gut feelings
ugh, my tummy hurts.
well, not so much my tummy as my intestines. crampy, stabby pain, off and on. and it's been going on for about a week.
this is a flare up of IBS, something that hadn't really bothered me much over the past two years or so. before that, and for about three or four years straight (i lost count), i'd have frequent recurrent bouts of this intense abdominal pain. nothing else, just pain. sometimes so severe that i'd have to leave the office to come home. i still vividly remember trying to sit through a screening of Spotlight at a movie theatre while dealing with severe cramps, not wanting to leave because i was there with a friend.
no matter what i did during those years -- changing my diet, getting more/less exercise, taking fibre, not taking fibre, using digestive enzymes, taking peppermint capsules, chewing on fennel seeds, drinking gallons of water, trying every herbal tea/remedy out there, whatever -- nothing helped. the more i focused on the pain, the worse it got. at least once a month i'd wind up doubled over with gut pain that would last anywhere from two days to more than a week. then, magically and very suddenly, it would just... completely disappear... and i'd be totally, 100% fine for a few weeks before it returned.
[fun fact: there was a period of several months several years ago, during the flare-iest of flare-up times, when the pain would hit every day between 3 and 4pm, for no discernible reason. no matter what i did, what/when i ate, the pain showed up like clockwork. not even the gastroenterologist could explain any physical reason for that weird schedule!]
i had multiple tests, including a colonoscopy, to check for any abnormalities that might be causing the pain, but everything came back normal. through a process of elimination, the culprit was determined to be stress + hormonal changes... which, in turn, were causing my digestive system to malfunction.
once my stress levels came down, and i started taking an IBS-targeted probiotic, things improved significantly. i also started eating a lot more protein. i began paying closer attention to what i was consuming and when, and made sure to ease up on anything potentially problematic (like a giant burrito) if it felt like my insides were getting a teeny bit squirrelly or if it was getting near period time. and everything simmered down.
unfortunately, this past week, it's all come back. i'm on about day seven of this flare up and am ready for it to be over. some days, the pain has crept in by mid-morning; other days, it hasn't showed up until that "magical" 3pm hour, sneaking in with a swift kick to the midsection as the afternoon winds down.
i figure it has to do with all the COVID-19 upheaval, the change to my routine, the isolation and the overall uncertainty of the future. and, looking back, i'd probably loosened up on my dietary vigilance in the preceding months, which likely didn't help matters. i'd also been eating way less protein for the past six weeks or so, because sunday dinners chez my parents -- at which we'd typically have some sort of chicken dish and i'd take leftovers home -- haven't happened. and, as documented in an earlier blog post, my hormones have been all over the map. most of the key ingredients for a flare-up = done!
the weird thing is: while i'd definitely been feeling a bit anxious over the past few weeks, i wasn't feeling as stressed or tired as i was back in the dark days of the years-long flare-ups.
blerg. fingers crossed it's over shortly. the flare-ups, even at their worst (and there were some BAD times several years ago), have never lasted more than eight or nine days, so i should be done shortly. it's been a reminder that i need to pay better attention to where my mind and body are; to tweak my diet a bit (more protein, fewer cookies!); to keep myself pleasantly distracted; and to work on getting my stress/anxiety -- even if it's subconscious -- dialled down a touch.