Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. You seems to suffer from-chronic IBS D with Cl.Difficile with chronic dehydration and Malabsorption. Other causes need to be ruled out by proper investigation of other IBS causes-like-accompanied Crohn s,Tb enteroColitis,Perianal illnessess aggravating IBS,missed protozoal infections like amoebiasis and giardiasis with ulcers/ Diverticulosis/Polyposis Coli. Besides this-A change in Diet style under guidance of nutritionist, with weekly cover,to correct the dysbiosis of the entero-Colic bacterial flora,which is maintaining the-Vicious Cycle of-IBS D and accompanied Malabsorption, which is mainly a cause for your Weakness and low ebb life feeling. Other causes need to be ruled out with Consults and Second opinion -from Physician and Surgeon team of doctors. and if need be they are to be dealt with under guidance from GI specialist and team of doctors. Remedies- Bland low volume vegan / low volume nonvegan diet with small loads and more fluids. Add yoghurt / butter milk helpings to stabilize bacterial flora,which would in result break the auto-immune sensitization of the Colonic lining and resultant Ulceration of the Colon lining. Timely Antibiotics /anti-protozoals/ anti-worm medicines to control IBS with D Tab Librax-to control anxiety with such chronic illness. Digestive enzyme preperations/Anti-spamodics /Anticholinergic/ PPI-like Normaxin- with combination of above- would reduce drug intake x 2-6 weeks Prebiotics spread Vegan diet / Pro-biotics-Cap-Sporlac-lactobacillus / non-spicy diet,x 2 with medicines and later without medicines once the complaints are controlled, to bring the dysbiosis under control,which is the main reason for this bloating from gas produced. Adjusting of the meals as suggested is needed in your case. Recurrent burping and farting and bowel noises(borborygmis) and diarrhea indicates-Cl.Difficile infection-which needs to be treated with-Refaximin/metrogyl treatment with above dietary precautions. Pre-treat Vegan diet and salads with prebiotics-like apple cider vinegar-before taking,as these are more prone to cause gases from bacterial digestion. Hope this comprehensive reply would help you to plan further care of this complex illness of yours with the help of doctors there. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS