Gastroenterology :: Uncontrollable Burping And Loss Of Appetite


Jul 8, 2015

This took place about 2 months ago now and started with loss of appetite, I could go all day without even getting hungry. when i would realize how long it had been seine i ate i would make myself eat, but it would cause stomach cramps and pain so i started just not eating. i felt fine never getting hungry or even feeling weak. I am sure this wasn't good but eat became quite painful. it progressed to if i would eat i would burp literally constantly the rest of the day. So now i am back to not eating at all and still burping constantly. I know i need to eat but don't know what i can do to help this, tums and over the counter meds have done nothing so far.

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Kidney Or Gall Stones? Pain - Back And Right Side, Loss Of Appetite, Nausea

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Gallbladder Surgery :: Persistent Mild Dyspepsia, Mild Nausea And Appetite Loss

RECENT HISTORY

First, I am diabetic and have had a fairly normal healthy life except in the last two years where I gained 40 pounds, did not control my blood sugars well, and went off the rails. I have had a lot of issues this year, but to focus on my most recent issues, I had a A1c of 10.5 two month ago and went to 9.1 a month ago finally to 7.6 right before my single incision laparoscopic with robotic-assisted single-incision surgery to remove my infected gallbladder (Hida Scan 11% no gallstones). 6 month ago i started experiencing a lot of bloating, indigestion and took charcocaps that helped a lot after meals.

Two weeks ago I went out for a cup of iced coffee (huge coffee drinker 3-4 cups a day for a long time no problems for years), and something hit me, it felt like a sharp pain and instant feeling of bleh no appetite and sick feeling the rest of the day. This continued for a week before I knew something was wrong, I could not have anything acidic or felt like I could eat anything. I had just seen my doctor for a bike accident a month prior to get a referral to a PT and osteopathic doctor. I had a l3/l4 compressed nerve with a twisted sacral (this is much better now with some minor spasms in my right leg from time to time). With all of that pain (took hydrocodone and muscle relaxants to sleep, sleep was poor) and school, I figured I must have given myself an Ulcer. My doctor game me a ppi-omeprazole (i've never had reflux and didn't then) since I had symptoms of some burning sensations and this chronic dyspepsia so this would treat the possible Ulcer for two weeks while I was sent for an ultrasound to check out my gallbladder (family history - Mom, aunt, and uncle had their's out with gallstones). The ppi sort of helped but I just was fatigued, could not eat anything but a bland diet, I had chronic dyspepsia and general nausea that I could never shake. My daily caloric intake decreased with each new day and food just made me generally feel sick, however if I skipped meals it would still be bad, worse with food.

TEST RESULTS
After the Hida scan came back positive with an ejection rate of 11%, I scheduled my new a1c test, ekg (family history of heart disease), I was cleared and scheduled for surgery. I stopped taking the ppi as I believed this to be the cause of all my problems. btw, I was 254 the end of june and lost 25 pounds by the time of surgery (average daily caloric intake ~900-1200 prior to surgery

POST SURGERY

After the surgery 7/21-one week ago, I had my two days of pain and adjustment, and recovered decently with a soft food and liquid diet. I noticed the general sickness was gone! Hazzah!, except on Saturday I was feeling bloated, cramping, and I could not eat a solid one bite without feeling sick. I knew I was constipated. I stopped the pain meds the day before and I knew I had not eaten too much but it was over a week since i went. I took magnesium citrate and nothing after 7 hours, I drank another 1/2--then BOOM it was insane. I was sooo wiped out and tried to replace lost liquids but I believe I was dehydrated. I was sick that night and stomach was not happy.

Sunday was much better but I was wiped out still and felt generally just depleted of all my energy. I ate, walked a bit and then came back home. That night I started feeling very uncomfortable and the symptoms were somewhat similar to prior to surgery of the general dyspepsia and nausea chronically. I could not sleep because of my back problems (had to sleep upright on my back all week). I woke up in the middle of the night turned to my side and then all of a sudden I felt a warm rush of something just above my stomach and the constant burn in my stomach no reflux. I could not sleep until the morning.

NOW,
I have had really bad gas (low fat diet) for the past few days. I was getting and feeling better on day four but now this!

I felt extreme discomfort all day, felt like a low grade fever 98.6 (no fever) incision site is also slightly red, but the doctor said to call if I had a fever. I was worried about an SSI. The pain was like I threw up (I never have even starting out back in at the coffee shop) and that ache afterwards. The burning sensation let up later in the day after I took some antacids and saltines (I must have some acid issues, but I have read a lot of people suspecting many people may actually have low acid).

