I was just re-reading this thread and see you mentioned endometriosis. I have this as well and was diagnosed a few years ago and can say the "type" of pain from endometriosis is very, very different than the pain we are all talking about here. For me, it was more diffuse--like my entire lower abdomen was on fire all over with thousands of needles poking me everywhere, not the one-sided sharp and focused pain the adhesions are causing. It also didn't make me sick, bloated and blocked up like adhesions do. My GI tract functioned fine despite the endo pain. Maybe it depends where the endo lesions are though. Anyway, I have had my endo under control (thank goodness) for 2 years now, and still have all the pain we are discussing here. I'm not saying don't look into getting it treated to see if it is there, but just don't let them dismiss your gut symptoms and blame it on that. After my endo was under control and I still had this other kind of abdominal pain, they gave up on me. It was like, "well, we did all these tests and you have treated endometriosis, so you shouldn't be in pain anymore". Flashforward 2 years where I started having blockages all the time, and I can see that pain was the start of all of this adhesion business.