Chronic nausea for over a year, anyone have similar symptoms?

yello everybody! so I decided that trying to type every detail that happened in the past year would be too much, so I'm just going to copy and paste a written health history below 😂 Please let me know if any of y'all have/had similar issues! (warning this is going to be a LENGTHY post)

February 2018:

• Got severe stomach flu or food poisoning
• Had diarrhea and vomited around 20 times (straight bile)

Mid May 2018 (123 lbs):

• Received yellow fever vaccine and live typhoid vaccine
• Typhoid vaccine caused a pretty bad abdominal cramping
• Went to grad parties and noticed some nausea and fullness when eating food, but nothing of concern

Late May 2018: START OF CHRONIC GI SYMPTOMS

• May 26th: Morning of grad party, felt super light-headed suddenly, had to lay down
• Rest of day was fine, ate a lot of food
• May 27th: woke up and felt nauseous. Had to lay down and deep breath for 1 hour to get rid of nausea. Almost ended up not going to graduation.
• Felt normal during commencement
• When leaving commencement, felt fatigue and burning in stomach
• During dinner at restaurant, no appetite and had early satiety
• Week leading up to Uganda trip: loss of appetite persisted leading up to Uganda trip.
• PCC recommended taking Zantac, which helped with burning sensation, but produced a lot of stomach bloating and gas.
• Didn’t eat solid food for that week besides some crackers
• Would wake up and have an urgent need to go to bathroom
• After/during BMs, would be nauseous from the cramping and lightheaded
• Felt terrible the morning of the Uganda trip; woke up and couldn’t burp out gas that was trapped in stomach

Early June 2018 (115 lbs)

• Attempted gluten free diet
• Visited PCC again, and switched to Prilosec
• H. pylori test: negative
• Liver function: normal
• Felt better one day and went to a grad party
• Ate pizza, chocolate cake, nachos, and felt light-headed and somewhat fatigued afterwards. Someone told me I was very pale. After hanging out with people later that night, got very bad headache and felt very nauseous.

First major nausea-attack:

• Ate out and had fried chicken strips and fried; wasn’t very hungry, brought leftovers home
• Ate some leftovers at home and made myself very full
• Tried some chinese herbal medicine (small pills)
• Became extremely nauseous and was very close to vomiting (lasted about an hour)
• Heart racing, numb lips and limbs, couldn’t breath in all the way

** Nausea attacks happened often, even after eating ‘safe’ foods like porridge.

• Bloating/stomach gas: started having to burp very often
• Very early satiety
• Had to burp after eating every spoonful of food

July 2018 (110 lbs)

• Went on trip to China
• Ate gluten again
• Appetite came back temporarily, ate a lot of food. Stomach condition declined fast.

  Symptoms:

• IBS like symptoms in morning
• Extreme stomach bloating, stubborn stomach gas (would have to stay up until 3 am trying to burp out gas)

  -‘Foamy’ stomach feeling

• Nausea attacks

Medicine tried:

• Domperidone: gave me dry and foamy mouth

• Slippery elm: taste made me nauseous

• TCM: tasted terrible, didn’t help appetite (for spleen)

• Digestive enzymes (pepsin): stomach ache

• Stopped at SF on way back. Everything I ate gave me a stomach ache, felt like food poisoning

• Back at home, started taking chinese herbal medicine, first time appetite reappeared

• Stomach still wasn’t perfect, but I wanted to eat again

August 2018:

• Upper GI endoscopy: normal
• Cut out gluten
• Fatigue started again, seems to appear 30 min after eating

San Diego trip:

• Decent appetite, but still got stomach aches after eating certain things
• On plane ride home, had terrible burning ache

September 2018 (104 lbs)

• Headed off to college

• Major nausea attack: ate at pho place, ate one bite that sent me over the edge

• Became extremely nauseous and bloated and was close to vomiting

• Had to walk around hotel for an hour or two

College starts:

• Cut out dairy and on strict gluten free diet
• Appetite got a lot better, could eat regular food in small portions
• Started tracking macronutrients, prioritizing protein
• Became ~wary~ of food poisoning and stomach flu

Fall Quarter:

• Went to GI and diagnosed with gastroparesis
• Continued having nausea attacks

Winter Break:

• Vacation to Cancun
• Stomach was okay for first couple of days
• One day at dinner, after a bite of food, I felt stubborn gas moving in stomach
• Became nauseous
• Started burping up acid even on an empty stomach
• Started getting very nauseous and fatigued at night
• After getting back from cancun, fatigue and dizziness persisted
• Headaches and extreme fatigue began
• Discovered that laying on left side made upper abdomen gurgle, which provided some relief

Winter Quarter:

• Overeating became a problem for me
• I was accustomed to eating when not hungry, so not sure when to stop eating. Would often eat until felt sick.
• Cooked a lot
• Started going to gym to gain strength back
• At this point, weight was back up to around 110-115 lbs
• Gastric emptying study: normal

Symptoms:

• Sensitivity to light and headaches easily
• Started getting dull pulsing pain under rib cage on left side
• During respiratory illness, stomach condition would decline
• Felt like swallowing too much air
• Appetite disappeared
• Bloated easily and regurgitation

Spring Quarter:

• Heavy course load, so stopped working out
• New medication: iberogast, seemed to help me burp more
• Started getting bad scalp dermatitis flareup (could it be related?)

Emergency room situation:

• One night, felt cramping all along the right side of abdomen (cramps that you get after running after eating

• Couldn’t find a comfortable position to sleep in, felt like pulled muscle

  -Next day, had sharp shooting pains starting at ribcage and traveling down to lower right abdomen

• Went to urgent care suspicious of appendicitis

• Sent to ER, took labs, everything normal, sent home

• Day after, sitting in library and started getting what felt like gas pain in upper abdomen

• Started getting worse, left library but couldn’t stand up straight or walk too far

• Went to ER

• Pelvic exam: normal

• Labs: nothing significant

• CT scan: minor intrahepatic duct dilation and slightly inflamed pancreas

• Continued having very vague shooting pains, not as intense, not as often

Summer 2019

• Stomach iffy first few days, but got better
• Feel pressure of something on throat, can’t pinpoint
• Started eating a lot of vegetables and fruits (didn’t eat much during school year)
• At first, only had bad gas from things like onions, apples, etc
• One night, overate frozen grapes. Next morning, flareup began
• Not hungry at all, no room in stomach
• Big aggressive gurgling, no relief of pressure
• Random strikes of nausea, felt in bottom of throat
• After eating, rolling fist sensation under rib cage on right side, sometimes left
• Burning came back
• Shooting pain sometimes at night, gets worse when breathing out
• Acid burps
• All foods seem to cause indigestion, including safe foods
• Took digestive enzyme for dinner, and had really bad burning, pressure, and nausea at night

Current health status:

• Missing menstruation (had last regular period in August 2018, and had one in December 2018
• Weight stable between 110-116 lbs
• Have flareups with unknown trigger
• Reintroducing gluten (soy sauce, etc)
• Limiting fructose and sucrose
• Taking herbal stomach medicine for appetite (although this doesn’t do anything during flareups) and occasionally iberogast
• Symptoms
• Random sharp pains in upper abdomen, sometimes traveling down to lower abd.
• Constant burping, more frequent after eating
• Building pressure in upper right abdomen that produces very loud gurgling that relieves pressure
• regurgitation and acid burps

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