Hi, I am 21 years old and I have been

Patient: Hi, I am 21 years old and I have been having gastrointestinal issues for a while now, but they have recently gotten worse. I have been having severe constipation, and when I can go, it is either diarrhea or flat stool. I am very gassy and have stomach pain. I also haven’t had very much energy, and it feels as if there is something “blocking” my feces from coming out. I also get a lot of indigestion.

Doctor: