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What Causes Severe Nausea, Vomiting And Abdominal Pain?

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Posted on Fri, 23 Dec 2016
Question: I have been suffering with severe nausea, intermittent vomitting , abdominal pain and cramping, loose stools/diaoreah, low appetite, eating seemed like poison to my body, for 12 months, spent most of the first 6 months in and out of being admitted to hospital, put on IV anti-emetics to control the sickness as I became severely dehydrated if I did not have it controlled. I did not eat for 10 whole days at one point, I was even vomitting sips of water I took. They did a lot of tests, MRI brain scan, camera down my throat ( showed mild reflux ) , camera up my rectum ( results were normal, but never reached the small bowel )My GP did a Calprotectin test 3 months ago which showed my small bowel to be highly inflamed, he put me on a dose of 9mg a day of a steroid called Budenofaulk ( Budenoside ). I took another Calprotectin after a month which still showed the small bowel to be highly Inflammed. I've just given another, no results back yet. I've started feeling much worse again over the last 2-3 weeks, so sick, can barely eat,very weak, hard to walk around so weak, plus my unintended weight loss has continued...I've lost over 6 stone in the 12 months of being ill. Please help me. I'm close to breaking as no one, no DR ( except my new GP who can only do so much ) have or are doing anything to help me. No one realises how sick I feel, I barely eat as the nausea is so bad...hence why I have lost 6 stone, together with constant diaoreah/loose stools. It's getting really bad again. I also have chronic pain ( Fibromyalgia) to deal with. I just want someone to help me and give me answers. Thank you.
doctor
Answered by Dr. Dholariya Sagar Jayantilal (8 hours later)
Brief Answer:
Need gastroenterologist consultation

Detailed Answer:
Hello dear
Welcome to HCM and thanks for the query
I understand your concern and sorry to hear about your problem

You have high fecal excretion of calprotectin.
It is a marker of the pathological inflammation of bowel.
So your high fecal calprotectin and associated symptoms could be due to the inflammatory bowel disease.

I would suggest to consult the authorized gastroenterologist.
Colonoscopy and if needed biopsy will help in the diagnosis.
Steroid for 6-8 week will help to reduce inflammation.
Mesalazine will help in the long term management
If above drugs will not responds then drugs like Azathioprine, Methotrexate and Infliximab can be useful

This is my personal opinion based on information available.
Consult the gastroenterologist as soon as possible and take proper treatment.

Hope I have answered your query
I will be happy to help you if you have further query
Best regards
Dr. XXXXXXX
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dholariya Sagar Jayantilal (17 hours later)
Dear DR, thank you for your prompt reply.
I had a regular Colonoscopy few months ago,plus biopsies, they found nothing. I know that the colonoscopy did not reach the very end of the small bowel though...where the inflammation has been found from a Calprotectin test.
What other kind of Colonoscopy should I ask them to do to see the entire small bowel ? I know there is one that does this.
And...are the steroids I am currently taking, the right ones or the right dose to take..?
Plus, is IM Cyclizine OK to take regularly to ease symptoms. My GP is happy to give this, so am I, I just need affirmation of this. Cyclizine has never given me any horrible side affects...is it OK to take untill other medication starts working..?
Thank you.
XXXXX
doctor
Answered by Dr. Dholariya Sagar Jayantilal (7 hours later)
Brief Answer:
Gastroenterologist consultation

Detailed Answer:
Hello dear
Welcome back and thanks for the follow up.
I understand your concern

You can go for Video Capsule Endoscopy.
It is powerful diagnostic tool that has proven especially useful in imaging the small intestine. It help to detect pathology in small intestine like Inflammatory bowel disease, neoplasia and polyp.
You can also go for Barium follow through examinations before capsule endoscopy to rule out any structure/obstruction in samll intestine.

Steroid should be used for short term management to decrease inflammation (only for 6-8 week including tapered off dose).
Budesonide is newer steroid and beneficial in patients with active inflammatory bowel disease.
But after confirm diagnosis of IBD, it should be start in high dose.
After improvement of symptoms, it is tapered off weekly.
Gastroenterologist will explain about dose more better.

You can take cyclizine for symptomatic relief of the nausea.
This is my personal opinion based on information available.
Consult the gastroenterologist as soon as possible and take proper treatment.

Hope I have answered your query
I will be happy to help you if you have further query
Best regards
Dr. Sagar
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. REMY KOSHY
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Answered by
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Dr. Dholariya Sagar Jayantilal

General & Family Physician

Practicing since :2009

Answered : 5898 Questions

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What Causes Severe Nausea, Vomiting And Abdominal Pain?

Brief Answer: Need gastroenterologist consultation Detailed Answer: Hello dear Welcome to HCM and thanks for the query I understand your concern and sorry to hear about your problem You have high fecal excretion of calprotectin. It is a marker of the pathological inflammation of bowel. So your high fecal calprotectin and associated symptoms could be due to the inflammatory bowel disease. I would suggest to consult the authorized gastroenterologist. Colonoscopy and if needed biopsy will help in the diagnosis. Steroid for 6-8 week will help to reduce inflammation. Mesalazine will help in the long term management If above drugs will not responds then drugs like Azathioprine, Methotrexate and Infliximab can be useful This is my personal opinion based on information available. Consult the gastroenterologist as soon as possible and take proper treatment. Hope I have answered your query I will be happy to help you if you have further query Best regards Dr. XXXXXXX