I am a male aged 26 working in a stressful job (medical resident)
I have been diagnosed with a significant anxiety disorder, hypochondriac and obsessive compulsive.
For the past 3 months I have been enduring constant 24/7 abdominal pain in right lower quadrant and umbilical area, and constant nausea. Both symptoms unaffected by food intake, and do not interfere with sleep, although I wake up feeling exhausted and constantly anxious about the cause. The character of the pain is a dull ache and "tightness" in my stomach. I vomit most mornings before work due to anxiety. nil symptomatic relief from any standard meds for the nausea, although I notice it less with alprazolam. I had an identical episode of pain like this in 2003 which appeared to resolve itself after about 9 months, and similar nausea 9 months ago which responded to amitriptylene 10mg, but now even 50mg cannot give me relief. I do have known severe GERD and barrett's esophagus for several years. appendix out 2003 with no relief.
I have been extensively investigated with head ct, abdo ct, endoscopy, colonoscopy, ultrasound, upper GI series, biochemisry, haematology, coeliac markers, liver function, urine metenephrines and 5hiaa, thyroid tests- all normal except for barrett's esophagus.
current meds are rabeprazole, antispasmotics, amitriptylene 50mg at night, xanax prn
I feel constantly exhausted, tearful and fragile. My family doctor and specialist both strongly believe my symptoms are psychosomatic, and I find this difficult to accept. The pain and nausea are so severe and unremitting! I am terrified I have cancer that has been missed and spend all my time looking up my symptoms on the internet driven by fear and the symptoms themselves. I comleted my medical residency last eyar and I had so much more stamina and stress then compared to now. the only thing I am really anxious about are my symptoms!
Please assist if you think the above story makes sense- I am continuing to be managed by my GI specialist, but I wonder if anxiety or stress really can cause all this. the pain and nausea really are all day long
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.