There is never TMI here. :lol:
First, let me say that chocolate is a natural diuretic and if, for some reason, your stomach is more sensitive, then eating chocolate could bring about diarrhea.
Have you or your doctor ever spoken about Fibromyalgia? This may be a reason why your stomach is much more sensitive. 30% of Lupus patients either develop Fibromyalgia or had FM prior to their Lupus diagnosis. I have Lupus and Fibromyalgia. One of the primary symptoms of Fibromyalgia is Irritable Bowel Syndrome (either diarrhea or constipation or a combination of both) with painful cramping. IBS is a chronic illness that tends to get worse over time or is exacerbated by certain foods (like chocolate) or medicines. As many as one-third of irritable bowel syndrome (IBS) patients have described extra intestinal symptoms such as rashes, tension headaches, and muscle pains. Research has shown that as many as 60% of IBS patients also suffer from fibromyalgia syndrome (FMS). Conversely, as many as 70% of FMS patients have reported experiencing symptoms of IBS.
Even though IBS affects the gastrointestinal tract and FMS the musculoskeletal system, there are similarities. Neither condition can be explained by organic disease; they are considered functional disorders. Both occur frequently in women and the onset may be during a stressful event in life or in overlap with some auto-immune disorders (like Lupus).
Fibromyalgia is not a disease, like Lupus, it is a chronic syndrome (meaning there are no aspects of it that can become life-threatening).
The most prominent symptom of fibromyalgia is pain. Unlike arthritis, the discomfort is not in the joints but in the muscles and ligaments. The pain is commonly located in the neck, shoulders, back, and hips. The tenderness is worse in the mornings and has been described as flulike, burning, throbbing, aching, or stabbing.
Another frequent complaint associated with fibromyalgia is fatigue. In fact, it occurs so commonly that some doctors think fibromyalgia and chronic fatigue syndrome are the same disease. But, by far, the most aggravating symptoms of FMS is Irritable Bowel Syndrome!
Speak to your doctor about this possibility. There are 18 defined pressure points in the body when a person has FM, you must have 11 of the 18 (I have 14). As with Lupus, there are criteria which must be met in order to be diagnosed with FM. If you have Lupus, the chances are good that you will meet most of the criteria for FM.
Let us know what you find out! In the meantime, it might be helpful for you to stay away from chocolate (particularly - milk chocolate). An easy way to find some relief from your symptoms, including constipation, diarrhea and gas, is through simple changes to your diet. Keep a diary of the foods that you eat and any symptoms that occur afterwards. If you notice that certain foods are triggering your symptoms, try to reduce or eliminate them.Try drinking 8 to 10 glasses of water every day to help ease both constipation and diarrhea.
Stress and anxiety often exacerbate symptoms of irritable bowel syndrome. This is because receptors in your brain are directly connected to nerves in your gastrointestinal tract. So, just as is the case with Lupus, you must try to reduce stress by getting proper sleep, engaging in daily exercise, and perhaps even by getting counseling for your emotional needs.
You may want to try anti-diarrheals or anti-spasmodic medications. Anti-diarrheals help to alleviate the pain and cramping caused by diarrhea. Imodium, an over-the-counter drug, is very effective at slowing the action of the bowel, thus reducing diarrhea.
Anti-spasmodic prescription drugs work to relieve diarrhea by relaxing muscles in the wall of your gut. They also reduce contractions and cramping caused by diarrhea. A popular anti-spasmodic for irritable bowel syndrome is dicyclomine, sold under the brand name Bentyl. Bentyl does have side effects including: dry mouth, dizziness, blurred vision, and nausea.
I hope this was helpful. Let us know what you find out & how it is responding to treatment!
Peace and Blessings
Look For The Good and Praise It!