I think I have finally managed to reduce the symptoms except sometimes and the discomfort so I am going to cancel the md appt and wait and see. The only reason I was actually going to keep the appt was in case they could just toss me an antibiotic and that would be it. I am not going to do a lot of exploring etc. and if they find anything not fixable with antibiotics and diet - I wouldn't do it anyway so best to save my time and money