Question: My daughter suffers from severe nausea and has lost a significant amount of weight over eight months. For several days she couldn't eat anything. She went to a gastroenterologist who scoped and did a colonoscopy and found nothing. She also had a test for her gall bladder which showed the pyloric valve doesn't close and she has reflux. She has a lot of pain in her left abdomen which is being blamed on as muscle or skelatal issues because when they do blood work it comes back normal. One thing I find odd is that she has tried taking probiotics and they make her extremely sick. She ends up throwing them up. Any suggestions as to where to turn? She is at wits end.

These are the answers to the questions you gave me. I have my days of feeling better and not.
On days I don't work, I usually eat lunch between 11 and 2 (usually the heavier meal, sometimes Wendy's spicy chicken wrap or Chick fil a sandwich). The smaller meal I eat around dinner time because it makes it easier to sleep. That is usually soup (veg, chicken noodle, beef barley, etc).
- On days I do work (I work nights and am a bedside nurse on a postpartum unit). I eat PB&J on wheat bread for "breakfast" around 9 or 10p. I eat a turkey breast sandwich with provolone cheese and mustard on wheat bread. I actually ate this last night and my stomach was fine.
How many times you eat a day?
- Twice. Sometimes three but very rarely and they are small.
What are the regular food items in daily diet?
- Milk, soup (various), turkey sandwiches, cheese, spaghetti, various lean cuisines (usually something with beef or chicken and vegetables).
Do you consume non-veg most of the time?
- I am assuming you mean without vegetables. I do but I really am trying to change that by eating an apple daily and incorporate more salads but I feel like the salads never sit with me.
Is it fried /spicy/oily food, which you eat mostly?
- I would say I eat more fried food than I should, maybe 3 times a week.

What do you eat-in fast food counters?is it nonveg/fried/spicy food?
- I usually only go to three places and this is what I order:
- Subway: Turkey and pepperoni on honey oat bread with provolone cheese and sweet onion sauce (vidalia onion)
- Wendy's: Just a spicy chicken wrap (no fries) it has cheese, lettuce, and some kind of ranch dressing with a spicy chicken breast
- Chick fil a: spicy chicken sandwich with no pickles and a handful of fries (on a good day)
How frequent you take beverages a day?
- Not often as I need to. Maybe 2 glasses a day. I'm trying to set up a pact with some other girls at work to keep up with drinking water.
How frequently you take fruits?
- Maybe twice a week. Either through a fruit smoothie (like Naked juice) or apples or applesauce. I like grapes and strawberries but I don't like many other fruits
any dislike for any particular fruit and food items,with which you get more nausea/or throwups?
- pulled pork BBQ (which makes me sad because it used to be a favorite), SOMETIMES onion, pizza, and ice cream (I still drink milk and eat cheese and tolerate that fine.
Would await more details on the above and on points besides these, if you could submit more data, as this would give leads to the possible.
My Inquisitive-Comments on last updates and query facts-
Dear,on reviewing the facts submitted,few points emerge from your story-
a-That at 25, since childhood you are constipated?
- Yes I have always had a problem with constipation and it does run in my family. My maternal grandmother never had diarrhea once in her life. My paternal grandmother also gets constipated a lot. As a child, I was very active in dance (1 1/2 - 3 hours per day minimum, including weekends). I did not have problems with nausea then.
b-Severe nausea, since Thanks giving?What food you had at Thanks giving party?more of pork,turkey,chicken?Did you have any drugs,alcohol,smoking events/bouts on that day ?
- It started a couple weeks before Thanksgiving and I cannot recall what I had the weeks before. In 2012 when the stomach problems first started and it was thought I had H. pylori but tested negative. They gave me the antibiotics anyway and it seemed to help. I do recall that I had a hot dog on the date it started in 2012. I was projectile vomiting, had diarrhea, and I was heaving so hard I burst all the capillaries in my face. The symptoms would occasionally flare up until Nov 2015 when it became constant.
Why you say the frequency of trouble increased after Nov,2015-thanks giving ceremony?
- I just remember it happened before thanksgiving
How frequently you smoke weed with your friends-if you do?
- I do not but have considered moving to a state that allows medicinal use for the nausea and loss of appetite.
Are you some painkillers with opioids lately?
- No. The last time I had a painkiller was summer 2011 when I had an exploratory laparoscopy for possible endometriosis (did not have endo).
c-All of your tests with doctor are normal?ExceptOGD(Oesophago-Gastro-Duodeno)-scopy, which has positive defect in nonclosure of pyloric Valve.
- Other than the biliary reflux, they were normal. However, the doctor who did the scope and colonoscopy had me back in about 20 mins after performing both procedures. I am now wondering if he tookthe time to really look.
Do you Vomit green/ or yellow fluid most of the times you throw ups?
- never green, but it is always a straw yellow and it is thick and very mucusy. I did throw up a mud brown emesis back in January 2016 that tasted and smelled so bad that I couldn't stop vomiting.
Do you get retchings (dry vomits-or heaving) with severe nausea?
- At least once a week
Whats the color of stools-is it black / or white/ or yellow brown?
- Yellow brown. I also noticed little pieces of pink that looks like skin to me. It is not bloody, but the same pink color as mucus membranes.
How frequently you move your bowels in a week? as you said you are constipated?
- 2-3 times a week at most
How many times you drink liquids/water/ or fluid intakes in a day?
- As I said, not often enough. Maybe two glasses a day (24 oz glass)
Do you get headache with bloating with cramps in stomach?what is its frequency?
- Headaches happen 2-3 times a week but I thought they were tension headaches because of where they are. I've noticed some bloating but no cramping with the headaches. The nausea usually kicks in but I'm not sure if the pain is causing it or not.
What probiotic items you take ? name and list them-what you have taken over last 8 mths?
- Metamucil probiotic. I have only taken them twice but got extremely sick and vomited before it digested (that is when I threw up the brown, extremely foul smelling and tasting emesis). I have been too scared to try anymore since.
Do you get bouts of diarrhoea after the Constipated period? Whatsort of diet and food items, help your bowels move with diarrhoea?
- No diarrhea - it comes out very soft and can sometimes be a little loose after I go for a while.
- To add, it is almost as if my body is cleaning itself out once or twice a week. I will have a very large bowel movement and at the end it seems more loose, watery and painful. It feels as if my rectum and anus are raw and they seem greasy and full of mucus (I can tell when I wipe).
I was also wondering if it could be an issue with my stomach not emptying properly. All the symptoms for bile reflux fit. I still have a specific tender spot in my upper left abdomen. Sometimes it moves but it is always upper left. I didn't know if my valve wasn't closing directly and I was getting backwash.
Sometimes when I drink water or after I eat, it almost feels like my stomach (not abdomen but the actual organ itself) is about to burst. It just feels raw and overdistended and makes my nausea worse. Sometimes I can see a very small difference on right and left side of my abdomen (the left is sometimes more distended than the right but not always -- usually when the nausea is bad or my stomach feels like its about to burst).
I also don't know if I mentioned in my last email -- I did have a stool sample for ova and parasites but it came back negative. I would be willing to submit another sample if need be.
Thank you SO much for helping me with this. This is the most in depth conversation I have had about these issues. I am to the point where I don't care if I have to repeat tests. I just want to find out what's going on. I know my eating habits are subpar and my water consumption needs to increase, but I am working toward that. I just want to feel like a normal human being again and not have to constantly worry "will this make me sick? If I'm already nauseous, should I just call off work?" I just want answers at this point. Thank you! You may also email me instead of my mother unless policy dictates otherwise. My personal email is YYYY@YYYY . Thank you!!!