Diarrhea and sweating

Finished a 36 hr fast and ate in n out. Been having diarrhea for. Whole day and this morning. Also was sweating at unusual moments. I know now you aren’t suppose to have a big meal after fasting. Anything I should do about this or know.

I was diagnosed with Functional Neurological Disorder, however I have a sneaking feeling that this diagnosis isn't right. And im worried about this. I'm 15, healthy other than my new onset of symptoms, don't smoke/drink, etc. At the hospital I've gotten tested for everything mins EMG/table test/spinal tap. Do all types of Dysautonomia cause death? And do my symptoms sound like Dysautonomia? I also want to know if it sounds serious or what kind of Dysautonomia that's possible!!!
Symptoms:

• Diarrhea for months

*Dizziness
*Clammy/ and purple colored skin and hands
*Nausea to the point where I couldn't eat (I'm ok now, still get nauseous but I have medicine for this)

• Tremors and uncontrollabe shaking in leg

*Trouble swallowing
*Blurry vision/constant right eye blurry now
*Breathing problems (shallow breathing)
*Sensitive to heat
*Slurring words (when episodes happen)
*Weak
*Hard for me to stand during episodes
*Pins and needles
*Foggy memory
*Increased Anxiety (it's real bad)
*Excess sweating
*Heartburn
+Plus more
I take nausea medication, vitamin d everyday, and nexium.

Warning: this is 100% going to be TMI but it’s the internet so who cares lol
I’ve been on metformin 750 for 2 weeks. I’m supposed to start a higher dose tomorrow but it’s my birthday and I do not want to deal with the side effects while “celebrating.”
So far, I’ve just been absolutely nauseous in the mornings and my farts are way stinkier than normal. I’m usually fine in the evenings. Well not tonight. I was checking out paint chips at a home improvement store when the feeling hit. I tried to ignore it but then remembered reading that a lot of people with metformin poop themselves. Not that I’d ever ~want ~ to, but tonight would be extra bad because I’m wearing loose sweats with no underwear. I’m currently trying desperately not to let it be explosive diarrhea because there’s definitely someone else in here trying to poop quietly too.
Sorry for the TMI, I just need some funny relatable moments from you guys.

For reference & a bit of a back story, I am 19 years old living in the United States. I know that sharing this experience with you all can be beneficial because I feel like a lot of women are going to feel so many emotions so not only am I going to tell you a bit about the way this impacted my body physically, I am going to share how I came to the conclusion that this is what is best for me and my life. I just want women to know you’re never alone in your emotions no matter what anyone is telling you/how you’re feeling. & if you’re looking for directions on how to properly receive the pills, this is not for you. I am just trying to share my personal experience :)
So, I found out that I was pregnant in the beginning of April. I know when I ovulate and I know when I had sex, so I was almost 4 weeks when I found out. I went through an entire process of emotions, including maybe thinking that this was meant to happen. In the beginning, I wouldn’t say I was excited. Just fucking terrified. For reference as well, I have borderline personality disorder which greatly affected my decision.
After weeks of back and forth with myself about what to do, I decided it was best that I should go through with abortion. As someone who grew up in not the best environment, I knew that my decision was right. I’m currently unmedicated, not in therapy and without a job. I may be crazy, but I have sense. My decision made all the sense and I knew it was right for me.
I ordered the pills after following every step through the process which was extremely simple. (Also thought I should mention that I do not live somewhere where abortion is legal AT ALL, which also terrified me. But after some reading, I found out how discreet this was, which made me feel tremendously better.)
I received the pills about 6ish days after I received the shipping information. April 30th, which is when I was 8 weeks & 3 days, I took the first pill which is the mifepristone. Within 24 hours I had no bleeding. Around the 24 hour mark I noticed a clear fluid on my underwear. I took 800mg ibuprofen 2 hours before I took this misoprostol. Put the 4 in my mouth for the 30 minutes. Around the 20 minute mark of having these in my mouth, I started feeling pretty severe back pain. Around 1 hr after these dissolved, I noticed some bleeding.
So now onto how these made me feel physically. About an hour and 30 minutes into this process, I was having diarrhea. I started to sweat pretty bad and was doubled over on the toilet from the cramps. I knew that they could be pretty severe but in all honesty nothing prepared me for this. I was crying because of how bad I felt. The whole time I was pretty nauseous but didn’t throw up until about the 6 hour mark. I tried to sleep it off but I just couldn’t. It hurt so bad and it all honesty I would compare it almost to kidney stone pain (I’ve had 4) I just laid on the bathroom floor crying. I took some more ibuprofen and Tylenol and slept for an hour. Woke up and felt slightly better and just made sure I ate and drank a shit ton of water. The cramps were still there but now felt like mild period cramps. After this I fell asleep for the night and when I woke up I physically felt fine. The cramps were a simple 2/10 for the pain.
I bled and had pretty bad clots for about 6 days. Day 7, I went to the bathroom and that’s when I saw the fetus on my bad. I’m not going to lie, this is pretty traumatic. Again I was almost 9 weeks along so if you know how a fetus develops, then you will know what I saw. I cried for a minute, took some deeps breaths and went to takes a nap. Woke up and felt better about this. Bled lightly for around 2 days after passing the fetus, so in total bled for around 9 days.
It’s been 2 weeks since taking this medicine and deciding to do this. Mentally, I feel much better than expected. In all honesty I feel nothing much more than relief because I know I made the right decision and choice for me. I was scared that I would feel regret, but I really don’t which kinda makes me feel shitty.
I decided to write this because I want you to know that you are making the right decision for you, and only you’re able to make that decision. Do not let anyone’s opinions deter you from doing what’s right for your well being. And just know, the physical pain is temporary.
With all love, I hope that this finds whoever needs it. You are loved, cared for and appreciated. If you are alone during this process and need someone to talk to or ask questions, I am here. And there are plenty of helpful resources as well.
Stay well and safe. <3

Conditions- ankylosing spondylitits, crohns
I have ulcers in my illuem they found in a colonoscopy.
I started on aajonus diet, I thought it was critical to get loads of fat in. Even though I don’t digest fat well.
I overloaded on cream and kept drinking the fermented milk. I think I aggravated my ulcer.
So for the past 3 days I’ve been doing eggs only and cabbage juice I did last night.
I can’t sleep due to urgency every 30 minutes. I have been having yellow diarrhea from hell, so much mucus in my diarrhea. And stomach pains. Sometimes the diarrhea is so bad I start sweating and get a fever. Some blood too.
The cabbage juice felt Like it did help but hard to tell.
Is there something else I should be doing for my situation?

I was diagnosed with C diff on Friday. I had been in the hospital a month before, in April, due to cellulitis that had developed into sepsis. I was there for three days. So I was in on super strong antibiotics for most of April. A couple weeks after I developed a bad sinus infection and took Augmentin. After the fourth day on it I noticed I began getting diarrhea and thought it was a side effect of the antibiotic or something I ate. It wasn’t until I started passing bloody mucus that I reached out to my GP and let him know about the diarrhea and bloody mucus. He ordered the two C Diff tests and the toxin came back undetermined but the PCR came back positive. He gave me vancomycin. Has anyone else experienced bloody mucus in their stool? I’m taking a probiotic but I’m going to add Florastor as well. I’m also getting bad night sweats but I’m not sure if that’s from the bacterial infection itself or the antibiotics. When I was on cefadroxil for the cellulitis it caused me to have a constant high body temperature, so I’m not sure if that’s what’s going on. I’m just scared of passing it to my family, we only have one bathroom and my mom is high risk since she has stage four pulmonary fibrosis. I put her and my husband on probiotics just to be safe. Neither have taken antibiotics recently. But most of all I’m scared to pass it to my toddler (21 months) but I got hope when I read on here that infants can’t get it due to their gut flora being different. I hope this applies to toddlers as well. It’s encouraging to read about people getting cured. It gives me hope.

Apologies for the explicitness of my post. :/ :)
This is my first time being on semaglutide. 26f I had my 3rd shot this past Friday. I’ve been eating well - increased protein and water intake, liquid IV everyday, and fiber gummies. First two doses, I was feeling fantastic and lost 10 lbs in 3 weeks!
I have been constipated since yesterday(Sunday) and I was just now able to have a bowel movement but I had the sweats and I even had to lay on my bathroom floor! I finished and thought I was fine after but then my tummy pain kicked in again about 10 minutes later and I had explosive diarrhea… I just want to know if this is normal or not. Please help 🙏

Female, 7y/o, 57lbs. She has asthma already which she uses an albuterol inhaler for and has a history of weird medical problems. I have autoimmune disease so I thought she might be at risk too, especially with her history.
Anyway, recently she’s started having some pretty odd mood changes and being more tired than usual. That on its own isn’t too concerning, but yesterday she came down with a very bad case of diarrhea, she sweat a LOT through last night and told me she felt like she was going to “bad pass out”, and today she’s peed/pood about four times more than normal, fell asleep in the middle of the day after sleeping all night, she literally begged me for a pbj and then FINISHED it (she’s never finished any of her food) then downed a bowl of cottage cheese right afterwards, and then asked me for a bowl of ramen after that. Her legs are also strangely littered with tiny bruises all of a sudden and she’s complaining of random pains in her legs and just generally not feeling good.
Some of these can be explained away by growth spurts and hormonal changes but the fact this all happened pretty much overnight freaks me out. I’m gonna set her up an appointment but, yknow, I’m worried.
Does it sound like what i think it sounds like?

