Any Thoughts?

[Kinamur]

Hello I am, or was, a Healthy fit 23 year old male.  In march 2008 I got drunk one night and woke up hungover the next morning sickness and all, it never went away.

Nearly a year later I still have chronic nausea and there are periods where I lose severe weight, I lost 15 pounds in the initial month and kept it for several months then went through another phase where i lost another 10 pounds stayed at that for a while. Currently I am 6ft 2in and weigh 140, I am severely underweight you can see almost every bone in my body without me having to flex or push muscle aside its awful.

Ive been to the ER, Gastroenterologist, Ive had 3 Upper GI series, an upper endoscopy a colonoscopy a stomach emptying test, cat scan, ultrasounds, blood tests, urine tests, blood cultures, and everything came back fine.

Im at the end of my rope ive been chronically ill for nearly a year lost 40 pounds and frankly dont have the energy to continue.  Ive been told by the specialists im fine it must be psychological but there was nothing to onset the symptoms, I quit smoking a month after it started made no difference.  

I'm really just looking for input ive exhausted all of my resources.

So, any thoughts?

[doctornee medical]

Hi
Thanks for writing to the forum!
Unintentional and unexplained weight loss of this magnitude is definitely not good. There are many causes like worms in stool, depression, anorexia nervosa, AIDS, cancers especially colon cancers, drug abuse, infections and loss of appetite. Loss of appetite can again be due to certain medications, drug abuse, depression, AIDS, acute and chronic infections, cancers and hypothyroidism. Either you do not eat well or there is increased metabolism as in hyperthyroid states, HIV, cancer etc. Poor absorption as in irritable bowel syndromes and malabsorption syndromes too is possible. Malabsorptin syndromes are seen in intestinal tuberculosis, HIV, tropical sprue, parasites in stool and Whipple’s Disease.
I have enumerated the possibilities that come to my mind right now. Hope this helps. Please consult your gastroenterologist. Please let me know if there is any thing else and do keep me posted. Take care!

[Kinamur]

Thanks for the response, I am curious about the Malabsorption syndromes it really seems like the only possibility Ive been tested for everything else on that list and came back clean.  Other than depression, which what 23 year old college kid isnt a little depressed, Im managing quite well on mirtazapine which is supposed to increase appetite and it has a little but for the most part im just not hungry every, ill eat maybe a meal a day.

I'm just tired of going to doctors and being told im fine go home and eat you know?