Hello and thank you in advance for your reply/thoughts. I am a 35 year old female who has had stomach issues (vomiting, diarrhea, constipation, stomach painetc) since I was a child. As a child I was diagnosed with Lactose Intolerance and then as a teen IBS and anemia. As an adult I have had several bad bouts of stomach problems usually when it gets really bad I get a kidney stone. I have had two workups-one which showed inflammation but biopsy was negative(13 years ago) next showed slight hiatal hernia but nothing else.(7 years ago). Presently, I am having stomach pain every time I eat-daily bloating sometimes vomiting, diarrhea, or constipation with alot of mucous and traces of blood in the mucous. I also have migraine headaches several times a week with alot of vomiting/diarrhea and muscle pains (just also diagnosed with arthritis in my neck). Recieved MRi-results were negative. Most of the time I have bad stomach cramps but can not go to the bathroom. Because of my headaches muscle pains and some fever/chills I have been having the Dr. ran some tests and found I have a positive ANA titer. More tests were ran by a rheumatologist who said I do not have lupus but still have a postive ANA and my C3 and C4 where a little low. At his suggestion I am seeing a GI doctor to be evaluated again. Also, it may be important to note my brother was diagnosed with Ulcerative Colitis twenty years ago-but had surgery and is doing well.
Sorry this is so long but I have two questions:
1. Do you think I need to do another work-up again? I am having difficulty with my insurance and they may not cover it so I want to make sure it is necessary. Or does this sound like IBS with migraines.
2. Can a positive ANA and low C3, C4 have anything to do with intestinal issues?
thank you so much for your time.