Ok, I am a nurse and have a complex history in regards to chronic pain after several different injuries but the most lasting issues include the abdominal issues, pain below the sternum, recently relieved with chiropractic manipulation of hiatal hernia but still occurs intermittently rather than constantly; bowel irregularities with pain, mostly epigastric and/or left upper quadrant with clear upper and lower GI other than terrible hemorrhoids and constipation secondary to long, tortuous bowel as well as meds for chronic pain but no opioids; have stabilized IBS with proprietary blend pre/probiotic but now gaining weight with increased appetite; struggle with IBS management but now belly fat and 15+ weight gain, possibly hormonal secondary to vaginal hyst in 2008 with ongoing supplementation with oral contraceptive (low dose Viorele) and herbal supplement; so current biggest problem is belly fat, bloating, constipation (previously terrible diarrhea with bad gas) with IBS