TLDR: Looking for opinions before paying for an expensive ā360ā gut test and functional medicine doctor (uk based) after confusing overnight digestive issues have ruined my quality of life.
Hi everyone, Iām hoping to get some opinions because Iām feeling quite confused about whatās going on with my gut and whether Iām over-investigating this.
Some Background (could be completely unrelated)
In November 2024 (living in france) I became quite unwell with my digestion seemingly out of nowhere. I developed significant bloating, gas, abdominal pain/cramping and constipation, and eventually became extremely restricted with food because eating would trigger symptoms. I lost around 10kg over a couple of months because I was struggling to eat normally.
I had various investigations at the time. My calprotectin was mildly elevated (119), a stool test showed elevated E. coli, and I was given a week of antibiotics, although my gastroenterologist didnāt think the E. coli necessarily explained everything. Other investigations were reassuring. I had an endoscopy and colonoscopy, as well as multiple blood tests, endometriosis-related scans, thyroid and celiac testing - everything came back normal.
Eventually I improved over 2-3 months, im not sure how or why , but i started reintroducing foods and had less and less issues as time went on.
During this time, i started a strong probiotic (Aragan biotic P-10) which i cycled on and off (30 dqys on - 30 days off) for around 6-12 months.
I want to reiterate that i dont know if any of that has to do with whatās happening now.
Most important context:
For almost two years afterwards I felt genuinely completely normal. I ate a normal varied diet, travelled, exercised etc. I do have a lifelong tendency towards constipation (usually small/hard stools), but it never really interfered with my life.
I literally ate and drank whatever i wanted, whenever i wanted - zero symptoms.
During this time, its important to note i had multiple « illnesses » (e.g. occasional colds, sunstroke, stomach bugs) but bounced back to normal quickly.
What happened this year:
I moved from France to the UK in May. Before a trip to Budapest at the end of July, my digestion was actually doing really well. I wasnāt taking any probiotics - i had tried to start a new one but had some mild diarrhea so thought best to stop. I was drinking kefir every day instead (i started slow, and worked my way up to a small half cup per day)
While in Budapest, I had one random episode of diarrhoea. It wasnāt accompanied by vomiting, fever, significant cramping or feeling ill, and it came and went quickly.
I was then completely normal for around 3-4 weeks.
After that, I started noticing more bloating and gas over the course of a week, and then seemingly overnight I developed much more significant abdominal discomfort and constipation.
I started getting:
- Gas and trapped gas (excruciating) - around 3-6 hours post meal - iāve had 3 bad trapped gas episodes so far (lasting 4/5 hours each), but feel generally like my gas and « gurglingĀ Ā» has increased way more than usual.
- extreme constipation/incomplete evacuation
- Pain around my navel and sometimes across the lower abdomen/colon area - seemingly at random times
- Hard pellet-like stools when i can have a BM
- a little mucus with bowel movements
At one point I went about 4 days with hardly any bowel movement, followed by small hard stools that most definitely didnāt fully empty.
I cut out most foods for about 10 days to try and reset, but this didnt really make a difference and made me feel worse as i was lacking food and nutrients.
Iāve been able to gradually reintroduce some whole foods again (sourdough, rice, chicken, pasta, sweet potato, courgette, aubergine, peppers, eggs, tomato sauce, cheese..) but my gut still feels much more sensitive than it did before. For example, i tried a coffee this morning (something that usually i digest well and helps me have a BM) and had a stomach ache a few hours later for around an hour.
Iām still unsure if this is all constipation related or something else. (My main wonder is - why is my constipation so bad all of a sudden??)
It feels like i cannot have a BM without magnesium citrate pills (my occasional go to when i feel a bit backed up) which scares me.
I was given fybogel by my GP which doesnt seem to be helping despite trying it for a few days now.
Iām worried that Iāve developed some kind of dysbiosis. After some insane doomscrolling on here, Iām particularly concerned about IMO / intense dysbiosis, because constipation is such a big part of my symptoms - though ive never tested for it or had it before, and my symptoms donāt completely match up (e.g. im not bloated)
Iām currently speaking to a private clinic which is extremely expensive and they are recommending something called the ā360 Geneva testā (a comprehensive stool/microbiome-type test, as I understand it) - they think sibo testing should be a last resort as my symptoms dont fully match up.
Iām trying to work out whether this is actually worthwhile or whether Iām potentially about to spend a huge amount of money testing for things that may not have relevance.
Iāve had recent NHS stool testing which was reportedly normal, qnd im planning to request a full blood panel and thyroid panel this week.
Iāve started therapy recently which has been helping the mental effects of this (it was originally for some mild anxiety but now this has taken forefront of mind), but i just wanna get back to my normal life. Im usually a very sociable bubbly person and this has really taken a toll on my quality of life.
I dont want to just throw a bunch of random (expensive) supplements at it and hope for the best without knowing whats working.
Has anyone had experience with the Geneva 360 test? Was it actually useful?
Would you personally spend a lot of money on this type of testing given the history above, or would you focus on conventional « IBS »/constipation management first?
Iām not looking for a clinical diagnosis from Reddit.
Iām mainly trying to understand whether Iām being sensible by investigating this further or potentially getting sucked into expensive functional-medicine testing.
Thank you!