Question: My daughter is 28 yo. 3 years ago she went on a vegan diet for health reasons. She has had a history of high cholesterol previously (familial; we are vegetarians), but that came back into normal range after her vegan diet. She stayed on that diet for a year, then went back to a vegetarian diet (lacto-ovo). Shortly after that, she began occasionally having severe abdominal cramps, especially after meals. She tolerated them and chalked them up to stress from grad school. Now, 2 years later, she is working and has some work-ups done, as the cramping has only gotten worse. She had a colonoscopy that was only able to go to the cecum and we were told she had a tortorous colon. They did another test where she swallowed a small camera "pill" and we were told that everything was okay but she was constipated. Her insurance changed and this doctor had her go have a pelvic US, which was normal. Again, her insurance changed, and she just got results that her abdominal US was normal for liver, bile ducts, spleen, aorta, and kidneys; pancreas was partially obscured by overlaying bowel gas. I would have bet my bottom dollar that she was having gallbladder issues due to her change in diet from the vegan back to vegetarian. This young lady is doubled over in pain SEVERAL TIMES WEEKLY! Has anyone seen anything like this or have any suggestions were to go from here? She is otherwise very healthy, very active. Thank you. XXX. XXXXXXX @ YYYY@YYYY

My daughter eats a very fiber rich diet: daily oatmeal, pineapple, salads, fresh veggies and salsa. No milk-- only soy milk. Her BMs are almost daily, usually soft and loose. She describes her pain as "all over, it feels like my stomach is ripping itself itself apart from the inside. Sometimes on the upper right, sometimes on the bottom left. Usually after meals, but also even on an empty stomach".

It's hard to believe this is constipation. She is doubled over in severe pain about 1-3 times per week, sessions lasting between 30 minutes and 2 hours.