It probably keeps happening because even if it is IBD, food is not a cure. It can ehlpe, but there is still underlying disease present that just waits for a bad day to show itself...
Almost certainly the right thing to do is to do a biopsy now to rule out the scary things and know for sure what you are dealing with. As time goes on, the dog continues to feel well aside from the GI issues,and the bloodwork stays normal, then we know it probably isn't anything too serious because the dog may not look so good many months after getting a serious disease. Obviously the problem with the wait and see approach is that if it is something serious, it probably too late by the time a biopsy is decided on.. All that said, my dog has the same kinds of issues, just worse. I skipped the biopsy and played with diet for many, many months. After awhile I knew the underlying issue was probably just IBD (and pancreatitis) because her bloodwork still looked good, etc. It took a very, very, very long time to find a food that would work. And it still isn't perfect...
Steroids may be an option here although long term in a case like that the biopsy could be pretty important because you need to know that they HAVE to be used.. Using them long-term, necessary or not, will have some very undesirable effects (months to years after starting). Maybe talk about just using them for now to see if they help? Also though, on the off chance that this is lymphoma (not probable but theoretically possible), givving prednisone would make any attempts at chemo later on not as effective. So some vets will recommend the biopsy first...
How long has he taken Metro? No effect?
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