u/Maidinmhaith

I'll try to keep this short! I've had a variety of health issues for about ten years. Many of these started around the same time I developed a panic disorder which later became generalised anxiety. I'm in a good place mentally now but I still have various health issues. In particular, I experience quite intense muscle tightness all over my body. All my muscles feel like they are permanently clenched. I also feel my breathing is restricted. The muscle clenching seems to be the cause of pain in many places in my body, especially my jaw, neck, shoulders, head/face. I also suffer from constipation which I believe is linked to my muscles being all clenched, including pelvic floor.

I have two questions I would really like some help with.

1. Do these symptoms seem likely to be related to PTSD? My hypothesis is that because I have had along term generalised anxiety my body/nervous system became trapped in 'fight or flight' mode and my muscles have just become 'stuck' in clenching
2. What are some of the best things to try for PTSD, especially in terms of how it shows up in the body? I have done 4 years talk therapy in the past, I am on an SNRI, and I got into meditation and eventually became a Buddhist. My lifestyle is very calm (accept for constantly ruminating on the cause of my muscle/pain issues). I don't drink.

I'd really appreciate any help!

Are there any nicotine pouches without artificial sweetness? I avoid synthetic sugars for health reasons. I would prefer nicotine with no flavor or sweetness but not sure this is possible

I'm in remission but i have problems with constipation, ribbon stools etc. Last couple of months I've had a lot of indigestion your feelings, fullness, sometimes nausea. Any one have success with dietary changes to have less digestive discomfort? I'm thinking maybe cutting down on vegtables and fruit, eating mainly rice instead of pasta and bread and that kind of thing. Dont want to do any extreme diets

First full colonoscopy on Monday. The preparation info says to fast after breakfast the day before (the colonoscopy is at 8am). So that's roughly 24 hour fast. That seems a bit over the top to me? Just wondering if any of you who are very experienced have any thoughts on this or any other tips?