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Symptoms only at nighttime

For 3 years, every night 2 hours after going to bed, I wake up with excruciating pain in my lower right abdomen, and a hard lump in that area. It feels like an intense urge for a bm. Sit on the toilet for about 10 minutes, but only pain and gas. Go back to bed. Approximately one hour later, same symptoms, no bm. This goes on hourly until about 8:00am, I have a painful bm, feels like broken glass and hard stool. After 2 or 3 painful bm’s, I wake up exhausted, but feel great the rest of the day. No symptoms. My day feels normal. All imaging tests are normal. All blood, stool, etc. tests are normal. My doctors are mystified. No one can answer why symptoms only at nighttime. Can anyone help me understand this constant nightmare? I’m not exaggerating- same symptoms, same routine EVERY night for 3 years.

  1. I'm so sorry that you're dealing with this, it must be so exhausting. Could it be related to something you eat in the evening maybe? Have you tried keeping a food journal (https://irritablebowelsyndrome.net/living/food-journal-download) and experimenting with diet? Maybe the article could help as well: https://irritablebowelsyndrome.net/living/fodmaps-trigger-ibs-symptoms. I hope other community members will chime in soon. Sending hugs, Karina (team member)

    1. Karina,
      Thanks so much for your support. Over the past 3 years, I’ve tried every kind of restricted diet I’ve been able to find, including FODMAP, gluten-free, candida diet, tried pureed, liquids only. No change whatsoever. The mystery that confounds doctors and me is why only at night are the symptoms occurring. Not just some nights, every night.


      1. Thanks again for your suggestions. No dinner, didn’t help. Been to several naturopaths, including chiropractors with knowledge of applied kinesiology which identified Ileocecal valve dysfunction and attempted to help with massage. No relief. Another Identified candida, treated with grapefruit seed extract. No relief. I’ve been taking pre and probiotics, digestive enzymes. Because my stool is hard, I keep taking laxatives to help with bm’s. OTC laxatives and lots of prune juice. Still same routine during the night. GI doc prescribed Constella. He didn’t tell me that a rare side effect was anal bleeding. On 9th day, I went to the ER after bleeding profusely. Didn’t help my agony anyway during the first 8 days.
        Tried citalopram. Side effects after 3 days were intolerable. Took several days to recover. I’m not sure where to go next. Dougrmr mentioned relaxing supplements. I’ve sent him a note asking which ones worked for him. Thanks again, Larry

      2. So sorry that these suggestions weren't helpful, it really seems like you have tried it all... But please don't give up and don't stop advocating for yourself. I would like to share this article with you, from one of our advocates who suffered for years but then finally found a doctor who was able to help her: https://irritablebowelsyndrome.net/living/hope. I hope that the relaxing supplements work for you. Wishing you all the best, Karina (team member)

    2. nice

      1. someone I know had the same symptoms like you

        1. Did they ever find out what was causing them? Karina (team member)

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