Doctor, I’ve been having constant stomach pain and a strange pulling or straining sensation in my lower abdomen. I do pass stool daily, but it’s always hard and comes 2–3 times a day in small amounts. I feel like I need to pass stool, but nothing comes out — just that tight, heavy feeling remains. I often feel nauseous when pressing on my stomach. I don’t feel hungry at all. I feel very weak and tired all the time. vit D is 5.3 ng /ml
CRP 10.5 mg/L,
TSH is (5.1), while FT3 and FT4 are normal.
Vitamin B12 is 485 (normal), and TTG IgA is 6.48 (normal, so celiac unlikely). I am really stressed and not getting relief despite trying multiple medications. Please help me understand what test or treatment i should go for next. I went to so many Dr. but no medicine made any difference. most commonly medicines they give me are antacids even injections of pantoprazole nothing worked even clidinium bromide+ chlordiazepoxide does not made any improvement. Endoscopy result-normal. next step-ct scan