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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Loss Of Appetite, Indigestion, Abdominal Pain, Nausea And Heartburn Every Morning?

I have been experiencing survier anxiety in the mornings and loss of apitite with indigestion, stomach pain,nausea,heartburn and gas build up that feels like I need to burp but can t . This has been going on for 2years. It eases off in the evening. I ve never had stomach problems before. I am bipolar and on medications but they have never affected my stomach so bad. I had a stomach scope which was normal. What can I do to stop this and stimulate my apitite .l have lost about 25lbs and have no desire to eat at all.This is greatly disturbing all aspects of my life, It just won t go away! I can t take it anymore, I m sick everyday!
Tue, 23 Apr 2019
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General Surgeon,  's  Response
Hi,

Noted your history about being bipolar under treatment and gastrointestinal problems for 2 years.
Since Upper GI Endoscope is normal you need to have a symptomatic treatment as follows:
A PPI like Omeprazole.
Domperidone for nausea and heartburn.
Antacids when needed or when on empty stomach.
Soft bland diet.
Control of your Bipolar problem as this may be connected to your symptoms.
Once these things improve your appetite may improve as well.
Take a second opinion of a Gastroenterologist so that any further investigations like CT scan of abdomen, tests of stool and blood can be undertaken to correlate with symptoms and have an additional further management.

I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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What Causes Loss Of Appetite, Indigestion, Abdominal Pain, Nausea And Heartburn Every Morning?

Hi, Noted your history about being bipolar under treatment and gastrointestinal problems for 2 years. Since Upper GI Endoscope is normal you need to have a symptomatic treatment as follows: A PPI like Omeprazole. Domperidone for nausea and heartburn. Antacids when needed or when on empty stomach. Soft bland diet. Control of your Bipolar problem as this may be connected to your symptoms. Once these things improve your appetite may improve as well. Take a second opinion of a Gastroenterologist so that any further investigations like CT scan of abdomen, tests of stool and blood can be undertaken to correlate with symptoms and have an additional further management. I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon