I have been on short-term disability from my job (which I love) since the first of the year with chronic, moderate to severe indigestion, abdominal cramping and pain, bloating, and nausea. I've had similar bouts for a while but just a day or so at a time- last year it ate up all my time-off. This time it was worse and lasted long enough to kick-start the short term disability plan (did I say how much I love where I work) and I was fortunate that I already had a doctor's appointment scheduled so I didn't just ignore it or think it was a bug. I have been told that i have mild- ibs in the past when describing my acute attacks of cramping and diarrhea, but this wasn't as sharp a pain and was longer in duration. The endoscope showed gastritis- as my dr put it "you make lots of acid". So I started treating for that and the indigestion cleared up but not the cramping, pain, bloating, and nausea. So after a CT scan and blood work showed nothing (the biopsy from the endoscope already ruled out Celliac), my GI says it's IBS- in a 'there's nothing else it could be" kind of way. He wants me to try Align for a month. My best guess is that the high carb/ low fat diet my severe indigestion/ gastritis seemed to tolerate kicked off a serious case of IBS since the diet the GI suggested is the exact opposite (although my attacks are normally diarrhea and this has been more constipation). So... I'm going to be optimistic and assume he's right, which means I'll be heading back to work in a couple of weeks when my short term disability expires. My concern is that for the last several days (and in hindsight, for the other bouts), I wake up then starts the pain/discomfort and nauseous which lasts till about 10am then I'm mostly okay the rest of the day. However, my job is a standard 8:30-5:30 office job. Does anyone else have worse symptoms in the mornings? Any suggestions for getting through it? Waking up earlier, not eating past a certain time the night before? Because of one of the gastritis meds I usually don't eat anything after 8 or 9pm already, and it can't be a food trigger because I've been asleep, not eating. If I can't get this under control I may have to ask about an adjusted work schedule like 10-7, but who wants to be finishing the day at 7pm at night, ugh. I'm hoping this daily bit will pass soon and I'll just be back to running to the bathroom every now and then and when I'm stressed. Suggestions?