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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constipation And Loss Of Appetite?

Hi I am a 30 year old woman, 5ft 8 inches and weigh just over 9 stone, for the past year or so my bowel ONLY moves when I have my period..... They move 2 - 3 times during my period and then dont move until my next cycle. There is no pain, I dont feel constipated and my faeces looks normal, but my partner is worried as he says this is not normal. I have for the past month or so had a pain that feels like it starts in my womb and shoots up my back. It lasts a minute or so then disappears and has only happened a few times. I also have began to lose my appetite (last night I ate a meal for the first time in 4 days), I just dont feel hungry in the slightest and if I do try to eat I am feeling full after a few mouthfuls. I usually have a very good appetite!) And I dont know if its relevant but on New Years Eve i began to get a pain in my chest which started to travel down my arm and up into my neck and i found it hard to breathe properly. This happened approx 8 times that night. I went to my doctors who said my blood pressure was normal, but my heart rate was quite high. He was referring me to have an ECG and an ultrasound on my heart (still waiting on appt coming through) Ive not had any more pain in my chest as severe as that however, I have on a few occassions felt as if my heart has skipped a beat and then seems to be very fast for a few minutes before going back to normal. Any advice on whats going on with my bowels? Or is it ok aslong as everything looks normal? Many Thanks, Erynn
Mon, 11 Mar 2019
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General Surgeon 's  Response
Hello,

The first thing I would have thought of would be an ulcer or something else going on in the stomach. The doctor took the correct step and got an endoscopy which rules out those kinds of problems.

A large hiatal hernia can put pressure on the lungs or heart, especially after a big meal, and could create a heavy feeling in the chest. I would suggest frequent small meals and see if that helps.

This might also be related to the other symptoms. Unfortunately, nausea, vomiting, and appetite loss are non-specific symptoms that can occur with a multitude of medical conditions, and so can be hard to diagnose.

Medicines are a very common cause, so the next thing I would think about is the tramadol. Talk to the doctor about stopping this or trying another medicine, and see if that helps.

If nothing is changing, then a medical work up to find the cause might be necessary. A thorough physical exam and bloodwork would be the place to start.

The results might pinpoint a reason or lead to more specific testing. Talk to the doctor about further evaluation.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Constipation And Loss Of Appetite?

Hello, The first thing I would have thought of would be an ulcer or something else going on in the stomach. The doctor took the correct step and got an endoscopy which rules out those kinds of problems. A large hiatal hernia can put pressure on the lungs or heart, especially after a big meal, and could create a heavy feeling in the chest. I would suggest frequent small meals and see if that helps. This might also be related to the other symptoms. Unfortunately, nausea, vomiting, and appetite loss are non-specific symptoms that can occur with a multitude of medical conditions, and so can be hard to diagnose. Medicines are a very common cause, so the next thing I would think about is the tramadol. Talk to the doctor about stopping this or trying another medicine, and see if that helps. If nothing is changing, then a medical work up to find the cause might be necessary. A thorough physical exam and bloodwork would be the place to start. The results might pinpoint a reason or lead to more specific testing. Talk to the doctor about further evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon