Gastroenterology - Colic in the upper middle abdomen
About exactly a year ago, I went to the gastrointestinal center due to severe colic. There was initially a conversation without examination, and I was told it could only be irritable bowel syndrome. Weeks later, I returned because the cramp-like pains with severe bloating and pain (only) in the middle upper abdomen (right at the end of the ribs) were becoming more frequent and intense. The stool sample resulted in a calprotectin value of 260, which prompted the doctor to schedule a colonoscopy for me after 6 weeks (following an MRI Sellinck (abnormal finding - terminal ileum, all other organs normal) and a vacation). The symptoms had subsided 3 weeks prior, and nothing was found during the colonoscopy. I no longer have an appendix, and although the inflammation was in the terminal ileum, the colicky pains were exclusively in the middle upper abdomen and did not radiate. The pains came and went just as suddenly. Since then, there have been no more issues. Aside from lactose intolerance (diet has been adjusted), there are no known food intolerances. Now, the whole thing is starting all over again! It happens regardless of meals; often I wake up with a firm, bloated upper abdomen (without intestinal gas). The pressure remains until it ends in a colic in the evening, lasting up to 6 hours. Since the pains have resurfaced, I have had loose stools. I burp more frequently (no heartburn, as I know from a previous reflux esophagitis). Despite the high calprotectin value, the not very competent gastroenterologist insists on irritable bowel syndrome. Could this still be a chronic inflammatory bowel disease? Would the colonoscopy be inconclusive once the inflammation has subsided, or can clues still be found even when the bowel is inactive?
