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vomiting after eating
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vomiting after eating

Let me start by saying i am not bulimic or anorexic but for the last year and a half i have been unable to keep food down.For nutrtion i am on TPN. I vomit almost everything i eat 15 minutes after eating it. I have no nausea, i will just out of know where projectile vomit.  I have had all of the gastro tests and the only test that came up showing anything was the gastric emptying scan. It showed that my stomach was severly delayed.I have had two botox injections into my stomach and neither of them have helped. I have been tested for parisites and that was negative. I have had multiple byopsys of my stomach lining and that was negative. I have tryed all the medications for gastropareseis: erithtromicin, reglan, zofran, domperidone and all of them have been no help. I had a gastric pacemaker implanted in March of 07 but it proved to not be helpful. In Aug of 07 we found that my gallbladder was extremly hyper active, so in September that was removed. Than with in the last month i began to experience sever pains in my upper left abdomen. So sever i was hospitalized for two weeks for pain managment. Due to my inabiltiy to keep food down i was unable to tolerate oral pain medication. While i was in the hospital my Dr. did an ERCP and opened up the common bile duct. We were aware that it was dilated beofre the procedure. I have recieved to relief from this either.
My vomiting is very strange i will have a food that i can eat, and will be able to eat it for a couple of weeks and than out of no where my stomach will reject it and i will be unable to keep it down. With in the last few months by body has also begun to work on a time schedule. I will be able to eat the food i can eat only between the hours of 11am and 5pm. For instance fat free frozen yougart is currently my only food i can keep down. I can eat 6 oz of this inbetween 11 and 5 but if i try and eat it before 11 or after 5 i will vomit it.
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You have tried every possible treatment for delayed gastric emptying, including implantation of a gastric pacemaker.  I do not know any other treatments for this condition.

If it hasn't been done, you can consider an upper endoscopy to exclude other upper GI diseases like an ulcer, inflammation or anatomic stricture.

If the tests continue to be negative, there are various neurological disorders that can lead to constant nausea.  A brain scan such as a CT or MRI can be considered if suspected.

These options can be discussed with your personal physician.

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 patients education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com
5 Comments
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Avatar_f_tn
My 18 year old daughter has the same thing.  It started suddenly after her wisdom teeth were removed (Can't see that that is related but that is when it started).  She has had the same extensive testing including the upper endoscopy and a computer chip sewn inot her espogagus to monitor it's every action for 24 hours.  Still no answers or relief.  This last week she home from school and eating a meal with us and without warning it all came back up on her plate.  It is embarrassing and ahorrible thing to live with.  If you get any answers- please let us know.  One thing she can keep down if eaten slowly -one bar over the day- is Cliff 20 gr, protein bars- go figure but she can get some protein that way.
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Avatar_n_tn
I understand completely. I am in the same boat. I am at the point of having my stomach removed or gastic bypass. However there is not enough info on it so my surgeon won't do the surgery. If you get any answers will you please contact me. ( I even have the stimulator)
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Avatar_n_tn
I too have had all these test done. My syptoms (symptoms) started in 2006 a few months after I had my son. I vomit after I eat. Sometimes it will be an hour or two after i eat. Most of the time it is 5 to 15 minutes after. I have seen a GI doctor and she didn't know what was wrong. It went away for awhile then came back. Then i was sent to a surgeon because I have a hietel hernea. He decide that that was not causing it so he would not do surgery. I'm soooooo sick of getting sick all the time. We don't even go out to eat anymore. If anybody has answer please let me know. THANKS TIFF
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Avatar_n_tn
My 24 yr.old son started to vomit March 16th this year. He eats and it comes right back up. The same with any liquids other than Mountain Dew (pop) or we just found out, apple juice. He was taking Ultram, His Dr. thought this was the problem.It was discontinued 2 weeks ago. He is still vomiting. He takes Vicodin (headaches, he rolled a jeep in Sept. of 2007), he also takes Zanaflex for the headaches.When he was younger (8, I think), he was diagnosed with GERD from a nasal ph sensor, and used Propulsid. He has only had 2 BM's in the last 6 weeks also. He said he thought they looked normal. I have taken him to 2 different E.R.'s because I am seriously worried. He had blood tests done about 2 weeks ago. All I could see was a low TSH. At the first E.R., they checked his urine and said he had a UTI and gave him doxycycline. Told him to take Prilosec for 2 weeks, get Citrate of Magnesia and use it and also gave him an RX for Phenergan. They also did a test to culture his urethra saying he may have an STD (gonorrhea or chlamydia!). This is confusing to us (and him).They also gave him a "gastric cocktail" after having him let a tablet dissolve on his tongue (I don't remember what this was but might if I heard it again). This did no good. Friday I took him to another E.R. and the Dr. thought we were lying!  He said if you haven't eaten in 6 weeks, you should be dead! They took his blood and said he did not have the UTI (he used the medication 3 days), no STD's, no infections, he wasn't dehydrated (they had done a urinalysis and it said he was), but did have low potassium and gave him 4 pills with apple juice (how we knew he could take it and not vomit). They did an x-ray and said it looked normal, no stomach problems, no intestinal problems, no blockages or stuff in it, no tape worm (apparently, we live in the wrong area [Colorado]). He has not had any surgeries in well over 8 years (adenoids (adenoids), tonsils, deviated septum, turbinates reduced). He has lost over 70 pounds. He used to weigh 305 and now weighs 240. I realize being less fat is good, but this doesn't seem to be the way to lose it. He smokes a half pack a day I think he said. He doesn't do any form of non-prescribed drugs (except OTC's for headaches) other than alcohol socially (a beer once a month usually). All I have noticed is he feels way too full after eating (even if it is just one cracker) and he starts to burp a few times, then, up it comes. He says he doesn't feel nauseous or anything else, it just happens. The only other thing I notice is that his teeth are bad from the acid reflux (dentist says this) and he wears a tongue piercing and lip piercing. What should I do (or him, I mean)? I am very fearful for him and do not know what to think or what happened or is happening to him.
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