Ongoing stomach pain for almost 4 years. gastroenterologist thinks its ibs. i don't eat. i know i should, but i have no appetite or desire to eat.

IBS: is non specific and may have prominent diarrhea or constipation features. Are you mood issues well controlled? that may contribute to poor apetite

W/U is nessacary : Abdominal pain is by far the most serious symptom in attacks of acute intermittent porphyria. Its cause is unknown. This case study suggests visceral ischaemia as a possible cause of the abdominal pain.D/DX is long, other consideration is Crohns Disease,Recent data indicate that acute intermittent porphyria is not a very rare disease. It may run a serious invalidating and life-threatening course.