Most important: go see your doctor.

However, I'll say that a Slight stomachache after eating and A hemorrhoid comes and goes (has for a few years), to me spells out a long-term issue with one or more things in your diet that can easily lead to most of all the other symptoms you've described.

This resembles part of the hell I went through between 6-2 years ago, and I reiterate again: please go see your doctor.

i would look very seriously into your thyroid function, you have described classic hypothyroidsm. Is all your excess fat around the belly? Trouble sleeping?

I agree with everyone: you need to go see a doctor.

I think it's great you're trying to heal yourself with a paleo diet-- I hope you find wonderful health and well-being -- but I will say that you have to be careful when you start tweaking things. Especially with the issues you list, I would be concerned about trying to follow the standard paleo diet that a lot of people here recommend and seem to thrive on. If you have digestive issues (I'm thinking leaky gut), you very well might worsen on lots of protein or difficult-to-digest vegetables or low-carb. I am learning this myself, having similar issues to you (skin issues, depression, anxiety, fatigue. I'm also fairly thin and in my 20s).

I followed a low carb paleo diet (about 50 g a day) for two months and I saw my depression and anxiety get much worse. As in, I was walking on the sidewalk and would suddenly break into uncontrollable sobs. This is something that had never happened to me before. I just want you to know that it might take some time to find a WOE that works for you, and especially in the beginning, with leaky gut, you need to be very gentle with your system.

Best of luck to you -- please keep us updated -- please see a doctor.

Take out fish oil, see what happens.

Also could be your probiotic.

Iron and/or zinc deficiency? I too had a sore throat that wouldn't clear for months. Saw a ND who diagnosed anemia and zinc deficiency. My sore throat disappeared immediately upon supplementing. Helped tremendously with fatigue too.

You have only been paleo/primal (your diet sounds more primal) for 3 weeks. In the first months you may find that your depression symptoms become " worse", I put that in quotes because the depression becomes more consistently sad for longer times rather than extremes of suicidal thoughts back to sadness. This is due to serotonin levels because you are lower carbing it. It may sound hokey but meditation and awareness help with managing the depressive bouts, literally emptying your mind instead of focusing on it. Try fermented cod liver oil because it has the right ratio of a,d,e, k2 and if possible the vitamin butter as recommended on the weston a price website. They are extremely healing for depression.

Persistent sore throat - could be from anxiety/depression. Try taking some Vitamin C.

Chronic fatigue - make sure to get RESTFUL sleep. Try to go to bed around 10:00pm -10:30pm. Sleep until you wake up. Try to not use an alarm clock if you can. Make sure your room is pitch black. Light can affect your sleep.

Very dark circles under eyes - I got this when i didn't get good sleep.

Dry skin - maybe try not showering everyday. Change soaps? Drink plenty of water.

Acne - before bed, rinse face with warm/hot water, then apply lemon juice. Rinse with cold water.

Hemorrhoid- I've had mine for a year or so. It doesn't bother me, but it's annoying. I'd maybe go to doctor for that or get something to clear it up. I haven't really tried much yet though. :P

Slight stomach ache after eating - could be too much starch, otherwise take the probiotic after you eat. It could also be from anxiety/depression.

Depression/Anxiety/Suicidal thoughts - Get the Linden Method. It pretty much cured my anxiety/depression. I still get anxious at times, but I now know what triggers it, what it does, and how to get rid of it. :)

And maybe try cutting out the fish oil.

Could it be digestive problems? Maybe. It could be hypothyroidism, digestive issues, and or/anxiety depression that could be causing all these sensations. It's uber tricky trying to nail it down to one thing, but hang in there. Keep your head up. You're not alone. I've experienced many of the things you've mentioned.

The more I think about it, your symptoms (both the ones here and the ones you've described elsewhere) could be caused by vitamin B12 deficiency or malabsorption.

• skin problems (including dark circles)
• neurological problems (including depression and anxiety)
• fatigue
• tingling in extremities (this is a classic sign)
• lymph node swelling
• temperature regulation problems
• abdominal pain

You said elsewhere that you get plenty of B12, but that doesn't mean a great deal because malabsorption is a not-uncommon problem.

In my opinion, the evidence is strong enough to warrant a B12 test. Ask your doctor.

For what it's worth, according to some vegans I read on the net, whom I would tend to trust in this matter because they have a personal stake, the most reliable test is uMMA, which is a urine test, and which I believe you could even get done yourself from various labs in the US for $150, probably even from Wales. Other tests supposedly have high rates of false positives and negatives.

Chris Kresser has an interesting article on B12 deficiency.

(I'm not a medical professional by the way. I'm a software developer. I could be completely barking up the wrong tree. But I couldn't help noticing that the symptoms seem to match.)