Hi.
Thanks for your query.
Noted the history about a 20 year old, it's about a year since you stopped puking after eating. Since you are bulimic, you have started puking up again, about twice a day, but today stomach feels funny, like empty, but it hurts too, like a sore feeling you work out a lot, wants to know what does that mean, whether acid working attacks.
My thoughts and advise:
Since you are bulimic, such things ought to occur. Hence the basic treatment is to take an opinion of a
Psychiatrist to have the treatment for your
bulimia and if the medical treatment fails, please consult a Surgical Gastroenterologist, or a Medical Gastroenterologist to for further management .
The puking will stop by eating small frequent meals.
Avoid oily and spicy foods.
You will have to control the problem of bulimia, it is possible.
Also take a PPI and see if there is some relief, if it is present, please continue and have an upper GI
Endoscopy to see what the problem is.