Help me figure this out, I am lost and stumped…

47-year old male

Symptoms:

Excessive gas. Belch after drinking water even. Wind is excessive and over the 25 times per day average.

More of a pinch type of pain in the back upper right between spine and shoulder blade.

Wake up at like 3 am every night to sounds of my intestines “running” -just seem to rumble

Cramping but not real bad pain just feels kind of full

Alternate weeks between loose stool and more solid stool. It used to be textbook brown and now it is a lighter brown. Sometimes undigested food bits when the stool is loose.

In the last few months I woke up like two times with acid reflux in my throat

Physical exam that doctor did of my abdomen was normal no pain when they pushed and no lumps

Tests they have run already:

Upper endoscopy: H Pylori negative, minor reflux, mild inflammation, nothing major

Ultrasound: clear

Blood tests: Liapase normal, amylase normal, comprehensive blood panel normal (with the liver blood tests), CBC/Diff blood panel normal, an extra liver enzyme test called L GGT blood test normal, L Celiac Ab blood panel normal no celiac, TSH3 blood test for thyroid normal.

Urine test: normal

Fecal tests: Pancreatic Elastase stool normal, 4 different test for parasites infections: Cryptosporidium; Stool culture for Sal, Shig, Campy, and Shiga; stool ova and parasite exam; and stool C difficile toxins A+B, EIA all negative

On Tuesday of this week they are doing colonoscopy and while there they will sample tissue for microscopic colitis.

Any thoughts on what this could be? I just want thoughts based on your own experiences I appreciate that no one can diagnose me from a distance.

What other tests would you request?

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