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Been vomiting and coughing for months. Lost weight and grown weaker. What does it mean?

My wife has been vomiting every after a meal for the last 12 months. Initially she only threw up after the meal but in the last three months she has started coughing as well. The coughing wakes her up three to four times a night followed by violent vomiting on each occasion. She has seen a number of consultants and has had biopsies and a camera put inside her stomach but nobody seems to know what the poblem is. Cancer has been ruled out. She had a gastric band fitted about 4 years ago and the last time she was seen by a consultant she was told to check with the proffessionals to make sure the band was empty. This was done about three weeks ago. The band was emptied completely which gave her a temporary reprieve of half a day and the whole problem started again. She has not had any reprieve at at all since. She has lost about 5 stone in the last one year and is getting waeker and weaker with every day that passes. What could be the problem
Asked On : Fri, 10 Aug 2012
Answers:  1 Views:  38
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General Surgeon 's  Response
Feb 2018
Hi the clinical picture presented by you suggestive of GERD , Gastro-oesophageal -reflux -disease. The patient gets violent cough due to regurge which comes in throat and induces vomiting too. And a violent cough can cause vomiting if the sphincter ( valve) stopping the stomachs content into oesophagus is week. This can be the reason for vomiting for a year now. This will cause the weight loss. You already have seen so many consultants and the patient must have been really taken care of, but without any benefit. In such patients my first advice is to go for a CT scan of the brain as some lesions in brain can cause this ( just to rule out). There are very small efforts to make to improve patient's condition. First of all take small frequent meals . Never to lie down at least for two hours after food , better to walk around or sit in a reclining position. Thirdly you and your wife have to really find out which of the foods aggravate/ increase the problem and stop them. Your consultants would have definitely given her metclopropamide or domperidone and antacids in proper doses. Lastly thee is something called as psychogenic vomiting if all the causes are ruled out.
Answered: Thu, 2 Jan 2014
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