I’ve been experiencing a ton of different symptoms for a while, for over two years I’ve had a lot of gastrointestinal distress like constipation and diarrhea, severe stomach cramps, gas and gas pains, nausea, etc. For the past year or so I’ve started to feel really run down and sick, like I have the flu or something. I’m always fatigued and resting doesn’t help, I have muscle pain all the time especially in my back and jaw, aching and cramps in my legs and arms, I’m always overheated and sweating, I get unexplained skin issues like rashes and redness, my lymph nodes feel sore and sometimes swollen, I have tachycardia. Just generally I usually do not feel physically well.
I’ve been seeing a new therapist for probably about a month. I’ve been talking to her about how my health issues have been affecting me and how tiring it can be to deal with doctors and how being fatigued and in pain 24/7 makes it really difficult to go about my regular life. I just checked the billing paperwork from my last session and realized she diagnosed me with Hypochondriasis. And I’m kind of spinning out now, like is she right, am I just making all of this up, what if I’m just crazy and paranoid and delusional??
It’s just that I never used to feel like this, like obviously I’d be tired sometimes and get headaches or stomachaches occasionally like a normal person, but I felt overall physically well. But now I feel like I’m sick or in pain a lot of the time, my muscles and joints are always intensely hurting and aching, I’m constantly having painful GI episodes that derail my plans and I’m stuck on the toilet feeling like I’m going to pass out, and the fatigue is not just tiredness, no amount of rest helps. I just mean that I didn’t used to feel like this, this isn’t my “normal”, my daily life is being disrupted because I don’t feel well.
But based on the diagnosis of hypochondriasis, it says you have a lot of symptoms but tests come back normal, which my blood tests haven’t shown any glaring issues so I guess that means it’s psychosomatic? And there are some symptoms of the disorder, like thinking and researching about your health and seeking out different doctors and tests, that I also have, because I have symptoms that are impacting my life and I want to figure out how I can feel better.
The diagnosis of hypochondriasis also says that you get anxious about minor symptoms like fatigue. But my fatigue is not a minor symptom, when I say fatigue I don’t mean tiredness or sleepiness, it’s like this constant heavy weight on me, it impacts my daily life because I feel too tired to do normal activities like school and work, and I can’t get through the day without sleeping, and even then I never feel rested. I feel so shitty thinking that my chronic fatigue is considered a minor symptom and I’m blowing it out of proportion due to hypochondriasis.
I’m honestly freaking out, my therapist putting that diagnosis on my chart makes me feel like I’m just insane and I’m questioning everything, I don’t know what to do or think. I keep getting told this is all in my head

Several people have approached me that they might have endometriosis. Lifelong warrior so thought I would share my tips and tricks I put together for my friends and family to share with you :) Hope this helps someone!
ENDOMETRIOSIS SURGERY FACTS

• EXCISION SURGERY! I cannot stress this one enough. If you have an ablation, it will grow back and likely quick (but consult with your doctors on your case 100%). Excision is when they cut it out vs. it gets burned off. You will have a better success rate and slow rate of growth if they excise. Not all cases can be depending on location so again, please talk with your doctor about your situation. This is not the same for everyone.
• If your doctor cannot do excision surgery. Skip and move on to the next! Trust me, well worth the time to research and find the right doctor. You will thank me later for this one too haha.
• Finding a doctor is stuff. Also tough to find resources. If you cannot find an Endometriosis specialist in your area who does excision, you may need to look out of state, but one tip is exploring gynecological oncologists. Some will take benign cases, but not all so do your research. But it’s a good avenue for help in your area or you want insurance coverage.
• Nanny’s Nook is a good resource for online information regarding endometriosis: https://nancysnookendo.com/
• Dr Seckin’s book called The Doctor Will See You Now is also worth the read (https://www.amazon.com/Doctor-Will-See-You-Endometriosis/dp/1681621126)
• Definitely look into Egg Freezing before doing any permanent surgeries. The ovaries are more intact when there is a uterus in place, so I recommend immediately following any excisions with Egg Freezing if you can and if it’s part of your plans. I found my AMH levels low (1.2) but still retrieved 25 eggs, so never be discouraged if this is your future planning path.
• My Symptoms: I experience bloating, constipation, diarrhea, nausea and vomiting as the main culprits. I have irregular periods in regards to the number of days and if it comes or not (even with an IUD). Pelvic pain is probably the worst of all since it accompanies these symptoms and is present a majority of the time. Others may have different symptoms, and there’s many others I didn’t list but wanted to paint the picture of some I’ve experienced.

ENDOMETRIOSIS LAPAROSCOPIC SURGERY (WHAT TO EXPECT)
PRE-SURGERY

• List of questions to ask your doctor
• Insurance Information and ID
• Necessary forms or paperwork the doctor requires
• Make sure any medical records are sent that would be relevant

POST-OP PREP

• Eat smaller meals and simple foods days beforehand. If bowel prep is necessary, they also recommend taking a laxative in the days leading up to help prep.
• Pack a bag! Not every surgery is an overnight stay but even if you have a day-of surgery, back an overnight bag. Here’s the essentials:
  • Phone/Headphones/iPad/Kindle/Books
  • Device Chargers
  • Medications that you currently take
  • Glasses (do not wear contacts day of)
  • An extra pair of underwear
  • Sanitary Pads or Always Discreet
  • Comfy pants with light elastic band around the waist
  • Non wired bra
  • Slip on shoes (this is clutch! Recommend slides -https://www.amazon.com/gp/product/B0BL7LJKZW/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1).
  • Layers - Sweatshirt, Long Sleeved Shirt etc. - Hospitals are cold!
  • Toothbrush and tooth paste
  • Hairbrush
  • Face wipes, wash cloth, small towel and bar of soap.

SPACE PREP

1. Make sure your bed or couch is prepped. I stayed on the first level for the first 2ish days before feeling well enough to stay upstairs.
2. I used a pregnancy pillow on the bed to help me stay on my back while sleeping and help you feel cozy.
3. Stock the house with foods that will be light for your stomach. Think soups and casseroles! Saltine crackers, broths, rices etc..
4. If you have a raised bed, get a step stool to assist. It’s best to sit on the side of the bed and slowly lay your upper body down while bringing your knees up and over to your back. You will need to use arm strength the first couple of days to get you up and over since you can’t use the abdomen.
5. Water and Beverages stocked at all times. I have a reusable water bottle and avoid carbonated beverages for the time being. They fill you with gas for the procedure so it may make those symptoms worse.
6. Netflix, Kindle, Puzzles, Craft Projects…visits with friends. Whatever makes the time pass, set it up ahead of time so it’s handy.
7. Items to Keep on Hand: Baby Wipes, heating pads, pads/diapers, candles, essential oils, things that smell good haha

BOWEL PREP
This is dependent on the type of surgery you are having, but its good to have Gatorade, Magnesium Citrate (liquid), laxatives and enemas on hand just in case you need these.
ON SURGERY DAY
It’s important to follow the instructions on what to stop taking and/or eating/drinking prior to the surgery. Wear comfy clothes (wide elastic waistband) and slides with cozy socks. Double check your to go bag and breath.
AT THE HOSPITAL

1. Do your check-ins and keep your people with you as long as you want.
2. Make sure to read all the consent forms and ask any questions upfront. Make any advance directives clear.
3. Just try to remain calm as there’s a lot of down time while they do intake. It is about 2 hours of prep before they bring you in for the surgery itself.
4. They will ask you the same questions over and over again, that’s normal and trust me, you want to confirm it’s all being done properly.
5. If you need something for anxiety, they will be sure to give you something if you ask :)
6. You will be wearing a gown, socks, funky underwear and a cool hair net haha wear the gown backward so you keep warm and keep the butt covered.
7. Vitals will happen and the anesthesiologist will come and speak with you to make sure they prep the right meds beforehand. Bring up any concerns here with them!
8. You may be wheeled or walked into surgery. I’ve only ever walked in and laid on the table myself.
9. They will then put the IV in your arm and sometimes will put on a mask, they will then ask you to count backwards and before you know it, you will be awake again!

RECOVERY

• You will wake-up and feel groggy. Totally normal and you will be in a different room. They will likely say a lot really quick about your surgery. Before leaving ask for them to walk through it or see if you can speak with the doctor again when clear headed. RECOMMENDED!
• Your throat will be sore, that’s normal from the tube.
• Just relax and sleep it off if you want, the goal is to be relaxed and pee once before leaving.
• Before you go, eat and drink and pass smoke urine. They’ll provide you with the meds and you’ll be good to go.
• Make sure someone brings you home after :)
• Make sure you have a bag for vomit in the car.
• Bring a small pillow that can be strapped between the car belt and you for maximum comfort on the trip home.
• Pain Med Management: This one is important. I messed up night one and didn’t take it soon enough and was in too much pain so make sure you stick to the schedule the doctors give you to ensure you are comfortable.
• Keep Walking: It seems unnatural to have a surgery then walk, but the sooner you get up and keep moving around the house, the better. Just avoid heavy lifting and immense bending like movements. Stairs are also ok but also consult with your doctor!
• Gas Build Up: I did feel pain in my shoulders from the gas. Just keep moving! It will help get that out of the system but this pain is normal.
• Relax and let people take care of you! Don’t be too quick to recover.
• Keep an eye out for fever, increased vaginal bleeding, or feeling terrible.
• Keep all post op appointments and follow all post op instructions!

