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Overweight. Diagnosed of fibromyalgia, chronic fatigue and gulf war syndrome. Severe injuries and using morphine. Cure for symptoms?

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Practicing since : 1996
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My issue is related to a previous question. I received a general answer which was not a direct answer to my question. Now, issue has repeated, with different diet.

I will restate last question, pasted below, then state what has happened, and how different.

On 15 October, I stated...
I am significantly overweight due to inability to exercise and morphine use. Both are related to severe injuries in and out of military. I have diagnosis of gulf war syndrome, fibromyalgia, chronic fatigue syndrome. None of them likely to have any bearing on this issue, but that is background. Also, I do not think the doctors who made those garbage pail diagnoses like fibromyalgia and gulf war syndrome are necessarily correct, nothing specifically addresses causation.

Problem is as follows...eating hamburgers here in UK, not in USA which I was in recently again (being native to USA) seem to give me severe upset stomach. Pain, intense pressure, like stomach massively overfull. After six or so hours it goes away. Did not happen in USA. UK burgers seem much leaner, more dense, less fatty. Today the ONLY thing I had to eat was at 7pm. Two burger patties on a bun with lettuce and mayonnaise. Within twenty minutes of finishing, felt very poorly as described. It is now 11pm, still feel very bloated, overfull, stretched even though the above burger was the only thing eaten all day since four am. Secondary concern, perhaps an issue that may be related to cause, is whether or not it is possible I have an undiagnosed hairball, and how it would be diagnosed. I sometimes chew ends of my beard or moustache, have for years. I do not eat whole hairs. If anything, I chew sections of a single millimeter or so off and though entire hairs do regularly get eaten, it is always ched into tiny bits. Could it still be accumulating, and would it then be a cause pf this problem or would the hairs in tiny bit sections pass through digestion with food and such?

Now, today, 26 October...

It is 8pm. I had nothing to eat today until about 5pm. I had two pieces of frozen, battered cod and about an equivalent amount of mashed potato equal to a whole potato. Am now experiencing symptoms similar to above, but about 75 percent as severe. Previous days I ate very heartily, far greater amounts, varied diet and had Zero symptoms. When this has happened previously, I have eaten too much meat and dairy, but it is rare that it has happened. How can I tell if there would be a hairball in my stomach? Are there symptoms ? From what I have read it is typically only women who chew long strands of hair. For me, it is a nervous habit, like icing fingernails, which I do, and if I do chew hair off my bear it s in tiny amounts, slivers about a millimeter or so in length. Would those pass with food or accumulate over years? Additionally, as I take morphine for pain, I do not drink, never smoked, usually follow a decent diet. My weight gain has come fro, years of being sedentary, taking morphine, been gradual. I am now, generally, dieting, want to follow a high protein and high fat diet. This has worked for weight loss whatever my activity level, but I am worried as this issue with digestion is newer, and I cannot see any correlation between the amount of food I am eating and the severe symptoms I experience, as if I have eaten so much my stomach feels like it might burst. The amount of food eaten is just nowhere near that, and even not close to what I have eaten on previous occasions in the week even. Each time this has happened before it has been all I have eaten or close to it in the day. I do not even know if there is an issue with my chewing my beard being related to the symptoms. I have done so for years and it would be odd that symptoms would just start and then be so intermittent.
Posted Tue, 12 Nov 2013 in Digestion and Bowels
Answered by Dr. Ratnakar Kini 11 hours later
Brief Answer:
Detailed answer given below

Detailed Answer:
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to assist you.

Hairball in stomach is called trichobezoar. Swallowing of hair alone does not result in hairball formation. There are other factors which should also be present for this to occur. There should be either an altered anatomy of the stomach ( for eg surgery done in the stomach) or altered motility of the stomach( the stomach functions very slow as in gastroparesis).
Most often hairball remains asymptomatic. Diagnosis can be done with a barium xray or an upper GI endoscopy. Upper GI endoscopy is the better one as you can directly see the inside of the stomach.

As far as the bloating is concerned, it could be due to many different reasons which include H.pylori infection, gastroparesis, malabsorption etc.

So I would advise you to get tested for H.pylori infection and also to get an upper GI endoscopy done. Also check your blood glucose level for diabetes.

There are medications available which are called prokinetics which would help in relieving your symptom of abdominal bloating. You ask your doctor for prescription and take those medications till you get the above mentioned tests done.
Also avoid fatty food.

Let me know if I can assist you further.
Dr.Ratnakar Kini
Above answer was peer-reviewed by
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