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Recurrent vomitings - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   I am 26 years old Female.For the last 1 year I am suffering from uncontrolled vommiting after eating anything and withing 15 minutes everything comes out .I am weighing around 38 Kg now and my height is 5 1 and loosing weight rapidly. I do not feel any nausea before vomitting . My endoscopy and all liver tests ( enzyme, Hapatitis A,B,C) are normal, I went through Bariaum meal test which came negative. Then I went through CT scan of abdomen/Pelvis and it was suggested thats the angle between aorta and SMA is 14 degree,narrowing of 3rd part of duodenum is seen between aorta and the SMA with maximum distance in between them measuring 6 to 7 mm. Finding suggested possibility of SMA syndrome. Since berium meal test was normal and there was no obstruction seen during the procedure the doctors ruled out SMA syndrome and suggested to carry on with Domstal ,dexpore etc ( which didnt help me ) and asked me to follow up with psychologist to rule out any pshychological angle to this issue. I am taking the prescriptions from pshychologists for last 6 months but my condition is getting worse and worse with no effect of any medicine. I think doctors are confused and they have left me to my condition. Please help as I am now feeling helpless.
Doctor :   Hi
User :   hi
Doctor :   I a
Doctor :   Please give me a couple of minutes to read your qury
Doctor :   What is your age
User :   26
Doctor :   Are you menstruating?
User :   yes
Doctor :   Is it regular?
User :   yes
Doctor :   How many days
Doctor :   per month
User :   28
User :   6 days
Doctor :   Were the doctors thinking in lines of Bulimia?
User :   no doctor. .we hvn't heard this.
User :   first they thought of SMA syndrome..
Doctor :   How many times do you vomit in a day?
User :   mostly after lunch and dinner.. i dont feel like eating anything
User :   I have lost around 10 kg in 6 months
Doctor :   What does the vomitus contain?
User :   mostly eaten food ..sometimes bile as well
Doctor :   Is it digested food or undigested?
User :   sometimes i vomit after 3-4 hrs after eating and vomit the undigested food as well
User :   undigested food
Doctor :   Which city do you belong to?
User :   basically from AAAAAAA , currently staying in Pune
Doctor :   Was a CT angio of the abdomen done?
User :   yes
Doctor :   Not simple CT but angio
User :   no angio was not done...
User :   CT scan of abdomen/pelvis was done ..
Doctor :   Was IV contrast given ( an injection while doing CT)
User :   when they gave me something to drink and analyzed afterwards
Doctor :   Ok
User :   nothing through injection
Doctor :   Which specialist did treat you?
User :   Gatstroentrologist and heptologist
User :   i was treated in Birla hospital pune
Doctor :   Ok
Doctor :   You have been treated by right specialists then
User :   yes ... my condition is not improving. its been around a year of constant follow ups on weekly basis... now they are thinking of some isotope tests
Doctor :   What medicines were prescribed by Psychologist
Doctor :   or Psychiatrist
User :   Mirnite
User :   zicot
User :   uatan
User :   sorry
Doctor :   Ok
User :   I am also taking pantodec and motillium
Doctor :   It is really a challenge for the doctors who are trying to assist you
Doctor :   Basically what i felt was all these specialist have to co ordinate amongst themselves more regularly
Doctor :   and assist you
User :   they all are co-ordinating with each other.. even once surgery was adviced for SMA syndrome but all three got together and ruled out that
Doctor :   I do not see a reason for Superior Mesenteric Art Syndrome
Doctor :   when there are no risk factors
Doctor :   Cyclical Vomiting Syndrome and Bulimia are my options without examining you
User :   may i know where can i have a discussion with you face to face.. as its very frustrating now for me.. or else can i send you my reports to examine
Doctor :   I understand your frustration
Doctor :   You got to believe that you have a problem that cannot be diagnosed or treated
Doctor :   in short time
Doctor :   A Gastroenterologist, Psychiatrist and Psychologist all should treat one by one
Doctor :   and a balance should be acheived
User :   doctor, i got married last year and after one month of my marriage this all started ..since then i m going through this
User :   are these deseases life threatning Cyclical Vomiting Syndrome and Bulimia
Doctor :   Kindly consider speaking to the Psychiatrist about Cycling vomiting and Bulimia
Doctor :   if he has some answers
Doctor :   They are not lifethreatening
User :   ok..sure
Doctor :   but hamper your quality of lie
User :   it has.. i m turned to merely a skeleton now
User :   can even eat when i want
User :   *can't
User :   there has to be some treatment... u suggest
Doctor :   The fear of vomiting is a factor
Doctor :   that you have to address
Doctor :   In such cases Cognitive Behaviour therapy
Doctor :   helps
User :   sometimes no vomiting happens even after meals
Doctor :   to modify your thoughts
User :   even when i m fully aware that vomit may happen..
User :   that is why i went for phyciac treatment for one year to treat myself if it is due to my thoughts
User :   but still no result..
Doctor :   Psychologist also???
User :   yes...
User :   daily after meals i take mirnite and zicot and qaton and sleeps..
Doctor :   How is your sleep?
Doctor :   Do you have vomitins more after lunch or after dinner?
User :   sleep is very irregular .. now i cant sleep without these medicines
User :   both after lunch and dinner as well.
User :   if i dont vomit after lunch then it happns after dinner and vice versa
Doctor :   Ok
Doctor :   I also submit that there is a Psychological component involved
Doctor :   Please get the above two things verfied by the Psychiatrist
User :   ok
User :   30 minuts are getting completed.. any medicine u suggest
User :   ok
Doctor :   Did you try with x
Doctor :   x
Doctor :   I mean alternative forms
User :   homeopathy i m trying
Doctor :   You have to understand my limitations
Doctor :   as I am not examining you and I cannot give a pin point diagnosis or treatment
User :   any address
User :   to contact u
Doctor :   You can mail me at YYYY@YYYY
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