ENDOMETRIOSIS MAINTENANCE
Here’s the tips and tricks I found helpful for maintaining my pain and symptoms (GI and back pain related):

1. Pelvic Floor Therapy: This is important for keeping the muscles in your pelvis healthy and strong to maintain your structure and also help manage pain. Consult with your doctor on whether this is right for you.
2. Physical Therapy: I do PT for my back and pelvic floor since it’s all related. We focus on Myofascial Release Therapy to help break up the adhesions and give me more mobility. This helps with temporary pain relief (reduction in number), but that is always welcome :)
3. Acupuncture: I swear by Acupuncture. I don’t know what it does or why, but it works. It’s not a cure by any means, but it's great for relaxation, fertility, digestion, endometriosis, sleep, etc.. I can go on, but it’s not covered by insurance plans all the time so you will need to check and see what you’re able to take on.
4. Diet/Exercise:
   1. Eating high protein, lower fat/carbs (not none just low) helps your body, but overall learn your trigger foods! This will go a long way.
   2. Ginger, turmeric and fennel all help with bloating. I like to drink them in tea form when I’m feeling particularly hard stomached as it’s a good natural way to decrease the bloat. Peppermint also works for some, for me it irritates my GERD.
   3. Chamomile for relaxation
   4. Walking and movement are important. I cannot do anything high impact due to my sacroiliitis diagnosis, so I stick with light yoga and walking.
5. Alcohol/Other Substances: Don’t do it. Don’t touch it. You’ll thank me later on this point.
6. Sleep: Insomnia is a very real thing. I think I went 2 or 3 days at its worst one time and I cannot say enough how important trying to keep the same sleep schedule will benefit you. Waking and sleeping around the same time each day will still feel exhausting but at least you know your body is getting the most sleep it can get.
7. Medications/Supplements:
   1. Ibprofuern: This does NOT work for me. I have GERD and ulcers so I cannot take NSAIDs, but with that in mind, NSAIDs are supposedly the best pain medication over the counter to help you manage it.
   2. Pain Killers: These are AS NEEDED. I try to refrain and leave these for the TRULY bad days which I try to spread out. Not even worth it sometimes, because I don’t like how I feel and sometimes vomit after taking them. But they do help the pain!
   3. IUD/Orilissa: An IUD will NOT do anything. If you are diagnosed, ask your doctor about Orilissa or similar medicines instead of birth control methods. This will not stop the growth, just suppress it. There are side effects and it is only a short term solution.
   4. Linzess: This worked well for me for constipation symptoms when they got severe. Definitely recommend bringing this to your doctor if you’re truly suffering and they have not yet mentioned. I also resorted after trying magnesium citrate
   5. CBD Lotions/Salves: For my pelvis, I use Healing Rose CBD Salve in Orange and Lavender (https://www.thehealingroseco.com/product/orange-lavender-with-chamomile-herbal-salve-300mg-cbd/). For my back, I use a medical grade CBD lotion with menthol (https://cbdclinic.co/clinical-strength-series/). I also use a CBD massage oil from Healing Rose of the same scent when doing myofascial release at home. I also use Somedays Cramp Cream (https://somedays.com/products/period-cramp-cream?variant=42062153842853).
8. Heating Pads and Ice Pack: I have several varieties of heating pads. A cordless travel heating pad (https://www.amazon.com/dp/B09FPTJL4G?psc=1&ref=ppx_yo2ov_dt_b_product_details), a plug-in heating pad (lhttps://www.hsn.com/products/pure-enrichment-purerelief-xxl-heating-pad-with-9-cord/22188460) and stick on patches (https://www.thermacare.com/ - I use the back patches but reverse them to the front for better coverage). For hot flashes and night sweats (also if you need to relax while anxious) place an ice pack over your chest to help cool or calm down.
9. Self-Care: No joke, massages, facials, epsom salt baths, sound baths, reiki….anything that you find relaxing. Do it. Try it! They also make CBD bath bombs Ive been wanting to check out.
10. TENs Machine: I really want one, don’t have one, but people swear by them (the heating pad linked to MyObi has a TENs version - https://myobistore.com/en-us/collections/my-obi-belts/products/apollo-2-0).
11. Pregnancy Pillow: This one sounds so lame, but I bought a pregnancy pillow for my first endometriosis surgery since I’m a side sleeper to help keep me on my back during recovery. It changed by life! It helps my anxiety and makes me comfortable while sleeping. (https://www.amazon.com/gp/product/B08YYVRXLM/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1)..
12. Heated Blankets/Cozy Blankets: Make yourself feel better with a cozy blanket. Do it, I dare you!
13. Endo To-Go Bag: Includes heating pads (travel, plug-in and patches), medications, balms/salves, essential oils and pads/protection items, change of clothes, wet wipes.
14. Sex Life: I’m single, I don’t have a partner to worry about communicating this issue with at this point, but go slow and communicate given eventually this will have to be a conversation. What I have learned is that if you do have sex and feel pain. Immediately stop! If you associate sex with pain mentally in that moment, it may cause fear in doing so down the line so it’s best to stop the moment you feel any pain occur.
15. Work Life: I work a demanding job so it was not working with the appointments and care I needed to manage pain. Always get FMLA from your doctor for intermittent leave based on your company's policies. This protects you from flare-ups and appointments. Short Term Disability is based on your situation with work so talk with them about any leave of absence for surgery and recovery and ensure the medical providers fill out the paperwork appropriately.
16. Friends/Family: This one is the worst. I have to cancel and make plans all the time based on how I feel. I like to line up a bunch of plans for three months out and do my best to make them happen at the beginning of the month when I know I’m most likely to feel good. I just say I’ll make things up to them when I get better and those who have stuck around have been truly amazing friends, but don’t be upset that some might be over the day in and out of what you’re going through. It’s hard for you and sometimes others and it’s just a part of the relationships we’re meant to experience in life. Most people (unless they have endometriosis) don’t understand it so it can feel isolating, but there’s others out there who know what you’re going through and are willing to chat. Just gotta find them and reach out on social media, online etc..
17. Journaling Symptoms: Guilty of not being the best at this always, but it's good to track your symptoms to see how they work and operate. It helps not only you plan for it, but also your doctors in how best to handle your care. Take photos of things that make sense to show your doctors! Discharge, bowels etc..can sometimes help diagnose or judge with the images.
18. Next to Bed Kit: Make sure your nightstand is stocked with the essentials for your bad days. Makes it easier to access the items you need when you just can’t get up and get it.
19. Squatty Potty: Another thing that is majorly life changing on constipation days! Get one or you can make your own :) Take a stack of books and stack them at equal heights on each side and put your feet up. The trick is making sure you’re in a squat with your knees high to your ears.
20. Clothing: Dressing for this is key but you still want to look cute! Joggers with a stretchy waist are my go to pants, but wide leg trousers with a stretchy waist help with ease of removal but also comfort and brings some style to the look.
21. Pads: I wear Always Discreet vs. pads. I find when you need to wear them full time for incontinence it just makes it more comfortable. They have different cuts and styles so definitely check them out!

Several people have approached me that they might have endometriosis. Lifelong warrior so thought I would share my tips and tricks I put together for my friends and family to share with you :) Hope this helps someone!
ENDOMETRIOSIS SURGERY FACTS

• EXCISION SURGERY! I cannot stress this one enough. If you have an ablation, it will grow back and likely quick (but consult with your doctors on your case 100%). Excision is when they cut it out vs. it gets burned off. You will have a better success rate and slow rate of growth if they excise. Not all cases can be depending on location so again, please talk with your doctor about your situation. This is not the same for everyone.
• If your doctor cannot do excision surgery. Skip and move on to the next! Trust me, well worth the time to research and find the right doctor. You will thank me later for this one too haha.
• Finding a doctor is stuff. Also tough to find resources. If you cannot find an Endometriosis specialist in your area who does excision, you may need to look out of state, but one tip is exploring gynecological oncologists. Some will take benign cases, but not all so do your research. But it’s a good avenue for help in your area or you want insurance coverage.
• Nanny’s Nook is a good resource for online information regarding endometriosis: https://nancysnookendo.com/
• Dr Seckin’s book called The Doctor Will See You Now is also worth the read (https://www.amazon.com/Doctor-Will-See-You-Endometriosis/dp/1681621126)
• Definitely look into Egg Freezing before doing any permanent surgeries. The ovaries are more intact when there is a uterus in place, so I recommend immediately following any excisions with Egg Freezing if you can and if it’s part of your plans. I found my AMH levels low (1.2) but still retrieved 25 eggs, so never be discouraged if this is your future planning path.
• My Symptoms: I experience bloating, constipation, diarrhea, nausea and vomiting as the main culprits. I have irregular periods in regards to the number of days and if it comes or not (even with an IUD). Pelvic pain is probably the worst of all since it accompanies these symptoms and is present a majority of the time. Others may have different symptoms, and there’s many others I didn’t list but wanted to paint the picture of some I’ve experienced.

ENDOMETRIOSIS LAPAROSCOPIC SURGERY (WHAT TO EXPECT)
PRE-SURGERY

• List of questions to ask your doctor
• Insurance Information and ID
• Necessary forms or paperwork the doctor requires
• Make sure any medical records are sent that would be relevant

POST-OP PREP

• Eat smaller meals and simple foods days beforehand. If bowel prep is necessary, they also recommend taking a laxative in the days leading up to help prep.
• Pack a bag! Not every surgery is an overnight stay but even if you have a day-of surgery, back an overnight bag. Here’s the essentials:
  • Phone/Headphones/iPad/Kindle/Books
  • Device Chargers
  • Medications that you currently take
  • Glasses (do not wear contacts day of)
  • An extra pair of underwear
  • Sanitary Pads or Always Discreet
  • Comfy pants with light elastic band around the waist
  • Non wired bra
  • Slip on shoes (this is clutch! Recommend slides -https://www.amazon.com/gp/product/B0BL7LJKZW/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1).
  • Layers - Sweatshirt, Long Sleeved Shirt etc. - Hospitals are cold!
  • Toothbrush and tooth paste
  • Hairbrush
  • Face wipes, wash cloth, small towel and bar of soap.

SPACE PREP

1. Make sure your bed or couch is prepped. I stayed on the first level for the first 2ish days before feeling well enough to stay upstairs.
2. I used a pregnancy pillow on the bed to help me stay on my back while sleeping and help you feel cozy.
3. Stock the house with foods that will be light for your stomach. Think soups and casseroles! Saltine crackers, broths, rices etc..
4. If you have a raised bed, get a step stool to assist. It’s best to sit on the side of the bed and slowly lay your upper body down while bringing your knees up and over to your back. You will need to use arm strength the first couple of days to get you up and over since you can’t use the abdomen.
5. Water and Beverages stocked at all times. I have a reusable water bottle and avoid carbonated beverages for the time being. They fill you with gas for the procedure so it may make those symptoms worse.
6. Netflix, Kindle, Puzzles, Craft Projects…visits with friends. Whatever makes the time pass, set it up ahead of time so it’s handy.
7. Items to Keep on Hand: Baby Wipes, heating pads, pads/diapers, candles, essential oils, things that smell good haha

BOWEL PREP
This is dependent on the type of surgery you are having, but its good to have Gatorade, Magnesium Citrate (liquid), laxatives and enemas on hand just in case you need these.
ON SURGERY DAY
It’s important to follow the instructions on what to stop taking and/or eating/drinking prior to the surgery. Wear comfy clothes (wide elastic waistband) and slides with cozy socks. Double check your to go bag and breath.
AT THE HOSPITAL

1. Do your check-ins and keep your people with you as long as you want.
2. Make sure to read all the consent forms and ask any questions upfront. Make any advance directives clear.
3. Just try to remain calm as there’s a lot of down time while they do intake. It is about 2 hours of prep before they bring you in for the surgery itself.
4. They will ask you the same questions over and over again, that’s normal and trust me, you want to confirm it’s all being done properly.
5. If you need something for anxiety, they will be sure to give you something if you ask :)
6. You will be wearing a gown, socks, funky underwear and a cool hair net haha wear the gown backward so you keep warm and keep the butt covered.
7. Vitals will happen and the anesthesiologist will come and speak with you to make sure they prep the right meds beforehand. Bring up any concerns here with them!
8. You may be wheeled or walked into surgery. I’ve only ever walked in and laid on the table myself.
9. They will then put the IV in your arm and sometimes will put on a mask, they will then ask you to count backwards and before you know it, you will be awake again!

RECOVERY

• You will wake-up and feel groggy. Totally normal and you will be in a different room. They will likely say a lot really quick about your surgery. Before leaving ask for them to walk through it or see if you can speak with the doctor again when clear headed. RECOMMENDED!
• Your throat will be sore, that’s normal from the tube.
• Just relax and sleep it off if you want, the goal is to be relaxed and pee once before leaving.
• Before you go, eat and drink and pass smoke urine. They’ll provide you with the meds and you’ll be good to go.
• Make sure someone brings you home after :)
• Make sure you have a bag for vomit in the car.
• Bring a small pillow that can be strapped between the car belt and you for maximum comfort on the trip home.
• Pain Med Management: This one is important. I messed up night one and didn’t take it soon enough and was in too much pain so make sure you stick to the schedule the doctors give you to ensure you are comfortable.
• Keep Walking: It seems unnatural to have a surgery then walk, but the sooner you get up and keep moving around the house, the better. Just avoid heavy lifting and immense bending like movements. Stairs are also ok but also consult with your doctor!
• Gas Build Up: I did feel pain in my shoulders from the gas. Just keep moving! It will help get that out of the system but this pain is normal.
• Relax and let people take care of you! Don’t be too quick to recover.
• Keep an eye out for fever, increased vaginal bleeding, or feeling terrible.
• Keep all post op appointments and follow all post op instructions!

ENDOMETRIOSIS MAINTENANCE
Here’s the tips and tricks I found helpful for maintaining my pain and symptoms (GI and back pain related):

1. Pelvic Floor Therapy: This is important for keeping the muscles in your pelvis healthy and strong to maintain your structure and also help manage pain. Consult with your doctor on whether this is right for you.
2. Physical Therapy: I do PT for my back and pelvic floor since it’s all related. We focus on Myofascial Release Therapy to help break up the adhesions and give me more mobility. This helps with temporary pain relief (reduction in number), but that is always welcome :)
3. Acupuncture: I swear by Acupuncture. I don’t know what it does or why, but it works. It’s not a cure by any means, but it's great for relaxation, fertility, digestion, endometriosis, sleep, etc.. I can go on, but it’s not covered by insurance plans all the time so you will need to check and see what you’re able to take on.
4. Diet/Exercise:
   1. Eating high protein, lower fat/carbs (not none just low) helps your body, but overall learn your trigger foods! This will go a long way.
   2. Ginger, turmeric and fennel all help with bloating. I like to drink them in tea form when I’m feeling particularly hard stomached as it’s a good natural way to decrease the bloat. Peppermint also works for some, for me it irritates my GERD.
   3. Chamomile for relaxation
   4. Walking and movement are important. I cannot do anything high impact due to my sacroiliitis diagnosis, so I stick with light yoga and walking.
5. Alcohol/Other Substances: Don’t do it. Don’t touch it. You’ll thank me later on this point.
6. Sleep: Insomnia is a very real thing. I think I went 2 or 3 days at its worst one time and I cannot say enough how important trying to keep the same sleep schedule will benefit you. Waking and sleeping around the same time each day will still feel exhausting but at least you know your body is getting the most sleep it can get.
7. Medications/Supplements:
   1. Ibprofuern: This does NOT work for me. I have GERD and ulcers so I cannot take NSAIDs, but with that in mind, NSAIDs are supposedly the best pain medication over the counter to help you manage it.
   2. Pain Killers: These are AS NEEDED. I try to refrain and leave these for the TRULY bad days which I try to spread out. Not even worth it sometimes, because I don’t like how I feel and sometimes vomit after taking them. But they do help the pain!
   3. IUD/Orilissa: An IUD will NOT do anything. If you are diagnosed, ask your doctor about Orilissa or similar medicines instead of birth control methods. This will not stop the growth, just suppress it. There are side effects and it is only a short term solution.
   4. Linzess: This worked well for me for constipation symptoms when they got severe. Definitely recommend bringing this to your doctor if you’re truly suffering and they have not yet mentioned. I also resorted after trying magnesium citrate
   5. CBD Lotions/Salves: For my pelvis, I use Healing Rose CBD Salve in Orange and Lavender (https://www.thehealingroseco.com/product/orange-lavender-with-chamomile-herbal-salve-300mg-cbd/). For my back, I use a medical grade CBD lotion with menthol (https://cbdclinic.co/clinical-strength-series/). I also use a CBD massage oil from Healing Rose of the same scent when doing myofascial release at home. I also use Somedays Cramp Cream (https://somedays.com/products/period-cramp-cream?variant=42062153842853).
8. Heating Pads and Ice Pack: I have several varieties of heating pads. A cordless travel heating pad (https://www.amazon.com/dp/B09FPTJL4G?psc=1&ref=ppx_yo2ov_dt_b_product_details), a plug-in heating pad (lhttps://www.hsn.com/products/pure-enrichment-purerelief-xxl-heating-pad-with-9-cord/22188460) and stick on patches (https://www.thermacare.com/ - I use the back patches but reverse them to the front for better coverage). For hot flashes and night sweats (also if you need to relax while anxious) place an ice pack over your chest to help cool or calm down.
9. Self-Care: No joke, massages, facials, epsom salt baths, sound baths, reiki….anything that you find relaxing. Do it. Try it! They also make CBD bath bombs Ive been wanting to check out.
10. TENs Machine: I really want one, don’t have one, but people swear by them (the heating pad linked to MyObi has a TENs version - https://myobistore.com/en-us/collections/my-obi-belts/products/apollo-2-0).
11. Pregnancy Pillow: This one sounds so lame, but I bought a pregnancy pillow for my first endometriosis surgery since I’m a side sleeper to help keep me on my back during recovery. It changed by life! It helps my anxiety and makes me comfortable while sleeping. (https://www.amazon.com/gp/product/B08YYVRXLM/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1)..
12. Heated Blankets/Cozy Blankets: Make yourself feel better with a cozy blanket. Do it, I dare you!
13. Endo To-Go Bag: Includes heating pads (travel, plug-in and patches), medications, balms/salves, essential oils and pads/protection items, change of clothes, wet wipes.
14. Sex Life: I’m single, I don’t have a partner to worry about communicating this issue with at this point, but go slow and communicate given eventually this will have to be a conversation. What I have learned is that if you do have sex and feel pain. Immediately stop! If you associate sex with pain mentally in that moment, it may cause fear in doing so down the line so it’s best to stop the moment you feel any pain occur.
15. Work Life: I work a demanding job so it was not working with the appointments and care I needed to manage pain. Always get FMLA from your doctor for intermittent leave based on your company's policies. This protects you from flare-ups and appointments. Short Term Disability is based on your situation with work so talk with them about any leave of absence for surgery and recovery and ensure the medical providers fill out the paperwork appropriately.
16. Friends/Family: This one is the worst. I have to cancel and make plans all the time based on how I feel. I like to line up a bunch of plans for three months out and do my best to make them happen at the beginning of the month when I know I’m most likely to feel good. I just say I’ll make things up to them when I get better and those who have stuck around have been truly amazing friends, but don’t be upset that some might be over the day in and out of what you’re going through. It’s hard for you and sometimes others and it’s just a part of the relationships we’re meant to experience in life. Most people (unless they have endometriosis) don’t understand it so it can feel isolating, but there’s others out there who know what you’re going through and are willing to chat. Just gotta find them and reach out on social media, online etc..
17. Journaling Symptoms: Guilty of not being the best at this always, but it's good to track your symptoms to see how they work and operate. It helps not only you plan for it, but also your doctors in how best to handle your care. Take photos of things that make sense to show your doctors! Discharge, bowels etc..can sometimes help diagnose or judge with the images.
18. Next to Bed Kit: Make sure your nightstand is stocked with the essentials for your bad days. Makes it easier to access the items you need when you just can’t get up and get it.
19. Squatty Potty: Another thing that is majorly life changing on constipation days! Get one or you can make your own :) Take a stack of books and stack them at equal heights on each side and put your feet up. The trick is making sure you’re in a squat with your knees high to your ears.
20. Clothing: Dressing for this is key but you still want to look cute! Joggers with a stretchy waist are my go to pants, but wide leg trousers with a stretchy waist help with ease of removal but also comfort and brings some style to the look.
21. Pads: I wear Always Discreet vs. pads. I find when you need to wear them full time for incontinence it just makes it more comfortable. They have different cuts and styles so definitely check them out!

