GASTROENTEROLOGY COMMUNITY
No humor with Bile

No humor with Bile

I have been suffering with what I  thought was irritable bowel for 8 months.   At that time, I lost 30 lbs.  I knew something was not right.  I have had "IBS" for years and never lost weight.  Then recently I was having what appeared to be reflux, bad breath--coming from my stomach, and gnawing pain in my stomach.  I started seeing a doctor, they ran blood work which came back fine.  Baffled at the sight of me--seemingly looking normal, under stress of tenure, but with much discomfort.  I am still within normal weight range for my height.  I was ordered to have an endoscopy to look for H. pylori, cancer, ulcer, whatever.  They put me on 20mg of prilosec.  That was then upped to 40.  I kept going back because symptoms were getting worse and my endoscopy was weeks away.  So then I started to have an even more foul smell coming up through my nose and mouth.  It would be intermittent, more pronounced if I bent down, talked, walked..anything other than be still.  So now I was desperate, went to doctor and they squeezed me in last thursday.  I have yet to get the biopsy results but they found my stomach and esophagus fine except found bile in my stomach!  Bile?!  Now I am reading horror stories on how this is not easy to treat and the causes are mostly from surgery.  I have not had any surgery.  Anyone have a clue as to why this is happening?  Could the prilosec by withdrawing the acid..promote the bile?  What could cause motility problems in an otherwise healthy 34 year old.  This ***** and my sinuses/throat/stomach and my pride are paying the price.  

Thank you for your insight,
B
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Well, could be for some reason the little valve that goes from the tummy and down into the rest of the digestive tract is clogged up or not working very well, and they can usually fix that without surgery by an endoscope that goes into the mouth.  But it sounds like they already did that, so could be they'll to a "stomach emptying" test to see if your tummy is passing food along like it's supposed to, and THEN they'll do another endoscope to hopefully fix that valve.  Also, bile in the tummy may just mean your gallbladder is backed up somewhat with perhaps stones, which often form in the gallbladder, and usually they'll do an ultrasound or scan to see if it's just one stone they can get out that might be stuck in a duct, or they might want to take the whole little gland out, fairly normal procedure.  If you have any more concerns or whatever, make an appointment to see your regular doc and ask him to doublecheck on what's going on and ask him what he thinks it might be.
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