Hi Vikki - sorry to hear things are not going so well again! why is your doc reluctant to do an endescopy? have you been checked for gallbladder problems, celiacs, thyroid, ulcers the list just goes on - look into food allergies and food intolerances Ive just read a great book by Brostoff which explains the diff and how this could affect people - there are so many reasons you could be having D and pain including IBS and figuring out which one it is is very frustrating for everyone (your doc included) - while you are looking for an answer you need to get some control over the D have you tried using Calcium many people here have had some good results this way me included, adapting you diet stress reduction stress can play havoc on us D-types, cant advise on pain medication but look in some of the other forums which gives some advice here -while some people on this BB have alot of knowledge and have done some extensive research I doubt anyone can give you a conclusive solution to you problem or be able to tell you what is causing it just from your posts though it would be a blessing if someone could unfortunately it seems like there is no quick fix and getting a diagnosis is a long slog - so sorry couldnt be more help but take care and keep reading the BB some great advice does come up! - bye mich