<human>: Hi my name is amber im 20 yrs old, since 5th grade i have been having severe abdominal pain, at one point i was told my stomach lining was pale and inflamed, then at another point looked like there was a small ulcer.  after years i still have sever stomach problems. at this point over time theres constant nausia and vomitting, weakness, and fatigue, abnormal and severe bleeding, loss of appetite or full very easily, very tired, and abnormal stool, my stomach is very swollen and constantly uncomfortable to the point i cant get comfortable to sleep or be on my feet to long, among other things, any idea what it could be?
<bot>: Hi. Thanks for your query. I would have liked to see the medicines you have taken in past with dosage and investigations you have undergone. This is the most important. For us to say this as a IBS i.e. Irritable Bowel Syn Chat Doctor. I would advise the following investigations and treatment in a such a case:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Treatment:STRESS = stress is the most important cause of IBS. Please remember, and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle. I think maybe you are not coping with something. Vacation outside your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss. If the change of routine helps, the necessity of medicines is 