Question: I suddenly feel extremely fatigued and am asleep within minutes, bad pain from sternum downward upon waking and standing, nausea, with some relief after b.m.

It's been happening off and on for a week and has before. NOT a heart attack, entirely gastric-related symptoms, will pass eventually but seems to be recurrent .

Two types of abdominal pain: gas-type stabbing pains in entire colon (both sides and across top of abdomen) with bloating; squeezing, muscular pain that starts at top center and moves downward to navel; both relieved by applying hot, moist heat pack; occasionally either may be so sudden as to cause retching and/or vomiting. Neither generally radiate to the back although both can be severe.

I have a lot of bloating no matter what I eat, and the pain does not have any apparent connection to food. I have generally been constipated, with a couple incidences of diarrhea. No blood in stool, some mucus after several days with no b.m.

I HAVE HAD NO CHEST PAIN WHATSOEVER. No recent diagnostics. I have not lost significant weight.

I am frustrated as this has returned after several weeks feeling mostly fine and active. It keeps happening without warning or provocation and begins with the extreme fatigue. I wonder if it could be IBS.