Originally Posted by
avguy
Although the mileage is on the high side, with regular oil changes there is no reason to believe there is anything internally wrong with the engine. But if you want some reassurance about that, have your mechanic do a compression test. Spark plugs is the first suspect for misfire, followed by wires, particularly if the common valve cover gasket leak has created an oil bath for the plug end of the wires. But there are a number of other possible misfire culprits as well.
You do however need another timing belt, and the DIYers here normally change the 2 pulleys and water pump at the same time. Although this may add quite a bit if you're paying shop rates, it's highly recommended and advisable to change those parts.
You should get new fluid into the tranny asap. Do not power flush - just pull the drain plug and replace the 2 or so quarts via the dip tube. Try to get that done at least 2 times in the very near future. Having never changed the fluid, 3 or 4 swaps would be better than just the typical 2.