Hi,I am Dr. Subhankar Chakraborty (Gastroenterologist). I will be looking into your question and guiding you through the process. Please write your question below.
My girlfriend is having problem with what we belive is her duodenum but has been unsuccessfull in getting any medical direction on how to best address or help her issue. She has progressively become very underweight over the past 10 years. Despite being very hungry she has trouble eating and frequently finds herself with a "full" sick feeling. She has has had an increasing problem over the years with reflux and vomitting --- she sometimes gets lucky and can have a stretch of a day or two without getting sick (but even then she is not able to eat anyore than usual). Her vomitting is frequently fully digested food/liquid. She has had repeated tests - endoscopy, colonoscopy, emptying test etc and the only explanation that has been potentially provided is that radiation treatments she had 40 years ago as a teen-ager may have damaged her duodenum. A while back she had been led to believe that her gall bladder was pressing on duodenum so she took the steps to have it removed, but unfortunately that didn't seem to correct the issue.
So at this point she is concerned as her weight keeps dropping and has not been given much in terms of thoughts of what she can do to help her situation. Any thoughts or suggestions? Thanks
Your detailed history about your girlfriend indicates that she is suffering from few problems together.
It is true that the radiation treatment can damage the intestines and the history of losing weight, vomiting of digested foods and so on indicate a problem with the upper part of small intestine and Barium meal study in real-time under fluoroscopy can alone give the motility and reflux studies. There may also be lax lower esophageal sphincter.
A proper diagnosis and thus clinical evaluation, trial with proper medications can help her. It is possible that psychological factors also have taken over. Hence a counselling by a Psychologist or a Psychiatrist for proper evaluation and proper management may be with medications as needed. Change of atmosphere, change of foods and beverages can help further.
Hope I have answered your query. Let me know if I can assist you further.
Regards, Dr. T Chandrakant
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What Causes Vomiting And Rapid Weight Loss?
Hello, Your detailed history about your girlfriend indicates that she is suffering from few problems together. It is true that the radiation treatment can damage the intestines and the history of losing weight, vomiting of digested foods and so on indicate a problem with the upper part of small intestine and Barium meal study in real-time under fluoroscopy can alone give the motility and reflux studies. There may also be lax lower esophageal sphincter. A proper diagnosis and thus clinical evaluation, trial with proper medications can help her. It is possible that psychological factors also have taken over. Hence a counselling by a Psychologist or a Psychiatrist for proper evaluation and proper management may be with medications as needed. Change of atmosphere, change of foods and beverages can help further. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant