I had a lap for endometriosis in early January. Procedure went fine and the day before I got sick I felt really good. On day 4 post op was the beginning of a mystery nightmare that no one has been able to figure out. Since then I have had 3 'episodes/flares' of violent nausea/vomiting/diarrhea/cold chills/extreme fatigue with palpitations/high heat rate at onset, the first lasted 8 days (with an additional 2 days that weren't great before discharge, then an entire 2+ weeks that I could barely function or drive at home from fatigue), the 2nd lasted 5/6 days at the worst and an additional 2 days that weren't great. and i'm on day 4 of the 3rd. With the surgery, and these episodes I have been in/out of the hospital over 20 days out of the last 3 months and no one really has any ideas that have panned out. GI, neurology, the surgeon who performed the procedure, multiple hospitalists, my rhuematologist, PCP. 2 seperate Abdomen Pelvic CT were normal, blood work mostly normal on day 1 of the issues I will have elevated WBC/neutrophils but resolves on its own. Brain CT & MRI normal. Endoscopy was negative for anything explanatory. MRCP normal. Thyroid normal. Medication does not control the nausea/vomiting including 8mg of zofran/reglan/ativan/benadry/compazinel. Even in IV form. I have never felt this bad in my entire life. Because I have a rare neuromuscular disease and other 'rarer' diagnosis I feel like this is something very rare too that everyone is just missing because no one is understanding how severe it really is. They just keep wanting me to go to the ER. Symptoms (1st episode): Severe nausea (disabling) Vomiting green bile & dry heaving Legs twitching/hot/cold chills Diarrhea (mostly yellow/foam)10-20x a day I felt disoriented/weak Ears were ringing so loud Palpitations Vision was off Brain fog Elevated WBC and neutrophils day 1 (Started to go down day 2) And the worst symptom of all was that When the violent nausea would hit I would get so tired/out of it that I could not physically keep my eyes open. Urine was getting darker during 2nd admission I remember the hospitalist looked at it and he thought it was so weird with me having been on fluids for so many days continuously. Symptoms (2nd episode) Diarrhea 2-3 days prior to onset, did have a really bad headache 1 day prior to onset Severe nausea (disabling) Vomiting green bile & dry heaving Palpitations high heart rate at onset 130-150s Legs twitching/hot/cold chills Diarrhea during episode 5-7 times per day Elevated WBC and neutrophils day 1 Mild ear ringing Weak and mildly disoriented-less so than last time. Some low center pain, moderate that would wake me up, partially relieved by bowel movement Symptoms (3rd Episode) Headaches worse than my normal 2-3 days before onset. Diarrhea during episode about 5-6x/day on average Palpitations but did not notice it was extremely high at onset like before Severe nausea Vomiting green bile/dry heaving Legs less twitchy but just feel really weird/annoying. Cold chills (cannot stay warm no matter what, shivering wakes me up) Ears still ringing/sensitive Weak but less disoriented feeling than before Just feel really really bad Normal WBC on Day 2 (no labs done day 1) More stomach pain on/off than I had with the initial 2 episodes Mostly RUQ and low abdomen.