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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Nausea And Intense Stomach Pain That Cause Extreme Hunger On Subsiding ?

Last week I sent in my question about a GI disturbance. I was having nausea and severe pain in my upper left abdominal area and diarrhea . The answer I received is that it was probably a viral condition. I had these symptoms last Tuesday, Wednesday and Thursday. Friday I was fine and then Saturday the pain and nausea returned (no diarrhea). Yesterday (Sunday) I was good again with just some minor quesiness in the morning. Today I have no pain or nausea but have had 3 bowel movements already (normal consistency). I am starving although I ate a normal breakfast about an hour and a half ago. I have had these episodes in the past that have lasted from 3 - 10 days. They consist of nausea and stomach pain but when the pain subsides I want to eat all the time. I cannot determine whether this is true hunger or a gnawing stomach pain. Do you think I should have some tests done like an endoscopy or ultrasound? Never had an endoscopy but have colonoscopies every 3 years which have been normal. Also blood work is normal except for underactive thyroid . Had an abdominal ultrasound a couple of years ago which was also normal? What do you think this could be and what steps should I take?
Fri, 13 Apr 2012
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Pathologist and Microbiologist 's  Response
Hello. Welcome to HCM.
It may take the bowel a long time(may be as much as a fortnight) to come back to normal after a viral episode. Sometimes excessive hunger can be indicative of gastric ulcers, much so because your perception of pain or hunger is blurred. It is better to go in for endoscopy under expert guidance as it would rule out any definite problem. In case things are normal try avoiding binge eating as it can be problematic in future.
Also, if your thyroid is underactive (? high TSH), you need to consult an endocrinologist and take medication.
take care.
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What Is The Cause Of Nausea And Intense Stomach Pain That Cause Extreme Hunger On Subsiding ?

Hello. Welcome to HCM. It may take the bowel a long time(may be as much as a fortnight) to come back to normal after a viral episode. Sometimes excessive hunger can be indicative of gastric ulcers, much so because your perception of pain or hunger is blurred. It is better to go in for endoscopy under expert guidance as it would rule out any definite problem. In case things are normal try avoiding binge eating as it can be problematic in future. Also, if your thyroid is underactive (? high TSH), you need to consult an endocrinologist and take medication. take care.