The fatty diarrhea
could be related to the previous gastric bypass
that you have had. I am concerned about you vomiting
That shows you might have some ulcers in the lower part of the esophagus
or from small ulcers in the stomach.
I am very much interested about your history of Crohn's disease in your
mother and grandmother. This can definitely run in families. We see this
in Askanazis of Jewish ethnicity.
If you have not had an endoscopy
recently, you do need this. This should
include complete colonoscopy
as well. You do need additional blood work.
Yes, I agree that should include celiac panel
and IBD panel.
I know you are taking care of two little girls, but you have to stay healthy
to continue to take care of them, Most of the studies can be safely done in
an out-patient setting, unless hospitalization is absolutely necessary.
I wish you the very best.