Puppygirl;I see you've tried a ton of things, so I'll just give you what I do, and you can say, been there, done that, or try it, or whatever, because I know it is frustrating. But, there is no way I would let myself not be able to spend the day at a beach!!!I take 60mg Cymbalta 1x a day, I take Librax as needed, and Imodium as needed, Ativan as needed.Here is my preventative for when I'm going to be going out for an outing or dinner out, etc.I get up in the am a little earlier than I normally would, so my stomach can do it's thing. And it always seems to know when I'm going somewhere, I swear!! After I've gone a few times, I take 2 Imodium, wait a bit, if I go again, I take 2 more. If there is any cramping involved, I take two of my Librax. Usually by this time I have it under control. Sometimes in the middle of the day, I may have to take another Imodium. I've been on several different antidepressants over the years with success, I find the Librax works better for me than the Bentyl. The only way I work with food triggers is that if the thing I eat makes me repeatedly flareup, that would be when I eliminate it.I hope something here helps, as I can hear your frustration. But, don't let "it" get you!!!