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My story is that I used to have severely painful stomach issues daily. With or without spicy food. (Though spicy stuff would definitely exacerbate it.) Doctors couldn't really help me with it. I got a diagnosis of IBS, but that didn't really do me any good.
Then a friend of mine got me into healthier eating habits and I did an elimination diet that lead me to the root of the issue: sugar. I've got a violent sensitivity to sugar. Apples, for instance, are well sweet enough to destroy my whole life as long as I continue eating them. The only reason I didn't realize it was sugar before then was because I ate it so regularly and never tried quitting it. (Also, it takes a few days of sugar consumption to cause me issues, and then a few days of abstaining for the symptoms to subside, so I'd have had to go off of sugar for several days before I figured out the issue was sugar.)
(Full disclosure, there might have been other things that contributed to my IBS. For instance, I haven't had grains to speak of since about the time I quit sugar and haven't tried grains since, really, so I don't know if reintroducing grains would bring back symptoms.)
Since I quit eating sugar almost entirely (my rule is "nothing sweeter than a tomato"), spicy food is almost never an issue for me. No stomach or intestinal pain. No pain in the bathroom. I definitely have a sensation of warmth in my stomach (which, honestly, is pretty pleasant) after eating spicy food, but it takes a lot of super spicy food for a long period of time to give me anything approaching what I'd classify as a "symptom". (And when that does happen, I just back off for a few days before hitting it hard again. Lol. And by "back off", I don't mean zero spice. Like half-to-two-thirds as much spice is more than sufficient.)
So!
To answer your question directly, if it were me, and mind you this is just based on my own experiences in my life, it might be worthwhile to try an elimination diet like The Whole 30. Go super strict on it, at least for the duration of the experiment and see what it does to you. In my case, I didn't have to try spicy food to know it was improving my wellbeing. (And who knows. Maybe you'll have positive results without trying spicy food.) But it probably wouldn't hurt anything to try something super spicy right about at the end of your experiment.
(And, full disclosure again, I didn't do the Whole 30 exactly. But my diet is pretty similar to the Whole 30 today and has been more-or-less so for the last 20 years.)
I'm not everybody, just me. So I don't know if there are people out there who can't tolerate spicy stuff even if the rest of their diet aligns with their particular sensitivities. But in my case, the only thing keeping me from eating spicy food was the severe reactions I was having to other stuff. YMMV, but if you decide to try something like this out, good luck! And if not, good luck anyway!
To add to this, I eat a fair amount of sugar and stupid spicy stuff with minimal impact to my stomach or any exit issues
Wow! Thanks for such a great reply!
I used to have stomach issues in uni when I was eating a lot more bread. I never really did anything about it, but it seems to have died down now as my diet naturally changed. I'd never heard of an elimination diet before so that makes sense to narrow down exactly what's causing it.
It's really fascinating how the same combinations of food can affect people in such different ways.