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Gastroenterology (Expert Forum)
axiety/stomach burning/fatigue
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
axiety/stomach burning/fatigue
by ponypowa2, Dec 17, 2006 12:00AM
I am still having the same problems after seeing a primary care doctor and endocrinologist. Basically I have these symptoms:
after consuming a meal (any food but FATS are the worst):
bloating
I can feel a burning in my stomach as well as what feels like butterflies or more precisely my own heart beat.
After consuming food I get heavy fatigue and anxiety
foul fatty/flakey stools
gas
a sinus type headache with brain fog, can't think clearly up to 6-7 hours after meals (my impacted wisdom teeth could be causing the headache though)
I often sleep too long, and when I wake up I feel like a truck hit me accompanied by joint burning type sensations (doesn't hurt but feels wierd).
I get these same joint tinglings often (wrist, shoulder, elbows, right below my butt, knee joints,and ankles ), worst after meals.
My muscles/body feels burnt out all the time.
I am not overweight
I excercise 3 times a week and lift weights
Take vitamins
I have been tested for lupus, celiac disease (non biopsy), mri of my abdomen/pelvis, thyroid, cortisol, testosterone, glucose (non-fasting test). And I am absorbing minerals. Nothing abnormal in bloodwork.
Im afraid to see a gastro man , ive already had to pay a ton of doctor bills and they found nothing. I was referred BACK to a primary care doctor... I dont think anyone believes me. Honestly I dont care whether they believe me or not I just want it to stop. I have had this for a year now, and it gradually got worse. I first symptom I noticed was fatigue after eating chinese takout one day for lunch over a year ago. Then from that day on the fatigue got worse and new symptoms arose.
I dont know if this helps or not but I suffered from heavy acne in highschool, and was on low dose accutane 40mg for a year and a half. It helped but the acne is not totally gone, and I only get it after sex.. and it itches right afterwards or when my heart rate increases( I notice it exercising). My eyes are sensitive to bright light, and I think I have night vision problems (if i put sunglasses on during the day its harder to see) but these problems carried on from highschool.
I am 22 years old.
Sorry I have such a long post, trying to give the best description as possible.
after consuming a meal (any food but FATS are the worst):
bloating
I can feel a burning in my stomach as well as what feels like butterflies or more precisely my own heart beat.
After consuming food I get heavy fatigue and anxiety
foul fatty/flakey stools
gas
a sinus type headache with brain fog, can't think clearly up to 6-7 hours after meals (my impacted wisdom teeth could be causing the headache though)
I often sleep too long, and when I wake up I feel like a truck hit me accompanied by joint burning type sensations (doesn't hurt but feels wierd).
I get these same joint tinglings often (wrist, shoulder, elbows, right below my butt, knee joints,and ankles ), worst after meals.
My muscles/body feels burnt out all the time.
I am not overweight
I excercise 3 times a week and lift weights
Take vitamins
I have been tested for lupus, celiac disease (non biopsy), mri of my abdomen/pelvis, thyroid, cortisol, testosterone, glucose (non-fasting test). And I am absorbing minerals. Nothing abnormal in bloodwork.
Im afraid to see a gastro man , ive already had to pay a ton of doctor bills and they found nothing. I was referred BACK to a primary care doctor... I dont think anyone believes me. Honestly I dont care whether they believe me or not I just want it to stop. I have had this for a year now, and it gradually got worse. I first symptom I noticed was fatigue after eating chinese takout one day for lunch over a year ago. Then from that day on the fatigue got worse and new symptoms arose.
I dont know if this helps or not but I suffered from heavy acne in highschool, and was on low dose accutane 40mg for a year and a half. It helped but the acne is not totally gone, and I only get it after sex.. and it itches right afterwards or when my heart rate increases( I notice it exercising). My eyes are sensitive to bright light, and I think I have night vision problems (if i put sunglasses on during the day its harder to see) but these problems carried on from highschool.
I am 22 years old.
Sorry I have such a long post, trying to give the best description as possible.
Doctor's Answer
by Kevin Pho, MD, Dec 18, 2006 12:00AM
, Dec 18, 2006 12:00AM
I would re-consider seeing a GI specialist.
Various types of upper GI disorders can lead to many of your upper GI symptoms such as bloating and a burning feeling in the stomach.
GERD, inflammation of the upper digestive tract, and an ulcer are all possibilities.
You can consider an upper endoscopy to comprehensively look for these causes.
Further testing can be considered with an ultrasound (to evaluate the liver and gallbladder), 24-hr pH study (to rule out GERD), or a gastric emptying scan (to evaluate for gastroparesis).
These options can be discussed with your PCP or GI specialist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Various types of upper GI disorders can lead to many of your upper GI symptoms such as bloating and a burning feeling in the stomach.
GERD, inflammation of the upper digestive tract, and an ulcer are all possibilities.
You can consider an upper endoscopy to comprehensively look for these causes.
Further testing can be considered with an ultrasound (to evaluate the liver and gallbladder), 24-hr pH study (to rule out GERD), or a gastric emptying scan (to evaluate for gastroparesis).
These options can be discussed with your PCP or GI specialist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
its all very odd to me
My symptoms still remain albeit reduced in severity and I still have to take the omeprazole. My consultant didn't really want to know at the last consultation and I feel I have been cut adrift with no follow up.
I decided to try changing my diet and although some symptoms still remain, some have disappeared completely and I feel fantastic. The energy levels are good, the joint pains have disappeared, the reflux has been reduced (I also sleep with my bed tilted [15 inches at the head]. Don't use pillows to bolster you up, you sag in the middle of the night and scrunch up your middle - not good).
The diet I use, in essence, is the Atkins diet but without the processed low carb bars etc. but WITH
My symptoms still remain albeit reduced in severity and I still have to take the omeprazole. My consultant didn't really want to know at the last consultation and I feel I have been cut adrift with no follow up.
I decided to try changing my diet