31/F Starting weight 265 Current weight 190 No substance use No alcohol No medications Bloodwork looked average- no obvious red flags
History: I started getting sick every time I ate last summer, so I assumed a food allergy. I was getting sick about 12 hours after dinner every single night, diarrhea, racing heart, sweating, and severe severe stomach cramping, lots of blood in stool, unique smell to stool, and hard to get out.
I kept a food log, cut out most foods and it made no difference.
Out of desperation this winter I cut all foods for a week, just didn’t eat. Then introduced Whole Foods one at a time to see where I got sick. There was no pattern. I am up to 15 foods that I can tolerate but if I even so much as buy grocery store produce instead of farmers market lettuce I will “react” with this intense stomach pain. At this point I believe it may be a stomach problem, but I also started getting hives and from soaps and shampoos at the same time. The randomness of symptoms has me confused.
While I don’t react at all if I eat “safe foods” I do get incredibly constipated and won’t be able to go at all got weeks at a time which is painful. I have a constant dull stomach ache, I’m always bloated. I lost 70 lbs from October to March.
Any ideas of what it could be or where to go Next?
Possibly related info: I had Covid December 2022
Nov 2023 when it really picked up I had an abscesses tooth and was taking so much ibuprofen and Tylenol until my dentist could see me.

Hello, after a suspected case of thyroiditis last summer, my thyroid levels are back in range, but am still having all of the symptoms which is making the doctor (endo) question POTS.
I was prescribed a beta blocker last summer which helps with the tachycardia;
But I still have the cold and heat intolerance muscle fatigue, sweating, anxiety, palpitations, diarrhea, nausea, tremors… adrenaline dumps. Not all Day every day, but often enough to have truly impacted my life drastically.
My endocrinologist is five hours away, and didn’t give me too much information on the slew of tests that she ordered, and when I called to get more information, I was told to call the lab for specifics… And every time I call the lab, they’re not available.
Can anyone give me any specific advice on these tests, whether or not I need to fast, and if taking the test at a particular time of day is most helpful?
TIA.
Tests:
Catecholamines fractionated
Serotonin level serum AMB
Tryptase
Metanephrines Fractionated, plasma AMB
CRP-c reactive protein AMB
Sedimentation Rate
ANA profile
Rheumatoid factor
CBC/diff
Comprehensive Metabolic Panel
Metanephrines Frac, Urine 24 hr amb
Catecholamines free 24 hour urine
😮‍💨

It's been a long time since my last update.
Prev updates summary: Have anal abscess on May 2022, that turned into fistula (seen on endoanal ultrasound scan, on March 2023) and later had my first EUA + fistulectomy surgery by end of May 2023. Having episodes of wound reopen, swelling, unresolved pain, persistent discharged (serous, fresh blood and sometimes purulent discharge) on and off in which had been dismissed again and again due to the abnormal discharges were no longer there everytime I went to primary care/ED/post surgery follow-up; until a visit in mid-October where the primary care doctor confirmed there's concerning swelling filled with pus on the op site. Warded for pain management + infection management several times starting October 2023 till January 2024. Scheduled for Pelvis MRI to rule out recurring FIA by mid December 2023, which shown no internal opening. Going thru another EUA + original plan to excise the infected sinus tract as shown in the MRI; but turns out it's indeed a recurring fistula.
Having similar episodes of wound reopen and purulent discharge + pain on and off (but less nuisance than previous one) post 2nd EUA + re-fistulectomy. I asked all the unanswered questions during my first follow up (3 weeks post op), but was told it's normal and the wound is nicely healing. The same comments during my 2nd follow up (6 weeks post op). In the same week, was discharged from dressing clinic (there's tiny little puncture wound left but most of the time either has no discharge or only seeping serous discharge) and was planned to be discharged by surgical clinic on the next follow up (mid April) if there's no sign of recurrent.
Still taking pain meds religiously, but reduced the dosage since it's Ramadan starting mid-March and I need to fast (I'm Muslim). Having more throbbing and swelling pain episodes, thought it's because I lowered my dosage and didn't taken any pain meds in the day time. Up until the last week of March, my loose stool episodes since forever turned into diarrhoea. Each BM would be accompanied with dripping purulent + fresh blood discharge. Still thinking positive since the wound will resealed itself in few hours (before reopened again after ea toilet visits).
Thursday night, was in so much pain, cramp up to my pubic area and lower abdomen. Sweating so bad, feverish, palpitations, and rapid breathing after each BM. The wound either reopened and has not much fresh blood + purulent discharge, or resealed with pimple like swelling (just a size of peanut). Was a hectic week in office so I can't afford to take any sick leave. Hold until the Saturday, 30/03/2024 where I surrendered myself to ED. Of course the swelling is no longer swollen while I waiting for my turn (triage to green zone due to stable vital and not in so much pain after the swelling wound pop earlier). But, due to my history of recurring FIA that had been dismissed as normal wound healing progress before, they readmit me for another EUA.
31/3/2024 My case was post as emergency case although there's no pus seen on pre-op exam. Plan, 1. EUA 2. If has fistula, to insert seton OR if there's no fistula to proceed with I&D + wound debridement. It's the latter, thanks God. The diagnosis was updated to infected gluteal sinus instead. They debride larger area this time for easy dressing - ~4x4x4cm (my op wounds opening used to be 1.5x1.5cm at large, with 4cm depth).
Today The wound is smaller and only has a very small area waiting for the epidermis layer to be generated fully (~1cmx0.5cm) and the original sinus tract is said to be fully closed.
The thing is, I had another diarrhoea episodes last week and the original tract opening that's been sealed up has been swelling like pimple again (this time only a size of mung bean), reopen, seeping fresh blood and serosanguineous discharges. As per before, since the opening is so small - like a size of needle puncture hole - it easily resealed (and reopen again with each BM). To make it worse, during 5 days I'm having constipated diarrhea last week, there's internal throbbing pressure + I can feel a tract bulging up underneath my skin + there's stool like discharge from the small puncture wound (this didn't happen during the end of March infection pain). I tried to convince myself that I was having incontinence due to having frequent loose stool episodes, but the other signs that came together with it are not helping.
Currently having normal BM with 1-2 loose stool episodes per day; No longer stool like discharge nor can feel the bulging tract-like swelling any longer since the constipation is gone. But starting last afternoon (Sunday, 12/5/2024), for each of my BM, there's fresh blood dripping down into the toilet bowl. It's from the tiny puncture wound which seems to be bigger (if compared, previously it's the size of 24g cannula puncture wound if not sealed and now it's 16g every time it's reopened).
Pain is currently minimal. I only taking pcm BD/TDS + celebrex/tramal/voltaren OD/PRN, but usually only pcm. The most painful is during and few hours after BM. Now I am confused are all these signs of recurring of FIA/infected sinus tract or is it only partof healing process. I hope it is the latter.
Oh, and they transferred my case from colorectal case to general surgery case post op - since there's no longer internal opening found during my latest EUA. They planned to discharge me once the tissue are all regenerate and heal, but there's a part of me telling that I still need to be rule out from recurring FIA with all these recurring symptoms.

I recently have been having some weird symptoms for the last 5-6 days. Nauseous, diarrhea, lightheaded, sweating/chills. My temp has been normal, but this morning it was low (96.5f) I immediately went to the hospital they did an ekg, chest X-ray, bloodwork, and IV fluids. They said my WBC were fine, but I was low on magnesium and phosphate or phosphorus I can’t remember which. My blood pressure was also low. Should I be worried about anything? Would sepsis show normal bloodwork ? My anxiety is through the roof with this whole thing so please don’t be mean 😫😫😫😫😫😫

Me and my boyfriend don't use protection at all. For the past few days I have been feeling random waves of dizzy, purely exhausted, nausea, and a temperature reading 99.9°. I have some twinging feeling of lower stomach cramps, and a slight headache that doesn't last long. I was at work yesterday and everyone else was freezing, and I was clammy and sweating. Is this a stomach issue, or early pregnancy? My period is due at the end of the month so it's way too early to test. I have not vomited, and I haven't had any diarrhea.

I’ve had 2 ruptured cysts in the last few months, my latest one was yesterday.
They always start to same way, I start cramping mildly, then it’ll get a bit worse until their decently painful. Then I start feeling like I’m about to have diarrhea so I run to the bathroom (the diarrhea never comes). As I sit on the toilet the pain increases 10 fold until I’m hunched over in genuine agony. At that point I start getting incredibly nauseous so I have to get up off the toilet and sit next to it because I feel like I’m gonna vomit. I’ll sit there for about 5 minutes in extreme pain and with terrible nausea. My face will turn white and my face and back starts to sweat. After 5-10 minutes the pain completely disappears and I feel pretty much back to normal.
Throughout the rest of the day and the next day I have TERRIBLE diarrhea. I LITERALLY shit my pants yesterday…..
Anyways, does anyone else have similar experiences to this? Is it weird that my pain fully dissipates after 5-10 minutes of excruciating pain? I’ll have mild cramps for the next couple of days + the diarrhea but that’s about it.

