I have a very slow emptying stomach and very slow moving bowels. I have GERD for several hours following meals with no sensation of burning. Since gallbladder surgery everything is worse. I spend 30 dollars a week on digestive enzymes. I can take a couple pills and can reflux them undigested 2 or 3 hours later. I typically take 2 to 4 pills if I eat anything at all. I have measured and the bloating is so extreme that I waist can increase 6 to 8 inches without taking ox bile and other enzymes. ( I remember eating a small bread sample at a bakery and looking pregnant by the time I arrived home 30 mins later.)
Now I am using dieters tea (2 cups a day) on a regular basis just to get my bowels going. My stool is rarely, if never hard. I go about 2 times a week at the most. My still is normal consistancy though sometimes I have to make it lose with stronge laxitives just to get it moving. I recently had an MRI (for an ovarian growth). It showed a large amount of stool compacted on the right side. Recently my stool has been very dark.
4 months ago I was diagnoised with a thyroid problem (Hashimotos). I know hypothyroid can cause constipation but my levels have been good for 3 months but my constipation is a bad as ever. Stimulants really help. I remember taking Phentermine 3 years ago and it work a miracle. I went 5 times the first day. Unfortunately most doctors won't event consider writing and Rx for it.
What could be up with me? I have also gained 20 pounds in the last year. Can the poor digestion be related? Improving my thyroid levels hasn't helped in any way.
You have features of gastroparesis and slow transit constipation.
Hypothyroidism as you have said can cause constipation.
The above tow diagnosis can be confirmed with gastric emptying scan and colon transit time studies, anorectal manotery and balloon expulsion test.
A prokinetic may be helpful for gastroparesis. For GERD PPI may be taken.
Slow transit constipation is difficult to treat. Treatment is usually with osmotic/ stimulant laxatives and prokinetics. If there is no response, surgery should be done.
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