“Somewhere, something incredible is waiting to be known.”—Sharon Begley.

Let’s review the behavior of the lower gut symptoms after they initially went into remission when the upper gut symptoms took over on January 15, 2007. 
They remained in remission until January 2010—for three solid years—until we attempted to see whether chronic Lyme disease was the culprit. 

I went on a 3 week course of amoxicillin. After completing it, I experienced some run of the mill abdominal pain in the lower right quadrant and then it quickly morphed into the lower gut symptoms. As you might recall this is two symptoms, spray painting and the cheesegrater, the former due to deranged peristalsis and the second of an unclear mechanism. 

This is similar to the effect of clindamycin from 1997 further confirming a role of altered gut flora in the creation of these symptoms. 

Anyway, they didn’t last that long, about 6 weeks before spontaneously remitting. 

However, they returned and remitted several times in 2010. 

After the PEG was placed, they returned again and stayed mostly on for years until 2015 when something rather dramatic happened (more on that later).