Hi, ongoing gut problems still. Had over a year of very bad gastritis and 16 months of PPI - been totally weaned off that for about 6 months now. Had ongoing IBS type symptoms for years, but no official diagnosis of IBS. Gastritis now ok stomach pain not high up any longer. Symptoms: left abdominal pain - medium and extreme lower left abdomen. Grumbling noises waking me at night, exteme trapped wind, worse at night than day. Tendency towards constipation, but able to go every day. Incomplete evacuation - mornings a nightmare afraid to go out as I have to keep going two or three times up until mid day. Dr Myhill says I have upper fermenting gut (is that the same as SIBO) she has diagnosed based on Genova diagnostics digestive panel - which didn't show up anything particularly remarkable. and symptoms. She prescribed metronizadole 200mg once a day working up to 3 times a day over about 6 weeks and then going down to once or twice a week, plus paleo diet strictly no carbs and betaine HCL with meals. I have discussed this elsewhere, but as I am very sensitive to all changes and most things I have tried make me worse I thought I would try very slowly (and I am going to spain for a month on Friday and don't want to get worse) I started with diet (again!) I am a vegetarian and I DO NOT eat meant apart from fish. The paleo diet with small amount fo carb as evening meal screwed my stomach up so bad after one week that I had to stop. Am scared of the antibiotics as im sure it was 14 courses of antibiotics over 12 months (2008/2009) that set my stomach off again. I gre some kefir on soya (not allowed dairy on diet) but this also made stomach worse. Gave up on everything again, stopped all supps and diets, stomach gradually improved to my normal. Tried juicing after watching fantastic documentary - Fat sick and nearly dead (worth a watch free online) Didn't want to do only juicing as not really well enough so tried replacing just breakfast with juice. This has now also screwed my stomach up - terrible pain and wind. Pain is very bad right down low on left side in from hip. Have had a scan to rule out kidney stones and ovarian etc problems. Scan ok. Now I don't know where to begin or what to do. Everyhting I try seems to make it worse. The only thing that has helped about 4 years ago was anti candida diet (had it systemically in oesophageous etc) and this calmed things down a bit, however I believe the high doses of caprylic acid and vit c (ascorbic acid) I was taking may have caused the subsequent gastritis. Any suggestions or advice needs to be simple, gentle, and vegetarian (I eat fish) I cannot do wahls, bone broth etc. What simple things can I slowly do that will help? All the best, Justy.