Hi Lois, I am so sorry you are dealing with so much. First of all, know that you are not alone. About 37% of people with IBS do you have concurrent issues. We do not dispense direct medical advice, but I can tell you that a registered dietitian, or the equivalent in your country, is the exact person who can help you with your situation. I am attaching a link here for our international dietitian’s directory. Please note that many dietitians are now doing remote sessions, so you do not necessarily have to stick close to home. There is light at the end of the tunnel and a way to manage these medical issues, and a dietitian can hold your hand through the process and help you create a complex unique dietary approach and keep triggers at bay.

Hi there. We do not offer direct medical advice but I’ll mention a few things for you to think about. Firstly I would ask you if you have come to these conclusions on your own? I would assume that you have because if you were working with the dietitian you could be asking these questions of them. It is not unusual for people who are not working with a dietitian to get to a place where they feel stuck. You have a much greater chance statistically of succeeding with this diet if you work with a dietitian. In addition, it is not only unhealthy to stay in the Elimination Phase extendedly, but it is also directly cautioned against doing so. It is ultimately not healthy for your microbiome even though in the short term you are feeling better. You mentioned hemorrhoids and operations and it is not unusual for people to have additional medical issues. All this leads me back to what I said in the beginning, which is consulting with the dietitian is going to be your best bet.