Resolved question:
The basic problem she suffers from is that she vomits everything that she eats. She has tried almost everything from vegetables, rice, chapati, fruits to dairy products. Sometimes she vomits the water also which she has taken just a few moments back. This happens to her every year and continues for a period of a month. It starts suddenly and after this long a period ends suddenly.
When it happened for the first time, she went to a lot of doctors who conducted various tests. She was put on heavy doses of medicines and saline but, they weren't able to diagnose it. Again whenever it has happened she has visited various doctors but to no use.
Sometimes, after waking up she suffers from acute headache. As a relief, she takes some paracetamol but, it offers only a temporary relief.
As a measure to avoid vomiting, she started skipping meals but, that caused weakness and couldn't continue for long. Even now as she vomits everything she consumes , she suffers from weakness and gets tired easily. This year it has continued for almost 2 months now and the situation is not improving as such.
Submitted:
4 Days
Category:
Gastroenterologist, Medical
Hello,
Thanks for posting your query at DoctorSpring.com
I am Dr.R.K and I am pleased to assist you.
I would like to have some more information before I can assist you.
1. How old is she?
2. Since what age did she started having these symptoms?
3. Is there a family history of migraine?
4. What tests have been done so far?
5. What medications is she taking?
Kindly get back to me with these information and I would give my opinion.
Regards,
Dr.R.K.
Hello R.K,
She is 21 years old patientold and is having these symptoms since she was 16. There is no family history of migraine. A lot of tests were conducted during her illness ranging from gastro, gyanocology related and digestion related tests ( endoscopy included). She even tried a Homeopathy medicine which worked out once but, after that due to some reason, she couldn't avail the medicine further. Right now, she isn't taking any medicines. Previously, she was put on a lot of Saline but, as such the doctors couldn't figure out the problem and did not provide a regular medicine.
Hi,
Thanks for the additional information.
I presume all tests done have been normal and inconclusive.
With the information you have provided, it looks like she is suffering from cyclic vomiting syndrome.
This syndrome which is common in children is increasingly diagnosed in adults also.
This is related to a specific form of headache called migraine.
There is no specific diagnostic test for cyclic vomiting syndrome.
She can take ondansetron to prevent vomiting.
During the symptom free period she can take medications like Inderal or amitryptyline to prevent further attacks.
You can discuss with her gastroenterologist about this possibility and get a prescription of the above mentioned medications.
I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K.