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Suggest Treatment For Gastric Distress After Hormone Replacement Therapy

Posted on Tue, 15 Nov 2016

Question: My symptoms have changed. The gastric distress is better. I can defecate when I hold my rectum in but my eyes still pulsate when waste is there and it is coming out. Yesterday I ate some dates and p-nut butter and my top left intestine bulged out like a snake-huge. I was shocked. I walked around, massaged it and eventually it dissipated and went through. I am still sweating at night, a little better since I resumed hormone therapy. .50 estradiol, 50 progesterone. This is a reduction from 2mg estradiol and 100 progesterone. All this started when they took me off this 3 years ago after 20 years of hormones without interruption. I was taking 2mg estradiol, 2mg testosterone and 100 progesterone. I was going through 3 nightgowns a night, wet! I think maybe my intestines will pop.

Answered by Dr. Prof. Kunal Saha (13 hours later)

Brief Answer:
Glad to hear back from you

Detailed Answer:
Thanks for asking back once again. Pardon me for not being able to respond faster.

I have gone through your query and understand your concern. It is good to know that the hormone replacement has been reinitiated. The rest of the problems have two further components - a gastrointestinal component for which I would insist visit a gastroenterologist, and a component of anxiety for which you need to visit a psychiatrist. Since the problems are interwoven you need to visit both - this is important and I would insist you not to ignore. For the rest, the HRT should help, just give it some time.

Let me know if I could help further.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (36 hours later)

There are two other issues. I am adhd and not on medication because I don't like how I feel on it. I would rather just be annoying to people. I am not working, so I really don't need it. My family can deal with it. I also have lost half of my body weight in the last year and am as skinny as I was in high school. I lost 70 pounds, not by choice. I am very weak and emaciated. I was an avid athlete. I skied, surfed, rode my bike and lifted weights. Now 0! I have lost all my muscles and my ribs are sticking out everywhere. I won't go to the doctor because I was brutalized as I told you. I am looking into Euthanasia. It is legal here. My quality of life is gone. Sports were everything to me. I only sleep for a few hours a night because of the sweating. It wakes me up and I can't sleep. I am very sleep deprived. My gastro doctor thinks I'm crazy and wants me to go to Stanford so they can figure it out. I am not going. I don't like him either. He is the reason I went to the emergency room. He said he was on call. He wasn't and I was brutalized by the young idiot who should have his license yanked. He has sadistic, mother hating problems and should not be allowed to be around older people or any people. I told my husband to do an autopsy if I die and if he ripped me in the anal canal he should XXXXXXX to have his license revoked before he harms someone else. And we don't XXXXXXX people. Bad Karma. Although in this case it might save someone else's life. Thanks for your help.

Answered by Dr. Prof. Kunal Saha (7 minutes later)

Brief Answer:
Detailed evaluation essential. Do not ignore.

Detailed Answer:
Thanks for writing back.

I have gone carefully through your problems. The weight loss is severe and it does not happen without a cause. The underlying cause needs to be identified and treated. And that can be done only after you go to a doctor (possibly at Stanford) and get yourself thoroughly evaluated. I undestand that not all doctors have equal amounts of empathy. I understand that rudeness or improper attitude or approach hurts. But that does not mean that you would not seek treatment. Treatment can ensure a proper quality of life and would help you resume your sports activites. You might have to face a few more doctors who are not so sympathetic but you surely understand that there are good doctors as well and not all people are same.

I would insist you to dump your worries and meet a doctor to get a proper evaluation done. Be sure to be accompanied by a family member who knows about you in detail.

I am there by your side. You just need to write back.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (27 hours later)

I know this is bad. I have already accepted that I will probably die from this. The doctors ran all the tests and could not find anything. Then they look at me with those blind, empty eyes and assume I'm crazy. Maybe I am. But, yes you are right. The weight loss is severe and cannot be disputed. So is the racing pulse and severe sweating. My pulse is 92 at those times. It just comes on all of the sudden even without food. My heart is strong, but when I try to fall asleep I wake up with such a hard jolt I think I am having a heart attack, but then I start breathing and am ok. So I just don't sleep. Two things are better though. I don't have hooded, swollen upper eyelids anymore or big swollen bags under the eyes. So maybe I am healing. I have led a good life. I am an educator and was a pioneer in computers. I raced skiing, surfing and cycling in many different countries. I never had any problems until now, and now it is unbearable. Maybe it is time for the final respite. I am ready. I am not strong enough for surgery, I won't heal and it is too painful. I shattered my shoulder into 17 pieces about six years ago and had two surgeries and it is still out of the socket. I was healthy and strong then and I healed with great pain. I could not do it again. I appreciate your help. I am leaving it in God's hands. God is merciful, but maybe my journey here on earth had ended. I don't think anyone can help me and I am afraid to see anyone anymore. I feel a kind of XXXXXXX and peace now. I wish you all the best and I am sure you will help many people in the future. Thank you and goodbye.

Answered by Dr. Prof. Kunal Saha (1 hour later)

Brief Answer:
This is not the end and neither will you die from it.

Detailed Answer:
Thanks for writing back once agai. God is merciful but it is we who need to carry out the actions. If I am hungry, the merciful God will not lift the food to my mouth and gulp it down for me. It is I who would need to do it. Similar case here. I understand the dismal situation that you are in. I also understand that in search of resolution you have been going from doctor to doctor. As I have already mentioned, tests may not always reveal the problem. But I never said that the problem does not exist or nothing needs to be done about it. I am sorry to say that you have perhaps not been following the complete advice. There is an entitiy called somatization disorder. In this condition, the pain felt by the patient / subject is 100% real (and not made up) but it stems nor from organic causes (the causes that show up on investigations) but rather from the trauma, pain and anxiety the individual feels, as in your case. It does not make you crazy but since it is a psychiatrist who understands such conditions properly you need to visit one. i am quite sure that he would be able to point you to the right direction and would help in resolving your problems.

I would request you to follow my advice. I am quite sure that you would find it helpful. After all, you have nothing to lose. I would be there by your side, eager to help you out. You just need to write back.

I would wait to hear the updates on what the psychiatrist has to say. I am sure that you would not let me down.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar