Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted. I understood your health concerns and feel Concerned about them. You seem to have- Problems of 40 diarrheas and its reduction to 5 diarrheas after Paleo diet suggests that its not IBS but it is Food intolerance with Gluten-Celiac Disease and dairy product Sensitivity . I would suggest Food Intolerance tests and needful treatment with gluten free / oat and rice based diet with Paleo supplements in moderation ONLY. Reduce the diet frequency from 6 small meals - to 2 oat/ rice / barley and kuttu ka atta(or BuckWheat flour) Lot of fluids 2 x skimmed Butter Milk if you can tolerate 2 x Yoghurt Supplements to stabilize colon bacterial flora. Tab Zincovit 1 x 3 weeks Tab Calcium /Iron /Magnesium with Vit B12 and Folic acid supplements for 3-12 weeks with Vit D3 supplments would help you to stabilize the colonic and intestinal inner mucosa. Other causes like -needs to be verified and ruled out. Cause of the persitent loose stools is from Food intolerance with Gluten or Wheat Intolerance-with Celiac disease and is not Crohns as thought by you,as even with paleo-you would have had diarrheas with Crohns. But the reduction from 20 to 5 bms with Paleo diet- suggests and confirms Wheat induced Celiac Disease in your case. For this to verify Second opinion from Nutrition specialist/ Physician- doctor - would be needed. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS