My 17 y/o daughter has been complaining of nausea and early satiety for several months. She has always been very thin and is now 5'10" and generally weighs around 110-115 lb. She began complaining of inability to eat because of severe nausea and I just kept encouraging her to eat, thinking that her busyness at
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Preschooler test
Preschooler test or procedure preparation
School age child development
School age test or procedure preparation
School-age children development and with cheerleading was the culprit. However, her complaints of nausea and then fatigue became so severe that I took her in and asked for blood work for mono, anemia, etc.. All tests were
normalNormal saline flush with exception of
bilirubin (2.2 - ULN 1.2) and slightly low potassium. Ten days later, bili was 3.7, potassium WNL. All other blood work including liver profiles
normalNormal saline flush.
AmylaseAmylase - blood also
normalNormal saline flush. Abdominal sonogram normal. EGD set up for Feb. 3. Because of her body habitus, I am often asked about eating disorders. I see no evidence of this. I am an at-home mom and have plenty of opportunity to observe. She is now having problems with even fluids. Though she has not vomited, she feels as though anything that goes down will come up. She is now down under 100 lb (although the first 10 lb was more gradual over the last several months - which I had attributed to increased activity). I am very concerned about dehydration, though I have been trying to force fluids. She has been drinking a couple glasses of Instant Breakfast and perhaps some apple juice for the last 2 days. The only solid I have been able to get her to eat is perhaps 1/2 of a small baked potato. She feels profoundly weak and stays in bed most of the day. Please help.
It sounds like your daughter may have gastroparesis.Your
doctor can have a Gastric Empty Scan done to see how much
time it takes for the food to empty from your daughters stomach.
Delayed emptying can cause the early satiety and nausea.
Try mashed banana's for potassium and Gatorade to help prevent
dehydration. Keeping potassium levels up is very important.
There are medications that can help motility of the stomach
wich may help symptoms. Use caution before taking Propulsid
if its prescribed (ask Dr. about recent warning).Constipation
can worsen symptoms also.You may want to look at this web site
for people with gastroparesis it has helpful info and tips.
www.dailyfutures.com/gastro.html (at bottom of 1st pg click
to see info) I hope your daughter is feeling well soon!
Jeannine
I have gastroparesis, if you have any questions: ***@****
My heart really goes out to you, I remember how helpless and scared my mother felt. We have always shared feelings and have been inseparable through it all. I am thinking of setting up a free e-mail account as I don't feel right putting the family's address online, and I will post it here as soon as I do. Feel free to e-mail if you need to talk. Others with this illness are also welcome! I hope she will be feeling well soon, good luck with the tests and let us know how she's doing! Jennifer :)
***@**** This is and can be very frustrating and when physicians are not listening then keep searching. Now I am going to get more blood tests tomarrow to check my liver. The thing that really stinks, is it had to get to this point when it did not have to.
(does she get sicker after eating?) Let me know what you have found. I would be interested. The female doctor I spoke of earlier is a Gasterologist. Might be worth checking into. Does your daughter seemed concerned? Any fevers? Good Luck!!!
Prayers and blessings to you all.
I'm up and running at <***@****>
It definitely sounds like gastroparesis. I am a 22 year old college senior and
have been suffering from it for
six years. I also have a heck of a time with potassium and phosphorous.
Unfortunately, I also have a heart problem and have gone into cardiac arrest
a number of times because of low potassium. Recently I was in the hospital because
of severe malnutrition, dehydration, and my potassium was 2.7. I'm
lucky to still be alive. All the symptoms you describe point to
gastroparesis. I suggest your daughter have a Gastric Emptying
test done. It can be done at a number of hospitals. I go to Hershey
Medical Center, a research hospital, and if there is a good research
hospital close to you, it would be the best place to go. A lot of
community general hospitals don't know much about gastroparesis. If
the gastroparesis is severe enough, they may consider nutritional support.
I have been on and off it for years... a Midline for TPN, and a J-tube,
and now I have in a PICC line for TPN. Soft foods are the best. Low fat,
low fiber, no meat (maybe white meat, it depends) and limiter fruits and
veggies (unless they are soft and low in fiber...try mashed bananas, etc.)
Some people try ensure or Boost (mix it with milk, frozen yogurt,
and instant breakfats for a high calorie shake...don't drink it all at
once, sip it throughout the day) also, small meals or snacks work best.
Big meals take too long to empty. I also miss a lot of school. My
junior year of high school I missed 76 days, and my senior year I had to
homeschool. I still miss a lot of college classes because I am in the
hospital alot (not just for gastroparesis, but also for my herat problem).
If you have any more questions, feel free
to write me at ***@****.
Jackie
I have severe gastroparesis with terrible nausea and bloating and
NO vomiting. I know of others with this disease who also do not vomit.
It is very common to vomit, but NOT a must. Also, diarrhea is not common
in gastroparesis. The more common problem is constipation because
of food sitting in the stomach for so long...not running through
quickly. Often, stools are white, but that is not in everyone...
actually, it's probably only in a minority. Just because she is not vomitting
does not mean it's not gastroparesis. I am an example! My doctor
said I subconsciously have control of that muscle so I can't vomit
even if I get sick enough that I want to. It's bad because I usually want
to get rid of food that makes me that sick, but I can't, so I'm
sick for days or weeks! Insist on the gastric emptying test!
Good Luck.
I totally have a new admiration for indiv. with medical issues. It can truly thwart one's inner spirit. I am determined to not let them KILL it. We all know what we have been through don't we? That is why I keep encouraging trusting your instincts. I have known from the beginning this was not right. The scary thing is that I almost started to think it was in my head and I am a therapist/social worker. I think we give doctors way to much power and forget they are on our level as humans. Not above us as many of them would like to think. Their disbelief or neg feedback to you only let's you know they are not any higher than you as a person. That is why we can NOT let anyone try to stomp on our beliefs and instincts. When they do they are not validating who we are. So who needs them then.
I am telling you Miss Jackie, if one doctor tells you something that you are sure is not the answer, becuase your gut is telling you otherwise, then keep trying. I totally admire your belief in your daughter. She has to feel so loved.
It took me totally unneed stress and money to find out what was going on. ALL BECAUSE THESE MEN DID NOT WANT TO REALLY DO THEIR JOBS. LAZY AND LET THEIR EGOS GET IN THE WAY. Truly very sad. But, I can also contest to the doctor that I have. She is great. She would not let any stone go unturned. She believed me. She was scared for me and angry at the doctors who were putting my life in danger. Now that is a true physician. I believe they are out there. Sadly, there might not be many of her. All of us are fighting for our lives and others. Why would we settle for less?
A few questions, what can I eat? My doctor was out for weekend when I left hospital so I did not get all the updates on this illness. So, only mashed things, no meat, and LOW FIBER? I thought we needed fiber? Won't fiber help me with my severe constipation? Does anyone have any tips how to reduce the constipation? It does make me sicker. No fast food right? How about breads? I feel so lost with what I can eat. I thought the meds would pretty much halt this. I have since found out that is wrong. I am still getting sick, just less frequent. And acutally, other days are worse than others. Is it trial and error with food. Problem is that sometimes something will work and others I get ill. So what can I exactly eat?
Jackie, I had the exact same headaches and dizzy/faint feeling. It is a scary feeling. What I found out was that this is causing stomache induced migranes. This is rare,but maybe they will one day find out that this is connected. My doctor is so thorough that she sent me to a neurologist. He did tests for other type headaches and it was trial and error to reach this conclusion. Oh yes.....I do get extreamly nauseated without vomiting. It depends, sometimes I do vomit and others I don't. The headaches don't always come with the nausea. Usually at those times I vomit, but NOT always. I think there is ALOT that is not really know yet about this. Remember, all of our bodies are made up different. NEVER have I had diarreah. That is one symtpom that I was told is not for this illness. Just the opposite. So will I always struggle with constipation? I will go weeks at a time. Sometimes laxatives work, but usually I have to take other measures like supposatory or drink this fleet stuff. You can do that everyday either, it will effect the muscles in the intestine.
Okay, okay, I will shut up. I just have become so passionate about learning about this and helping others. I do not want anyone to experience some of the things I have. I know all of your tips have saved me a route or two. Jackie, INSIST on a stomache empying test. YOu can!!! See a gastrologist. This is their specialty. They understand it better than anyone. If they try every taste (00ps...ha ha! must of been a freudian slip)test and comes out negative, Do Not stop looking. Not all tests are 100 percent. Your body may be different one day and not show up. So go back and ask for another one a month or two later. You have that right. You are paying for it. I will recommend mine as well. I went to one in Mont. I am from Wyo. I am not sure where you all are from. This woman is one of the top in the nation. I know who had a hand in helping me get in touch with her. You are sound like wonderful and true spirited people. Full of love and kindness. For the ones who have e-mailed me. Thank you. Totally made my days. I feel so alone sometimes. the support is so nice and helpful. ***@**** Happy Days!!! Lisa
Sincerely,
A concerned husband
In a comment made on a previos comment before this, a woman explained something that may bring something to mind. She had stated that her bowel would close off once a month causing her to be ill. According to her there is a name for this. Sometimes it closes off and others x's it does not.
Another suggestion would to re-post your message as an original message. (You asking the first question). A doctor will write you a message back if you are the initial poster.
I also know a female who is allergic to flour and almost died because Doctors could not find out the problem of constant nausea and other symptoms. I am unsure what the disease or allergy is called, but she has to be extreamly careful or she will become VERY ill and possibly die.
Don't give up on you quest to find answers. Nausea is a sign of so many things.....but she can not continue this lifestyle. She is not crazy either, so don't let a physician tell you that it is in her head. Support her and encourage her. This is getting me through gastroparesis symptomology and intially when they were unable to find a diagnosis. Best of Luck. If you have any questions, please feel free to e-mail my husband or I.
***@**** Lisa
"This is some info I have read or heard from others"
Im sorry to hear your having trouble.I have had ideopathic gastroparesis for over 2yrs now (symptoms began after gallbladder,appendix surgery).Your symtoms sound like gastroparesis? Have you seen a Gastroenterologist who deals
with motility disorders? Some doc's dont have as much exposure
to motility disorders so they are slower at getting to the
diagnosis and proper treatment.A gastric empty scan would be the
best test to start with,it will show if your stomach is emptying
in a timely manner.Other blood tests for thyroid or adrenal gland
problems should be done to rule those causes out.Some people get
a stomach virus and it does not resolve, possibly nerves were damaged or the pacemaker activity of the gut is "thrown off"
and dysfunctions either case can cause gastroparesis. This
scenerio is usually called viral gastroparesis and I have read
that it may resolve over time,usually symptoms are severe at the
onset and progressivly improvement can be seen,it may take 2+ yrs.The prior info I read on the internet. Some people have GERD that seems to progressivly get worse and then it seems to coinside with gastroparesis.Some women notice worsening symptoms around there menstrual cycle (hormone fluxuations can worsen symtoms for some).Some people just "get it" they may have had
IBS or other stomach problems ie:constipation and then things
just slow down and don't work? When there is no identifiable
cause it is called ideopathic gastroparesis.There are some medical conditions that can cause gastroparesis like as you
mentioned diabetes, also thyroid,lupus,schelderoma sp?? there
may be others.I know how hard it is to eat when it causes so much
discomfort and you know the reprecussions.Its a double edged sword.
Some things I eat that Ive been able to tolerate have been potatos,Ensure,yogurt,chicken broth,bananas,pudding...small portions.I hope you are feeling better soon! I would ask your doc to rule out the gastroparesis. I hope this info helps.....if you need to talk or have any questions feel free to mail me at:
***@****
I am on disability so I have free time to help :) Good Luck!
A site you may want to look into is: www.dailyfutures.com/gastro.html
Jeannine