The thing is a lot of people have episodes after food, but mine is chronic with mild discomfort, burning sensations, upper abdomen and stomach discomfort (with some nausea), and food helps it initially and then it comes back. I feel week, slight low grade fever even though I don't have one. I keep thinking I have an infection of H. Pylori or something. Food takes a while to do much, I walk after I eat everything. I feel like I could eat but I get so much bloating and indigestion that it is uncomfortable. I drink plenty of water, but I wonder if I am low on essential things for the long ongoing low calorie daily diet. I can't eat more then 800 calories even with smaller meals-since Thursday.

Why was my gall bladder inflamed in the first place? I had no stones, and the surgeon said I had a very long a big gallbladder (ready to rupture!) that was really inflamed including a little on the liver. Pathology reports came back negative. I theorize my rapid change in weight and blood sugar levels inflamed the organ or an infection.

Possibilities:

diabetic Gastroparesis
H. Pylori
Peptic Ulcer (was never officially tested)
Gastritis
Anxiety
Low/High Stomach Acid
Low bile leak?
Sphincter of oddi dysfunction

What I feel could help:

HCL Betaine
Digestive Enzyme (Garden of life chewable vegetarian)
ppi (I would hate to take them unless I had to)
something to coat my stomach if I do have an ulcer to heal
ability to eat more so I can have more assimilated minerals, ect.
Anxiety med (first year i've had a lot of anxiety-mainly school related and upcoming wedding planning for next year
more tests!

My burning anxiety questions:

When will I get my appetite back?

(i really suspected my odds were decently good that I would get better after surgery, I had a great surgeon)

Did anyone have any of these chronic symptoms? Is it due to an infection or some issue with surgery?

Have some people eventually been able to eat what they wanted after a period of time?

How many had these excessive bloating, indigestion, nausea and general malaise through the day, worse a little while after food or between meals?

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Undiagnosed Abdominal Pain, Back Pain, Diarrhea, Fatigue, Loss Of Appetite

I'm 16 years old, and I have now been sick for over a month (I first got sick at the end of November). I have been experiencing stomach pain/discomfort that comes and goes. It is generally all through the middle of my abdomen, but I have also noticed that I sometimes get sharp, shooting pains on the left side. The pain is worse after I eat, and it doesn't matter what I eat, the pain is still there. I don't have much of an appetite, but I have been trying to eat because I know that I should. This is extremely difficult, though. I have lost almost 10 pounds in the past month because I haven't been eating much, and really don't feel like eating. I've also been having horrible diarrhea.. sometimes I will need to use the washroom three or four times a day. I have tried taking Imodium for the diarrhea, but I always end up extremely constipated.. and the diarrhea only returns (I might have one regular bowel movement, but after that the diarrhea just comes back). I'm exhausted as well. I just want to sleep all the time, and I find it hard just to keep my eyes open throughout the day. My lower back is also constantly aching.. I just do not feel well at all.

I have been to see my doctor 4 times because I just don't seem to be getting any better. He initially thought that I had a viral infection, but after I did not improve after two weeks, he decided to run some tests. I gave a urine sample and he said that I probably had a kidney infection (but he wasn't 100% sure because I had my period when I gave the sample). He put me on medication, and sent me for blood work. I also had to give a stool sample. All of my tests came back normal, but the medication didn't help at all. The next time I saw him, he said that I might have an ulcer, and put me on apo-omeprazole, which I have been taking for about two weeks now. I'm also on medication for a case of bronchitis.

I am incredibly frustrated because nothing seems to alleviate my symptoms. I have missed 15 days of school because I just feel terrible. My parents think that I might be making it all up, or that it's all in my head, and my doctor has suggested the same thing (he told me that there was "absolutely no reason" a person my age would be experiencing symptoms like this for so long. I am NOT making this up, and I know that it ISN'T all in my head. I just wish that someone would actually take me seriously and believe me when I say that something is wrong. I have an ultrasound scheduled for Tuesday, but I just don't know how to cope at school until then. I'm also scared that the ultrasound will come back normal, just like all the other tests I've had done. Has anyone experienced anything like this before? I'm desperate for answers and ways that I can cope.. I want to get back to school and my life.

