radiology) felt I may have Crohn's and he identified an abnormalty on exrays that were taken over a weeks period of time (consistant air pocket in same location on all exrays). This doctor had me admitted and I was in the hospital for 5 days (no food for the first 3 days, then placed on a liquid diet). There were many tests performed (ct scans and small bowel follow-thru, etc.) and there was no clear diagnosis made. During the small bowel follow-thru, about 1/2 + way thru the test there was a brief ballooning/back-up of barium. The radiologist shrugged it off because it resolved quickly. I was discharged without an answer and referred to the gastro specialist. The specialist ordered the IBD First Step test. The initial step of the test identified markers, the 2nd test did not confirm the markers but indicated a 68% prevelance for IBD (please note that this test was performed after being placed on antibotics for possible h-pylori - which it turned out that I did not have per the specialist). The specialist performed upper and lower scopes and did not identify crohn's but did say I had acid reflux disease (please note that I have never had symptoms of heartburn, etc.). Because I was vomiting 3 to 4 times a week during this episode, I asked if this could have caused the inflammation identified. I did not receive an answer.
I eventually gave up on the doctors and started taking herbal antioxidents, etc. (in addition to pain medications)and eventually the symptoms subsided around April of this year. I have had episodes (short in duration) but nothing that has prompted me to return to the doctor. About a month ago the severe pain started again and is becoming unrelenting, again. The bowel movements are becoming abnormal (loose/watery) and the nausea is increasing in severity. I am at a lost. Any input or idea's on where I go from here would be greatly appreciated. Thank you.