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Constipation with reflux disease - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2263 Questions
User :   Hello this is a long query but it has neurological aspects to it
Doctor :   Hi
Doctor :   yes please proceed with your query
User :   Okay all my life ive been fit healthy regular to the toilet
Doctor :   ok
User :   And all of a sudden one day exactley 3 months ago i had a chicken salad sandwich had severr reflux then my bowels just stopped working
Doctor :   ok
User :   Then i started to develop all these neurological symtoms afterwards I had contstant and still have this ataxia and braing fog,my body chills and burns all day all night long,i feel motion sickness when i move and all depression cause i cant do anything and i cant go to the toilet unless i take extrra strong laxatives used for bowel preperations
Doctor :   ok
User :   Now i have had many tests so far
User :   2 colonoscopys
Doctor :   ok
User :   2 endoscopies
Doctor :   ok
User :   4 mri 2 of my brain
User :   2 of my back
Doctor :   ok
User :   eeg
User :   eng
Doctor :   ok
User :   Now the only thing abnormal was my colonic transit study
Doctor :   ok
User :   which showed i only excreted 24% over four days
User :   now all my blood tests and urine tests for Perpihal nerve damage have been normal
Doctor :   ok
User :   Ana and all
Doctor :   ok
User :   have showed nothing
User :   Now ive been told that i may have damaged my vagus nerve from reflux that day or i have neuro toxin poisioning from the sand wich and possible a non organic brain disease?
Doctor :   ok
Doctor :   as of now there is severe constipation
Doctor :   what medications are you on for the constipation
User :   well nothing has worked
User :   my bowel is paralised
Doctor :   ok
User :   and half of my body feels that 2 from inside
User :   No body knows what could be happening
User :   any input as two what could be wrong?
Doctor :   from the colonic transit study it is clear that you are suffering from constipation and also there is reflux disease.
Doctor :   what medications are you on for this
User :   yes its slow transit constipation its not hard when it comes out it just doesnt come out at all
User :   No i dont have reflux just lots of neurological symtoms like even my sense of taste smell touch is all diff
Doctor :   have you undergone a physical neurological examination from neurologist
User :   yes its normal so far
User :   i know there is a more neurological aspect to it
Doctor :   was the sense of touch, vibration, propriception , smell,taste refluxes all tested
User :   yes all normal
User :   just different to me
Doctor :   ok
User :   i remember how things tasted and smelt and felt before
Doctor :   what have the neurologist suggested as of now
User :   so far they are not even sure cause they have not seen it before as a 27 male bowels stop then all these neuro symtoms
User :   What do you think more can be done as i can not live like this
Doctor :   all the physical examinations, neurological and other tests are normal and you still continuw to have symptoms, this is possibly a non organic disease of brain
User :   yes
User :   what can be done to rectify this
Doctor :   meaning anatomically the neurons are fine but not performing the task they are supposed to up to the mark
User :   basically is there any treatment for it
Doctor :   first of all need to know any cause is there, yes constipation can cause such problems
Doctor :   yes there is treatment
User :   what are some
Doctor :   let the constipation part be adressed first
Doctor :   this might be the culprit
User :   Do you thinkl a lumbar puncture would be good to determine my brain activity
Doctor :   as the waste products are not eleminated in time the toxins might be absorbed and causing the sneurological symptoms
Doctor :   no
Doctor :   lumbar puncture will not determine brain activity
User :   What would be a goot test for them to do
Doctor :   but it can be done to rule out any other organic disease
User :   and when my bowel is empty after i us ethe strong laxatives
Doctor :   ok
User :   i still have the same neuro symtoms
Doctor :   neuro symptoms take time to resolve
Doctor :   it is not like keep the bowel empty and symptoms disappear
Doctor :   if there is no constipation problem for continous period of 3 weeks and than the symptoms need to be assesed
Doctor :   neurological insult with a dysfunction will take a period of 2 to 3 months to recover after the insult is removed
User :   that long
User :   ive been having them already for three monhts
Doctor :   this is the minimum time
Doctor :   it may take some times upto 6 months to a year
User :   oh no
Doctor :   neurological recovery is slow process
Doctor :   if you have not undergone spinal tap(lumbar puncture) than u can undergo one apart from that all the investigations have been done
User :   because i cant do anything i never feel hungry its impossible to sleep due to the feeling im falling even tho im not something to do with my vestibular system
User :   also my body just burns and chills constantly if i walk then my mucles feel like they want to seize up
Doctor :   ok
User :   an dthe brain fog has effected my memeory
User :   i feel as i will die in this
Doctor :   keep your cool
Doctor :   it takes time, there will come a day where you will not have any of these symptoms
User :   and why the left hand side of my body feels so different when i do anything on the left hand side of my body i feel thta motion sickness
User :   along with that brain fog ataxia feeling
Doctor :   it is the right part of the brain which is more affected than the left part so the left side is having more symptoms
User :   right
User :   what could be a test to rule that one
User :   mri hasnt picked it up
Doctor :   there is no laboratory test for that
Doctor :   only neuologist will be able to detect with his physical examonation
User :   And i have no metabolic disorders and no history of mental illness in my family
User :   this was just all one onset
Doctor :   ok
User :   Now a certain GI professor
User :   Here in sydney
User :   thinks that the sandwich i had contained Chlostridium a neuro toxin
Doctor :   ok
User :   And another GI Dr has said I damaged my vagus nerve which stopped my bowels so my body cant communicate with itself
User :   And another GI doctor said its Quite normal for bowels to stop but no reason for Neuro symntoms
User :   which of these could be most true
User :   im starting to think whats correct
Doctor :   all the possibilites explained are possible
Doctor :   the fact here is clear
Doctor :   there is no anatomical damage
Doctor :   but it is a functional
Doctor :   there are cells that are normal but not functionong normally
Doctor :   toxin induced injury will take time as i said it ranges from 3 months to year to recovery
User :   My mother suffers strong from reflux
User :   and here bowels never stopped
Doctor :   not every person suffering from same disease should have the same symptoms
Doctor :   it varies from person to person
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