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What causes vomiting, weight loss, loss of appetite, chest discomfort and abdominal pain?

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Posted on Tue, 24 Nov 2015
Question: Good morning DOCTOR , My friend (XXXX)(25) years old , since two month until now feeling so bad , doctors could not put specific diagnose until now : His Symptoms : Morning vomiting and gets worse after breakfast , if does not eat for long period he feels burning in the chest and upper part of Stomach, Losing weight , loosing appetite , increase of saliva more than normal , Morning Swelling , stomach gases to much. we made different analysis , Here is copy (Sorry bad photos , as much I could )
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Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
small meals, reduce use of certain foods,medications

Detailed Answer:
HI, thanks for using healthcare magic

As stated in the endoscopy report, the symptoms are likely due to severe reflux.

The severe reflux would have caused the damage to the esophagus and can be associated with damage to the stomach (gastritis )and duodenum(duodenitis) .

This inflammation would cause loss of appetite, bloating, burning discomfort, nausea, vomiting, increased salivation or an acid taste in the mouth.

The test for H pylori indicates that this was negative. H pylori is a bacteria that can cause/worsen reflux and gastritis.

Treatment would involve lifestyle changes and medication
Lifestyle changes are: (1)small frequent meals instead of large meals to reduce acid production

(2)reduced use of mint, onion, citrus fruits, tomatoes, caffeine, chocolate, spicy foods

(3)waiting 2 hours after eating before laying down

(4)weight loss of any excess weight because excess weight presses down on the stomach and contributes to the reflux

Medication
(1)medications such as one of these: nexium, prilosec, prevacid, protonix, aciphex would be the best choice

These medications reduce the acid production of the stomach but may take 5 to 7 days for full effect


The ultrasound showed a hemagioma in the liver (this is a benign - not cancer, lesion of the liver).
These are not known to become cancerous and do not usually cause any symptoms

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16811 Questions

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What causes vomiting, weight loss, loss of appetite, chest discomfort and abdominal pain?

Brief Answer: small meals, reduce use of certain foods,medications Detailed Answer: HI, thanks for using healthcare magic As stated in the endoscopy report, the symptoms are likely due to severe reflux. The severe reflux would have caused the damage to the esophagus and can be associated with damage to the stomach (gastritis )and duodenum(duodenitis) . This inflammation would cause loss of appetite, bloating, burning discomfort, nausea, vomiting, increased salivation or an acid taste in the mouth. The test for H pylori indicates that this was negative. H pylori is a bacteria that can cause/worsen reflux and gastritis. Treatment would involve lifestyle changes and medication Lifestyle changes are: (1)small frequent meals instead of large meals to reduce acid production (2)reduced use of mint, onion, citrus fruits, tomatoes, caffeine, chocolate, spicy foods (3)waiting 2 hours after eating before laying down (4)weight loss of any excess weight because excess weight presses down on the stomach and contributes to the reflux Medication (1)medications such as one of these: nexium, prilosec, prevacid, protonix, aciphex would be the best choice These medications reduce the acid production of the stomach but may take 5 to 7 days for full effect The ultrasound showed a hemagioma in the liver (this is a benign - not cancer, lesion of the liver). These are not known to become cancerous and do not usually cause any symptoms I hope this helps, feel free to ask any other questions