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Sleeping Trouble - Uncontrollable Vivid Thoughts When I Close My Eyes

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I've noticed this a fair few times after taking drugs but now it has started to happen to me on nights where I'm sober (98% of the time). It could be a possibility that I stand under the speaker at work which we play music from and it is quite loud not to mention a very busy retail job in a liquor store. I come home to sleep around midnight and close my eyes and it's as if i'm in the store with no control over my actions just serving customers going about my normal shift work.

My bedroom has a few led lights that flash but I mostly cover them up with t shirts, they're from computers and such, I'm 22 years old healthy never had problems with sleep as a teenager and I've only noticed it in the last 2 years. I'm thinking it might be to do with the long exposure to loud noise since its now happening once I'm sober. when I drink alcohol I tend to pass out no problem within seconds of hitting the bed. Any ideas, theories or information on what I'm experiencing and possible causes.

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Gastroenterology :: What Causes Spasm During Cholangiogram?

I was diagnosed with gallstones last 2014 but I only had my gallbladder removed through open cholecystectomy recently last November 29, 2015. The surgeons placed a t-tube drain and discharged me with it. They scheduled me for cholangiogram December 17, 2015 but the result showed that there's still a faint filling in the common bile duct so they scheduled for follow-up cholangiogram on January 4, 2016. During the second cholangiogram, this time there was a distinct pain during the procedure so they had to stop it. Two hours after, I know something was wrong because I felt cold then my temperature shoot up to 38.9 degree Centigrade. I felt slight pressure at the lower abdomen like I feel an urge to defecate and a few minutes I vomited. I was hospitalized, given antibiotics and hydrated. My doctor told me that it was an expected outcome after a cholangiogram. He said he would refer me to a hepatobiliary surgeon. I was checked by the specialist and told me that basing on the results there's still fragments left that's why a SPASM occurred during the cholangiogram. He's gonna perform a t tube choledochotomy. As of the moment, I noticed that I lost weight (8 lbs) after my hospitalization, continuously experienced itchiness and bitter after taste during meals. I also felt an on and off tingling sensation just below my operative site. Do I need to ask for second opinion?

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Gastroenterology :: Cyst On Spleen

My friend is 52 years old and he was on regular ultrasound examination of his abdomen when doctor discovered cyst on his spleen. He was little bit afraid because of it but his doctor told him not to worry and to repeat ultrasound in the next four weeks. I would like to know something more about this.

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Gastroenterology :: Constipated For Almost Two Years

So back in 2013 there was a time when I ate these fiber bars for breakfast everyday for about a week maybe. At the time I didn't know when you increase your fiber intake you need to increase your water intake. So I went maybe 2 weeks without using the bathroom at all. I guess I really didn't notice it because at the time I was dealing with the end of the year at school and family issues. When I finally did notice my mom and I went to see my doctor. She took an X ray of my stomach and just prescribed me miralax. Which for me didn't work. If I took too much I things would be watery but still nothing much would come out. If I took the right amount things would be pencil thin and still not much came out. Ever since then my digestion hasn't been right. Over the years its just gotten worse, i've tried many things on my own. I've tried the liquid magnesium citrate and that used to work well but it does nothing anymore, Fleet enemas do nothing, I've even tried a real enema and that too barely did anything! There were points where I didn't use the bathroom AT ALL for weeks and even months. When I lay flat on my stomach I can feel a huge lump, or when I press on my stomach its painful. Sometimes my stomach gets so bloated and I look like I'm pregnant. Recently I had this extreme sharp pain in my side I couldn't even move, I just curled over and waited for the pain to pass. I'm so afraid to eat, I've even feel like I have to throw up if I eat too much, and I have thrown up a couple times. I went to the doctor again recently and told her the miralax isn't working, I told her about the pain and the throwing up. She did another X ray and told me I was filled with stool and blocked up all around my colon. But all she did was tell me to either take dulcolax or take a square of ex lax followed by a fleet enema for a week! I would think if I'm at the point of throwing up something more would have been done!! (Btw she's a pediatric doctor,  I'm 19 but she said they would keep seeing me till im 21 if I like. I don't know if it's because she's a pediatric doctor is the reason why she's taking these approaches that aren't working.  Maybe she doesn't know what to do?) All she is doing is telling me to take different laxatives but it's not working, and I'm so scared.. I've read people can die from fecal impaction. I've read about people with the same problem as me but they have only been constipated for a month or less and they've been to the ER and had things taken care of! But I've been like this for almost two years so why haven't I! I don't think my doctor is taking this seriously and I'm thinking I should go to a 24 hour clinic and maybe they'll actually do something? Or the ER, but how would I get in? I'm just really scared and I don't want to be like this anymore.

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