Male in late 30s. About 10 days ago I ate lunch and have not been the same since. Stomach and guts feel like they seized up, back hurts. Been eating better for 2-3 days on PPI for suspected GERD/GASTRITIS. Been waking up at 3-4 with night sweats.
Biggest concern is I have lost 12-15 lbs since, I feel weak and shaky and the weight seems to be coming off fast. I have seen 5 doctors. Done 3 blood panels and urinalysis, that are normal, had an abdominal ultrasound (normal), awaiting colonoscopy and endoscopy. Everyone thinks this is going to resolve.
Last few weeks, urine had been darker yellow (not orange or brown), but I am not one to drink a lot of water, so I started drinking more. I had a bout of sore crampy leg muscles and since hydrating more it went away.
I have a feeling of impedning doom and that something was missed on the ultrasound. Is it likely something like pancreatic or liver cancer that would make me lose so much weight and feel so sick would be missed on an abdominal US and bloodwork?
I had a similar episode a few months prior, but after 2-3 days of stomach cramps and pain everything went back to normal. I did travel to a south destination and my first incident like this was a week after that travel.
Stool has never been grey or clay, I have no jaundice on my skin or in my eyes.
I am shaky and feel weak. When I initially got US results, I felt better and had a good day, but was not well again overnight. No vomiting or diarrhea.
I did swallow a nicotine pouch about a month prior by accident. Is it possible that that has really messed up my system? Not sure why it took so long to cause issues.
At the moment I am shaky, thirsty, losing weight and waiting for my stomach and back to feel better. Not sure it ever will.
Doctors don't want to seem to do more, I felt I would have benefited from a CT scan.

Hi! I just joined this community in hopes to gain support, as this is all new to me in a sense. A brief recap on my story: I’m a 22 year old female who has been diagnosed with IBS-D for basically 10 years. I’ve had stomach issues since I was an infant. Since 2020, I’ve had such severe & crippling stomach aches to a point where I developed agoraphobia; I have a very difficult time leaving the house in fear of having a panic attack or stomach ache (vomiting or diarrhea) in public. That being said, I went into a hole where I thought all hope was lost & this was my life; no friends, no normal job, no social life in general, no new experiences. I came to accept this. I read deeply into SIBO symptoms & decided to order an At-Home Breath Test (the recourses in my hometown are lacking, so this was my best option.) Low & behold, SIBO was very much detected. I brought this to my primary doctor, & she prescribed my Xifaxan. She & others have told me the success stories & it filled me with such hope & excitement, I definitely cried just anticipating it. Through blood, sweat, and tears I finally got the medication & I begin taking them today. Naturally, I am a bit anxious to do this. Scouring reddit, some posts on this forum, I found just absolute horror stories.
I should say I do have anxiety & emetophobia.
I am completely conflicted with excitement and absolute refusal for this medication. I guess I am seeking a bit of support & reassurance from those of you who are familiar with this drug? Will this two weeks be absolute hell for me or is everything going to be okay?

Title: Understanding Fentanyl: Uses, Risks, and Controversies
Introduction: Fentanyl, a potent synthetic opioid, has gained significant attention in recent years due to its role in the opioid epidemic. This article aims to provide a comprehensive overview of fentanyl, including its medical uses, associated risks, and the controversies surrounding its widespread misuse.
Medical Uses: Originally developed for managing severe pain, especially in cancer patients, fentanyl is an analgesic that is 50 to 100 times more potent than morphine. It is commonly used in medical settings for pain management during surgeries, chronic pain conditions, and palliative care.
Risk Factors: While fentanyl is effective in controlling pain when administered under medical supervision, its misuse poses serious health risks. The drug's high potency increases the likelihood of overdose, leading to respiratory depression and, in extreme cases, death. Illicitly manufactured fentanyl, often mixed with other substances, has been a major contributor to the rising number of opioid-related deaths.
Controversies and Illicit Use: The illicit use of fentanyl has sparked controversy and public health concerns. The drug is often clandestinely produced and added to other drugs, such as heroin or cocaine, without the user's knowledge. This has resulted in a surge in overdoses, as individuals may unintentionally consume lethal doses of the opioid.
Law Enforcement and Regulation: Governments and law enforcement agencies worldwide are grappling with the challenges posed by the illicit production and distribution of fentanyl. Efforts to regulate its manufacturing and distribution are ongoing, with stricter controls in place to prevent diversion into illegal channels.
Treatment and Harm Reduction: Addressing the fentanyl crisis requires a multi-faceted approach, including expanded access to addiction treatment, harm reduction strategies, and public awareness campaigns. Naloxone, an opioid receptor antagonist, has proven effective in reversing opioid overdoses and is increasingly available to first responders and the general public.
Conclusion: Fentanyl, with its remarkable pain-relieving properties, has become a double-edged sword in the realm of healthcare. While it serves a crucial role in medical settings, its misuse poses severe risks to public health. Efforts to combat the opioid epidemic must focus on education, regulation, and treatment to strike a balance between managing pain effectively and preventing the tragic consequences of its illicit use.
Narcan, also known by its generic name naloxone, is a medication used to rapidly reverse opioid overdose. It works by binding to the same receptors in the brain that opioids target, effectively reversing the life-threatening effects of opioid toxicity. Narcan is commonly administered in emergency situations where an individual is experiencing respiratory depression or unconsciousness due to opioid overdose.
Emergency responders, healthcare professionals, and even some non-professionals, such as family members of individuals at risk of opioid overdose, may carry naloxone. The medication is available in various forms, including nasal sprays and injectable formulations, making it accessible for different situations.
The prompt administration of Narcan can restore normal breathing and consciousness, providing crucial time for the affected person to receive further medical attention. It is an essential tool in harm reduction strategies aimed at preventing opioid-related deaths and is a key component of public health initiatives addressing the opioid epidemic.
Suboxone is a prescription medication used in the treatment of opioid dependence and addiction. It is a combination of two active ingredients: buprenorphine and naloxone.

1. Buprenorphine: This is a partial opioid agonist, meaning it binds to the same receptors in the brain that opioids bind to but with less intensity. It helps to reduce cravings and withdrawal symptoms, allowing individuals in recovery to better manage their addiction.
   
2. Naloxone: Naloxone is an opioid receptor antagonist, which means it blocks the effects of opioids. When taken as directed, naloxone remains largely inactive. However, if someone were to misuse Suboxone by injecting it, the naloxone component can counteract the opioid effects, reducing the risk of misuse.
   

Suboxone is often prescribed as part of medication-assisted treatment (MAT), a comprehensive approach to opioid addiction that includes counseling, therapy, and support services. It can be used in the detoxification phase as well as for long-term maintenance therapy. The goal of Suboxone treatment is to help individuals gradually reduce their dependence on opioids, manage cravings, and improve their overall quality of life during recovery.
It's important to note that Suboxone should only be used under the supervision of a qualified healthcare professional, as improper use or abrupt discontinuation can lead to withdrawal symptoms or other complications.
Precipitated withdrawal refers to the accelerated onset of withdrawal symptoms, often more severe than typical, when an opioid antagonist is introduced to the body. This occurs because the antagonist displaces the opioid from receptors, leading to a sudden and intense withdrawal reaction.
For example, if someone is currently dependent on opioids and receives a medication like naloxone or naltrexone, which are opioid antagonists, it can rapidly trigger withdrawal symptoms. This is a safety mechanism, as these medications are often used to reverse opioid overdose or as part of addiction treatment.
The term is commonly associated with medication-assisted treatment for opioid use disorder, where medications like buprenorphine (a partial opioid agonist) are used. If buprenorphine is administered before other full opioids have cleared from the system, it can displace those opioids from receptors, leading to precipitated withdrawal. This is why healthcare providers carefully time the initiation of medications like buprenorphine to avoid this intensified withdrawal reaction.
Understanding the potential for precipitated withdrawal is crucial in the context of addiction treatment to ensure safe and effective transitions between medications and to minimize discomfort for individuals in recovery.
Using Suboxone involves adherence to a specific treatment plan under the guidance of a qualified healthcare professional. Here are some key aspects related to the use of Suboxone:

1. Prescription and Medical Supervision: Suboxone is a prescription medication, and its use should be initiated and supervised by a qualified healthcare provider, typically in the context of medication-assisted treatment (MAT) for opioid use disorder.
   
2. Dosage: The healthcare provider will determine the appropriate dosage based on the individual's specific needs and response to the medication. It's essential to follow the prescribed dosage and not adjust it without consulting the healthcare provider.
   
3. Administration: Suboxone is often administered sublingually, meaning it is placed under the tongue and allowed to dissolve. This method allows for the absorption of the medication into the bloodstream.
   
4. Timing: The timing of Suboxone administration is crucial. It is often started when the individual is in a mild to moderate state of withdrawal to reduce the risk of precipitated withdrawal. The healthcare provider will provide guidance on the appropriate timing.
   
5. Regular Monitoring: During Suboxone treatment, individuals are regularly monitored by healthcare professionals to assess progress, manage side effects, and adjust the treatment plan as needed.
   
6. Counseling and Support: Suboxone is typically part of a comprehensive treatment plan that includes counseling, therapy, and support services. This holistic approach addresses both the physical and psychological aspects of opioid addiction.
   
7. Gradual Tapering: Depending on the treatment plan, there may be a gradual tapering of Suboxone dosage as the individual progresses in their recovery. Tapering is done under medical supervision to minimize withdrawal symptoms.
   
8. Avoiding Other Opioids: It's crucial to avoid the use of other opioids while taking Suboxone. Combining opioids can lead to dangerous interactions and diminish the effectiveness of the treatment.
   
9. Side Effects and Reporting: Like any medication, Suboxone may have side effects. Common side effects include headache, nausea, and constipation. Any unusual or severe side effects should be promptly reported to the healthcare provider.
   
10. Pregnancy Considerations: If an individual is pregnant or planning to become pregnant, it's important to discuss this with the healthcare provider, as the use of Suboxone during pregnancy requires careful consideration.
    

Always follow the guidance of your healthcare provider and inform them of any concerns or changes in your condition during Suboxone treatment. Successful recovery often involves a combination of medication, counseling, and support tailored to individual needs.
Suboxone, when used as prescribed under the supervision of a healthcare professional as part of medication-assisted treatment (MAT) for opioid use disorder, has a lower potential for abuse and addiction compared to full opioid agonists. This is because Suboxone contains buprenorphine, a partial opioid agonist, which has a ceiling effect on its opioid effects.
Buprenorphine's partial agonist properties mean that it activates opioid receptors in the brain to a lesser extent than full agonists like heroin or oxycodone. As a result, the euphoria and respiratory depression associated with opioid abuse are less pronounced with buprenorphine.
However, it's essential to emphasize that any medication, including Suboxone, should be taken exactly as prescribed by a healthcare professional. Misuse, such as taking larger doses or combining Suboxone with other substances, can increase the risk of dependence or addiction.
Abruptly stopping Suboxone can lead to withdrawal symptoms, emphasizing the importance of a gradual tapering plan under medical supervision when discontinuing the medication. It's crucial for individuals using Suboxone to work closely with their healthcare provider to ensure proper management of their opioid use disorder and to address any concerns or side effects during the course of treatment.
Withdrawal symptoms from Suboxone, or buprenorphine (the active ingredient in Suboxone), can occur when someone who has been using the medication for an extended period stops taking it abruptly. It's important to note that withdrawal symptoms can vary in intensity and duration based on factors such as the individual's overall health, the duration of Suboxone use, and the dosage.
Common withdrawal symptoms from Suboxone may include:

1. Nausea and vomiting
2. Diarrhea
3. Muscle aches and pains
4. Sweating
5. Insomnia or sleep disturbances
6. Anxiety
7. Irritability
8. Runny nose and teary eyes
9. Goosebumps (piloerection)
10. Dilated pupils

It's important to distinguish between withdrawal symptoms and precipitated withdrawal. Precipitated withdrawal can occur if someone takes Suboxone too soon after using a full opioid agonist, leading to a more rapid and intense onset of withdrawal symptoms.
Withdrawal from Suboxone is generally considered less severe than withdrawal from full opioid agonists, and the symptoms tend to peak within the first 72 hours after discontinuation. However, the duration and severity can vary from person to person.
If an individual is considering stopping Suboxone or adjusting their dosage, it's crucial to do so under the guidance of a healthcare professional. Tapering the medication gradually, rather than stopping abruptly, can help minimize withdrawal symptoms and increase the chances of a successful transition to recovery. Seeking support from healthcare providers, counselors, and support groups is essential during this process.
Kratom is a tropical tree native to Southeast Asia, specifically in countries like Thailand, Malaysia, Indonesia, Papua New Guinea, and Myanmar. The leaves of the Kratom tree have been traditionally used for various purposes, including as a stimulant, a pain reliever, and to manage opioid withdrawal symptoms.
The active compounds in Kratom, called alkaloids, interact with opioid receptors in the brain, producing effects that can vary depending on the strain and dosage. These effects can include:

1. Stimulation: At lower doses, Kratom may act as a stimulant, promoting increased energy, alertness, and sociability.
   
2. Sedation: At higher doses, Kratom may have sedative effects, leading to relaxation and pain relief.
   
3. Pain Relief: Kratom has been used traditionally for its analgesic properties, and some people use it as a natural remedy for pain.
   
4. Mood Enhancement: Some users report improved mood and reduced anxiety after consuming Kratom.
   

However, it's important to note that Kratom is not regulated by the U.S. Food and Drug Administration (FDA), and its safety and effectiveness for various uses have not been clinically proven. There are potential risks associated with Kratom use, including dependence, addiction, and adverse effects such as nausea, constipation, and increased heart rate.
Due to these concerns, Kratom has been a subject of regulatory scrutiny in various countries, with some regions imposing restrictions or outright bans on its sale and use. It is essential for individuals to exercise caution, seek reliable information, and consult with healthcare professionals before considering the use of Kratom, especially for medicinal purposes or to manage opioid withdrawal.
Methadone is a synthetic opioid medication used primarily in the treatment of opioid dependence, particularly in the context of medication-assisted treatment (MAT). It is a long-acting opioid agonist, meaning it activates the same opioid receptors in the brain that other opioids, like heroin or morphine, do.
Key points about Methadone include:

1. Opioid Dependence Treatment: Methadone is often used as a maintenance medication to help individuals reduce or quit the use of illicit opioids. It helps by reducing cravings and withdrawal symptoms.
   
2. Long-Lasting Effect: One significant advantage of methadone is its long duration of action. A single daily dose can help stabilize individuals, preventing the highs and lows associated with short-acting opioids.
   
3. Supervised Administration: In some cases, methadone is provided through supervised administration in specialized clinics to ensure proper use and minimize the risk of diversion.
   
4. Tolerance and Dependence: Like other opioids, individuals using methadone can develop tolerance and dependence. Therefore, the dosage needs to be carefully managed, and discontinuation should be done gradually under medical supervision.
   
5. Reduction of Illicit Drug Use: When used as part of a comprehensive treatment plan, methadone has been shown to reduce illicit opioid use, lower the risk of overdose, and improve overall health outcomes.
   
6. Potential Side Effects: Methadone can have side effects, including constipation, sweating, drowsiness, and changes in libido. It's important for individuals to report any adverse effects to their healthcare provider.
   
7. Regulated Use: The use of methadone is tightly regulated, and it is typically dispensed through specialized clinics or healthcare providers who are authorized to prescribe it for opioid use disorder treatment.
   

Methadone treatment is part of a broader approach that often includes counseling, therapy, and support services. It has been a valuable tool in harm reduction strategies aimed at addressing the opioid epidemic and helping individuals achieve and maintain recovery.
Narcotics Anonymous (NA) is a 12-step program that provides support for individuals recovering from addiction, particularly those struggling with substance abuse issues. It is important to note that NA, like other 12-step programs, does not have an official stance or opinion on specific medical treatments, including medication-assisted treatment (MAT) for withdrawal.
The approach to medication assistance in withdrawal can vary among individuals within the NA community. Some may find success and support in MAT, while others may choose alternative methods or prefer an abstinence-based approach. NA encourages individuals to share their experiences, strength, and hope, but it does not dictate specific treatment choices.
The primary focus of NA is on mutual support, fellowship, and following the 12-step principles, which include admitting powerlessness over addiction, seeking spiritual awakening, and helping others in recovery. Members of NA are encouraged to respect each other's choices and paths to recovery.
It's essential for individuals seeking support for addiction to find a treatment plan that aligns with their needs and values. Consulting with healthcare professionals, attending support groups, and considering various treatment options can be part of a comprehensive approach to recovery.
SMART Recovery (Self-Management and Recovery Training) is a science-based, secular alternative to traditional 12-step programs like Narcotics Anonymous. SMART Recovery emphasizes self-empowerment and utilizes evidence-based techniques to support individuals in overcoming addiction.
Regarding Medication-Assisted Treatment (MAT), SMART Recovery takes a neutral stance. The program acknowledges that MAT, when prescribed and monitored by healthcare professionals, can be a valid and effective part of a comprehensive approach to addiction treatment. SMART Recovery recognizes that different individuals may have unique needs, and treatment plans should be tailored to the individual's circumstances.
SMART Recovery's focus is on teaching self-reliance, coping skills, and strategies for managing urges and behaviors associated with addiction. The program encourages participants to make informed decisions about their recovery, including the consideration of medications that may be prescribed by healthcare providers.
Ultimately, SMART Recovery emphasizes a holistic and individualized approach to recovery, allowing participants to choose the methods and tools that best suit their needs and align with their values. This includes being open to the potential benefits of MAT for some individuals as part of their overall recovery plan.
Several treatment modalities are available for individuals struggling with opioid use disorder. The most effective approach often involves a combination of different strategies. Here are some key treatment modalities for opioid addiction:

1. Medication-Assisted Treatment (MAT): MAT involves the use of medications, such as methadone, buprenorphine (Suboxone), and naltrexone, to help manage cravings, reduce withdrawal symptoms, and support recovery. These medications are often used in combination with counseling and therapy.
   
2. Counseling and Behavioral Therapies: Various forms of counseling and behavioral therapies are crucial components of opioid addiction treatment. Cognitive-behavioral therapy (CBT), contingency management, motivational enhancement therapy, and dialectical behavior therapy (DBT) are among the approaches used to address the psychological aspects of addiction and help individuals develop coping skills.
   
3. Support Groups and 12-Step Programs: Participating in support groups like Narcotics Anonymous (NA) or 12-step programs can provide valuable peer support, encouragement, and a sense of community for individuals in recovery.
   
4. Detoxification Programs: Medically supervised detoxification programs help individuals safely manage the acute withdrawal symptoms associated with stopping opioid use. These programs often serve as the initial phase of treatment.
   
5. Residential or Inpatient Treatment: Inpatient treatment programs provide a structured and supportive environment for individuals to focus on recovery. These programs may include a combination of medical supervision, counseling, and therapeutic activities.
   
6. Outpatient Treatment: Outpatient programs allow individuals to receive treatment while living at home. This flexibility can be beneficial for those with work or family commitments. Outpatient treatment often includes counseling, therapy, and medication management.
   
7. Holistic and Alternative Therapies: Some individuals find benefit from holistic approaches, such as acupuncture, yoga, meditation, or mindfulness practices. These can complement traditional treatment modalities and contribute to overall well-being.
   
8. Peer Recovery Support Services: Peer recovery support services involve individuals with lived experience in recovery providing support, guidance, and encouragement to others going through similar challenges.
   

The most effective treatment plans are often individualized, taking into account the specific needs, preferences, and circumstances of each person. Collaborating with healthcare professionals to develop a comprehensive and tailored approach can significantly enhance the chances of successful recovery from opioid addiction.
The withdrawal timeline for fentanyl, a potent synthetic opioid, can vary among individuals based on factors such as the duration and intensity of use, individual metabolism, and overall health. Fentanyl withdrawal symptoms typically start shortly after the last dose and follow a general timeline:

1. Early Symptoms (Within a few hours): Early withdrawal symptoms may include anxiety, restlessness, sweating, and increased heart rate. Individuals may also experience muscle aches and insomnia.
   
2. Peak Intensity (24-72 hours): Withdrawal symptoms usually peak within the first 24 to 72 hours after discontinuing fentanyl. During this time, individuals may experience more intense symptoms such as nausea, vomiting, diarrhea, abdominal cramps, dilated pupils, and flu-like symptoms.
   
3. Subsiding Symptoms (5-7 days): The most acute withdrawal symptoms generally begin to subside within about five to seven days. However, some symptoms, such as insomnia, anxiety, and mood swings, may persist for a more extended period.
   
4. Post-Acute Withdrawal Syndrome (PAWS): Some individuals may experience a more prolonged period of withdrawal symptoms known as post-acute withdrawal syndrome (PAWS). This can include lingering psychological symptoms such as anxiety, depression, irritability, and difficulty concentrating. PAWS can persist for weeks or even months.
   

It's crucial to note that fentanyl withdrawal can be challenging, and seeking professional help is recommended to manage symptoms safely and effectively. Medical supervision can provide support through the detoxification process, and healthcare professionals may use medications to alleviate specific withdrawal symptoms and improve the overall comfort of the individual.
The withdrawal process is highly individual, and some individuals may find additional support through counseling, therapy, and participation in support groups to address the psychological aspects of recovery. Always consult with healthcare professionals for guidance on the safest and most effective approach to fentanyl withdrawal.
Xylazine is a veterinary sedative and analgesic medication. It belongs to the class of drugs known as alpha-2 adrenergic agonists. While it is primarily intended for veterinary use, xylazine has been misused in some cases for recreational purposes, particularly in combination with other substances.
In veterinary medicine, xylazine is commonly used as a sedative and muscle relaxant for various procedures, including surgery and diagnostic imaging. It is often administered to calm and immobilize animals.
However, the use of xylazine outside of veterinary settings, especially when combined with other drugs, can pose serious health risks. Misuse of xylazine has been associated with adverse effects, including respiratory depression, cardiovascular issues, and central nervous system depression.
It's important to emphasize that the use of xylazine for recreational purposes is highly dangerous and illegal. The drug is not intended for human consumption, and its effects can be unpredictable and potentially life-threatening.
If you have concerns about substance use or encounter situations involving illicit drugs, it is crucial to seek help from healthcare professionals, addiction specialists, or local support services. Misuse of veterinary drugs or any substances not prescribed for human use can have severe consequences and should be avoided.
PAWS stands for Post-Acute Withdrawal Syndrome. It refers to a set of prolonged withdrawal symptoms that some individuals may experience after the acute phase of withdrawal from substances like opioids, benzodiazepines, or alcohol. PAWS is not limited to a specific substance and can occur with various drugs.
These symptoms are generally more subtle than the acute withdrawal symptoms but can persist for weeks, months, or, in some cases, years after discontinuing substance use. PAWS can vary widely among individuals and may include symptoms such as:

1. Mood swings
2. Anxiety
3. Irritability
4. Insomnia
5. Fatigue
6. Difficulty concentrating
7. Memory problems
8. Reduced impulse control
9. Cravings for the substance

PAWS can be challenging for individuals in recovery, as these lingering symptoms may contribute to relapse if not effectively managed. Supportive interventions, such as counseling, therapy, and participation in support groups, can be beneficial for individuals experiencing PAWS. Healthy lifestyle choices, including regular exercise, proper nutrition, and adequate sleep, may also contribute to the overall well-being of those in recovery.
It's important to note that PAWS is not experienced by everyone in recovery, and its severity and duration can vary. Seeking guidance from healthcare professionals or addiction specialists can assist individuals in managing PAWS and maintaining long-term recovery.
Quitting substance use "cold turkey" involves stopping the use of a substance abruptly without tapering or gradually reducing the dosage. It's important to note that quitting cold turkey can be challenging, and the level of difficulty varies depending on the substance, the duration and intensity of use, and individual factors.
If you're considering quitting a substance cold turkey, here are some general recommendations:

1. Seek Professional Guidance: Before making the decision to quit cold turkey, it's advisable to consult with a healthcare professional or addiction specialist. They can provide guidance based on your specific situation, assess potential risks, and offer support.
   
2. Create a Support System: Inform friends, family, or a support network about your decision to quit. Having a support system in place can provide encouragement, understanding, and assistance during challenging times.
   
3. Understand Withdrawal Symptoms: Be aware of potential withdrawal symptoms associated with quitting the substance cold turkey. Withdrawal symptoms can vary depending on the substance but may include anxiety, irritability, insomnia, and other physical or psychological effects.
   
4. Stay Hydrated and Nourished: Maintaining proper hydration and nutrition is crucial during the quitting process. Stay hydrated by drinking water and consuming a balanced diet to support your overall well-being.
   
5. Exercise: Engage in regular physical activity. Exercise can help alleviate stress, improve mood, and contribute to your overall physical and mental health.
   
6. Consider Professional Treatment: Depending on the substance and the severity of dependence, professional treatment options, such as inpatient or outpatient programs, may be beneficial. Medical supervision can assist in managing withdrawal symptoms and ensuring safety.
   
7. Therapy and Counseling: Consider participating in therapy or counseling to address the underlying factors contributing to substance use and to develop coping strategies for a successful recovery.
   
8. Plan for Triggers: Identify situations, environments, or emotions that may trigger the urge to use the substance. Develop a plan to cope with these triggers without resorting to substance use.
   

It's essential to approach quitting any substance with a comprehensive strategy, and individual circumstances vary. Seeking professional advice ensures that you make informed decisions about the best approach for your specific situation. If you are experiencing severe withdrawal symptoms or have concerns about quitting cold turkey, it is crucial to consult with a healthcare professional for guidance and support.
Tapering refers to the gradual reduction of the dosage of a substance, typically a medication or a drug, over a specific period. Tapering is commonly used in the context of addiction treatment, where it involves slowly decreasing the amount of a substance to manage withdrawal symptoms and minimize the risks associated with abrupt discontinuation.
Key points about tapering include:

1. Medication-Assisted Treatment (MAT): Tapering is often part of medication-assisted treatment for substance use disorders. For example, individuals dependent on opioids might undergo a gradual tapering of medications like methadone or buprenorphine.
   
2. Reducing Dependence: Tapering is employed to reduce physical dependence on a substance by allowing the body to adjust to lower levels gradually. This helps minimize the severity of withdrawal symptoms.
   
3. Individualized Approach: Tapering plans are typically individualized based on factors such as the substance used, the duration and intensity of use, and the individual's overall health. Healthcare professionals design tapering schedules to meet the specific needs of each person.
   
4. Supervised Tapering: Tapering is ideally done under the supervision of a healthcare professional to ensure safety and effectiveness. This is particularly important in cases where abrupt discontinuation could lead to severe withdrawal symptoms or complications.
   
5. Psychological Support: Tapering is not only about physical adjustments but also addresses psychological aspects of dependence. It provides individuals with an opportunity to develop coping skills and strategies for managing life without reliance on the substance.
   
6. Preventing Relapse: Gradual tapering can help reduce the risk of relapse by easing the transition to complete abstinence. It gives individuals the time and support needed to adjust to life without the substance.
   

Tapering is a careful and structured process that should be guided by healthcare professionals. Abruptly stopping certain substances can lead to severe withdrawal symptoms and potential health risks. Seeking professional advice and support is crucial for a safe and successful tapering process, whether it's part of addiction treatment or the discontinuation of a prescribed medication.
Engaging in activities during withdrawal can help distract from symptoms, provide a sense of accomplishment, and contribute to overall well-being. Here are some ideas for keeping busy during withdrawal:

1. Reading: Escape into a good book or explore topics of interest to keep your mind occupied.
   
2. Movies or TV Shows: Watch movies or binge-watch a TV series to pass the time. Choose lighthearted or inspirational content.
   
3. Exercise: Engage in gentle exercises like walking, yoga, or stretching. Exercise can help improve mood and alleviate some withdrawal symptoms.
   
4. Creative Hobbies: Explore creative outlets such as drawing, painting, writing, or playing a musical instrument.
   
5. Mindfulness and Meditation: Practice mindfulness or meditation techniques to calm the mind and reduce stress.
   
6. Gardening: Spend time outdoors, tending to a garden or plants. Nature can have a positive impact on mood.
   
7. Puzzle Games: Solve puzzles, play Sudoku, or engage in other mentally stimulating games.
   
8. Listening to Music or Podcasts: Create playlists of your favorite music or listen to podcasts on topics of interest.
   
9. Cooking or Baking: Experiment with new recipes and treat yourself to nourishing meals.
   
10. Journaling: Write down your thoughts and feelings. Keeping a journal can be therapeutic during withdrawal.
    
11. Educational Courses: Take online courses or watch educational videos on platforms like Coursera or Khan Academy.
    
12. Board Games or Card Games: Play board games or cards with friends or family for some social interaction.
    
13. Self-Care Activities: Take relaxing baths, practice skincare routines, or indulge in other self-care activities to nurture your well-being.
    
14. Volunteering: If possible, consider volunteering for a cause you're passionate about. Helping others can be rewarding.
    
15. Stay Connected: Reach out to friends and family for support. Having a support system is crucial during withdrawal.
    

It's important to choose activities that align with your interests and energy levels. Remember that withdrawal is a challenging time, and it's okay to prioritize self-care. If symptoms become severe or unmanageable, seeking professional help is recommended.

How do you guys deal with anxiety after a particularly difficult time? I feel like I’ve had my anxiety managed, but last night after a particularly painful night (screaming in pain, vomiting a lot) I’ve noticed I’m so much more anxious today. I’m terrified that I’ll get those pains again (which quite literally had me contemplating death). And my anxiety manifests physically with flushing and sweating as well as stomach pain and diarrhea. So now I’m anxious I’ll get sick like I did last night, which is causing me to get those sick symptoms again, which in turn makes me anxious. Anyone else go through this and have any advice or coping skills?