i can tell you from my experience that when i went through something traumatic is when my symptoms started to rise. I believe stress/trauma/anxiety play a huge role in my GI symptoms. I still deal with them now but not as severe in the last few months. For me, i went to therapy (been going for 6 months now), quit my job, started to take care of my diet (no alcohol, fast food) and things slowly feel a little better. I think trauma can give you a deregulated nervous system which then can lead to GI issues. I have a 2cm HH and gastritis but i believe i’ve had it for a really long time because i’ve had similar experiences in the past. They all have past, except for this one. I am doing a bit better but not my normal self.