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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bloating,nausea,pain And Vomiting?

38 year old female, 4 weeks of bloating, nausea, pain, vomiting, lost 22 lbs. Have not had any solid food in weeks, living on Ensure which is now giving me diarrhea. So far they tell me all labs are ok except my CRP is elevated. Abdominal US showed an enlarged liver at 19cm with heterorgenous echotexture? Something like that. Abdominal CT scan showed a new 5 mm nodule in right lung base area, and some diverticuli without evidence of diverticulitis. UGI with SBFT was essentially normal except it showed severe degenerative changes in my spine and ileosacrial joints. Just had an EGD done and doc said it showed inflammation in the beginning of my small intestine and started me on Prislosec. Stool cultures so far show inflammatory cells? and one more is pending. No gallbladder or appendix. Severe bloating and RUG pain to the point of taking my breath away when I lean forward. Feels as thoug something inside of me is strangling itself when I bend forward. Happens frequently and did this morning and made me vomit at the same time. Any ideas or suggestions?ka
Fri, 31 Mar 2017
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General Surgeon,  's  Response
Hello,
I can understand your concern for your symptoms.
1) You have primary problem of inflammation to proximal part of small intestine (duodenum); This itself and Ensure, both lead to loose stool.
2) You must stop ensure in case of loose stool. You can take anti-motility medication (Loperamide) to reduce frequency of stool.
3) Elevated CRP, inflammation in start part of small intestine might be due to Celiac's disease. Person develop poor absorption of particular type of food due to abence of some of digestive enzyme and this lead to development loose stool.
4) Use of digestive enzyme supplementation (Unienzyme) and avoidance of fat-rich diet will help to reduce post-prandial bloating.
5) You can take anti-emetic medication (Ondansatron) to prevent vomiting (Take only when you feel nauseating)

Hope I answered your query. If you have any doubts, I would be happy to help you.
Have a nice day!
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What Causes Bloating,nausea,pain And Vomiting?

Hello, I can understand your concern for your symptoms. 1) You have primary problem of inflammation to proximal part of small intestine (duodenum); This itself and Ensure, both lead to loose stool. 2) You must stop ensure in case of loose stool. You can take anti-motility medication (Loperamide) to reduce frequency of stool. 3) Elevated CRP, inflammation in start part of small intestine might be due to Celiac s disease. Person develop poor absorption of particular type of food due to abence of some of digestive enzyme and this lead to development loose stool. 4) Use of digestive enzyme supplementation (Unienzyme) and avoidance of fat-rich diet will help to reduce post-prandial bloating. 5) You can take anti-emetic medication (Ondansatron) to prevent vomiting (Take only when you feel nauseating) Hope I answered your query. If you have any doubts, I would be happy to help you. Have a nice day!