Been Throwing, Feel Nauseated And Suffer Weight Loss. Have Pain In Upper Epigastric Area. Suffer Constipation. What Can Be Done?
Pyloric stenosis is a very likely possibility
Detailed Answer:
Hello XXXXXXX XXXXXXX
Thanks for posting on XXXXXXX
Upon reading your description, I was thinking of pyloric stenosis before you mentioned it. The description of your symptoms plus the fact that you are having duodenal and gastric inflammation could explain the fact that pyloric stenosis might have predisposed to this condition. Your symptoms are typical of gastroesophageal reflux diseases with associated gastroduodenitis and dyspepsia (indigestion). With this case scenario, it is possible that you are suffering from irritable bowel syndrome.
First of all, I believe you will need that a doctor confirms my suspicions that will imply that you need to see a specialist and those of choice will either be a gastroenterologist or a visceral surgeon. They can conduct extensive laboratory work (even though I do believe that you already had sufficient work-up done) and maybe able to establish the main underlying cause so as to establish an effective treatment.
You might not only be suffering from only one digestive tract diseases but a multitude of them. From your description already it is clear that you are suffering from gastroduodenitis/GERD and dyspepsia.
You will need medications such as PPI e.g omeprazole, antacids, laxatives such as bisacodyl or lactulose or other forms, medications to ease IBS etc.
Your specialist doctor would know exactly what to place you on.
If your problem is pyloric stenosis, then the degree will determine if surgery is required or not.
I do not feel that there is nothing much that can be done regarding your situation given that all venues have not yet been exploited.
Just exercise some patience and with time, you will find the right doctor to handle your situation to the best of his/her capacity.
Hope that this helps and wish you a better health.
Dr. Nsah
I have one last bit of info to give, they did a stomach emptying test with an egg and I almost threw up the whole time. They said in the 60 minutes of monitoring that they did not see gerd.
Note that pyloric stenosis is more of child illnes
Detailed Answer:
Hello XXXXXXX
Thanks for the update,
I would not want you to focus your mind so much on pyloric stenosis as the cause of your symptoms as more than 90% of time occurs in children. It is more of a children diseases rather than adult as it has to do with the way the pyloric sphincters are formed after child birth.
In your case, we might to lean more on hertial hernia (especially since your condition might be obstructive in nature). If you are having bulging around the xyphoid process, then it could still be as a result of hiatus hernia. A visceral surgeon should be able to know what to do.
Also subocclusion of the intestines might be another underlying condition to trigger your symptoms.
With the inflammation of the duodenium and stomach, this shows that the pyloric sphincter might be affected hence constricted therefore leading to the frequent vomiting.
Note also that GERD can be determined without laboratory and most the time laboratory work is done only to determine the underlying cause.
Hope this helps further.
Dr. Nsah
Your welcome
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Regards
Dr. Nsah