"Suddenly the last few weeks the explosions have increased - ZERO warning, just whoosh! - and very painful cramping. No food is safe. The whole digestive system is broken. The Aloe Socotrina no longer has any effect. Immodium is the only thing that works but one takes it only after the fact. It's not a preemptive strike. And it doesn't address what's broken.
Even worse, GP despite 2 subsequent requests has not conferred the promised referral to a new GI after many months. Punishment for having a chronic condition unresponsive to the 2-3 reductionist tests MDs offer in Canada.
Plan B: Roll up to ER to beg for something more pre-emptive/longer lasting than Immodium.
Plan C: Appeal in writing to previous GI to confer one or more of the drugs discussed in the conclusion of https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7971407/pdf/12325_2021_Article_1676.pdf. "