I’m a bit desperate to figure out what’s going on with my health and would appreciate any advice, even anecdotal.
TL;DR been vomiting almost daily for about 6 weeks, led to an overnight admission due to esophagitis, all testing normal, no answers
Symptoms are as follows:
• cramping pain in lower abdomen/around bellybutton (not related to period)
• bloating that worsens immediately after eating
• burning/sharp pain below ribs (central, just at my stomach) that lasts for several hours at a time
• early satiety and low appetite
• excessive burping and gas
• nausea that worsens immediately after eating
• acid reflux
• vomiting (often immediately after eating)
• extreme fatigue
• feeling lightheaded/dizzy
• headache
• slight jaundice (ER doctor noted yellowing in the whites of my eyes)
• bradycardia (but ECG otherwise normal)
• low blood pressure
Background: I’ve struggled with restrictive eating for several years and since 2023 have gone from BMI 27 to 20. Lost approx 25% of my body weight. This has fluctuated some in the past year and I’ve lost weight again secondary to these symptoms despite making efforts towards recovery.
Currently located in the UK but will be returning to the US shorty.
I’ve previously seen a GI regarding symptoms of stomach pain, bloating, and periods of diarrhea/constipation. Previous diagnosis of IBS (non-specific) following unremarkable test results: CT scan with contrast, HIDA scan, abdominal ultrasound, endoscopy, and colonoscopy.
Only findings at the time (2021) were a few small polyps in my stomach and gallbladder, with recommendation to follow up in the future.
I’ve struggled with chronic stomach pain and bloating for years despite making several dietary changes to identify possible triggers. I’m lactose intolerant and gluten sensitive (non-Celiac), generally adhere to low-FODMAP guidance, rarely drink alcohol, and do not smoke.
Following several weeks of general symptoms of fatigue, bloating, and stomach pain (that I attributed to my usual issues), the vomiting began. From July 18-30 I was getting sick every day, several times a day. This came with persistent nausea, headache, fatigue, pain in stomach and back, feeling lightheaded, low appetite (for obvious reasons), bloating, and gas/burping.
For context, I used to be much more active (gym 2x weekly) but I have almost no energy anymore. Last year I could work a full shift at my job (fast food), then walk 45 minutes back home, and up 4 flights of stairs with no issues. Now, I’m having to rest after even 1 flight of stairs.
I was traveling at the time of symptom onset so I totally attributed the vomiting to motion sickness, then figured maybe it was stress, but it didn’t stop and wasn’t helped with over-the-counter medication. I have an IUD (Mirena, several years old now) but I took 2 pregnancy tests to be safe, both negative.
I saw my GP on July 30th, the initial urine dipstick test was slightly positive for a UTI and negative for pregnancy. They said they’d do proper urine culture but in the meantime prescribed antibiotics (trimethoprim). I was also diagnosed with gastritis so was prescribed peptac, omeprazole, and prochlorperazine tablets to help with the nausea.
The GP ordered several blood tests (August 5 and 13) which all came back normal except for what they called a “blip on my liver enzymes.” They also tested a stool sample for bacteria, negative.
Through the month of August I’ve continued to experience these same symptoms with only mild relief. Every day is the same story of worsening nausea/bloating/pain after eating, sometimes resulting in a vomiting episode. I’m now being sick every few days rather than daily, but otherwise no improvement.
On August 26th, I had a particularly bad bout of vomiting and noticed spots of red blood at the end. I figured this was just from the strain of the retching so wasn’t too concerned. But with this coupled with the lasting symptoms, I got back in touch with my GP.
Saw the GP in the morning, he straight up said “I’m stumped,” because all my bloods have come back normal and the medication should be addressing the issues. He suggested stopping the omeprazole (for some reason??) and said I’d be referred for an abdominal ultrasound. I was given another pregnancy test (negative) and also learned that my UTI culture had been negative. Was basically sent on my way with the recommendation that I call if things worsen.
And they did! That night, I vomited black/brown blood that looked like coffee grounds. I was sent to an out-of-hours clinic that said while this was concerning and there’s clearly an issue with my stomach, all my vitals were stable so there was no reason to admit me. They gave me another course of peptac and buccal prochlorperazine, and instructed me to call my GP on Monday to request an endoscopy. Again, was told to call back if things worsened.
On the 29th, I woke with significant stomach pain, fatigue, headache, and dizziness. I experienced some dry heaving (basically only brought up saliva but it had drops of blood again). I contacted the out-of-hours clinic but once again my vitals were stable. However, they were concerned I was dehydrated and wanted to run additional blood tests so I was sent to the Acute Medical Unit at the local hospital.
My bloods all came back relatively normal (but the doctor noted that they were different from the prior tests) but they still gave me IV fluids plus nausea and pain medication. The doctor noted that I was slightly jaundiced, with yellowing in my eyes. I have bradycardia (resting heart rate frequently drops below 50) but my ECG was normal. They also noted that I had low blood pressure. I was admitted overnight and got an endoscopy the following morning.
The endoscopy showed esophagitis (ulcers and bleeding) and some irritation in my stomach lining (biopsied for H pylori, negative) but everything else looked fine. So that explains bleeding but not the root cause of the vomiting. My repeat bloods done that morning were normal so I was prescribed sucralfate for the ulcers and discharged.
I just had an abdominal ultrasound done yesterday (from my understanding they were looking at my liver and gallbladder) which was totally normal. They ran repeat bloods and did another ECG, all normal except that I again had low blood pressure.
At this point I’ve been told just to continue with the medication and hope that the symptoms resolve themselves. I’m beyond relieved that there’s nothing majorly wrong but equally frustrated to have no answers! I feel horrendous and exhausted all the time, and I’m struggling to eat enough, so am hoping someone here may be able to offer some guidance.