Gastrointestinal Issues: Vomiting and Weight Loss Concerns

Gastrointestinal issues... often lead to vomiting?

Hello, I have been experiencing stomach issues for quite a long time.
I have been very thin since childhood and have been unable to gain weight.
My symptoms include occasional stomach pain, nausea in the morning, and sometimes vomiting after eating or at other times.
When I press on my stomach, it also hurts, and sometimes I vomit everything I ate.
In recent years, I have noticed that I am getting thinner, and sometimes I vomit some gastric acid even when I haven't eaten anything.
I have been vegetarian my whole life, and people have always called me "skinny monkey." I have been wanting to check what the problem is, but I haven't gone for a proper examination; I only visited a traditional Chinese medicine practitioner who diagnosed me with chronic gastritis.
I am now 24 years old and still very thin...
I really don't know what to do.
I am considering getting an endoscopy, but my family advises against it and suggests I continue with herbal medicine...
I wonder if there is any way to improve my condition.

Xiang Bian Pang De Wo, 20~29 year old female. Ask Date: 2005/05/09

Dr. Yuan Hongdao reply Gastroenterology and Hepatology

Hello, upper abdominal pain, inability to gain weight, and vomiting could potentially indicate organic lesions, such as issues with the liver, gallbladder, stomach, duodenum, small intestine, or pancreas.
It may also be related to endocrine problems, such as diabetes, thyroid disorders, or electrolyte imbalances.
Additionally, neurological or psychological issues could be involved.
It is advisable to seek medical evaluation to determine the underlying cause in order to provide appropriate treatment.
Sincerely, Dr.
Yuan Hong-Dao, Internal Medicine.

Reply Date: 2005/05/09

More Info

It sounds like you are experiencing a range of gastrointestinal issues that have been affecting your quality of life for quite some time. Your symptoms, including persistent vomiting, weight loss, and abdominal pain, are concerning and warrant a thorough evaluation by a healthcare professional.
From your description, it appears that you have been struggling with chronic stomach pain and nausea, which can be indicative of several underlying conditions. Chronic gastritis, which you mentioned was diagnosed by traditional Chinese medicine, is one possibility. This condition involves inflammation of the stomach lining and can lead to symptoms such as pain, nausea, and vomiting. It can be caused by various factors, including infection (such as Helicobacter pylori), excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or stress.

The fact that you are experiencing significant weight loss is particularly concerning. Weight loss can occur due to a variety of reasons, including malabsorption of nutrients, decreased appetite, or chronic illness. Given that you are also experiencing vomiting, it is possible that your body is not able to retain food properly, leading to further weight loss and nutritional deficiencies.
Since you mentioned that you are a vegetarian, it is essential to ensure that you are getting adequate nutrition, including protein, vitamins, and minerals. A diet lacking in essential nutrients can contribute to weight loss and overall health deterioration. If you are not consuming enough calories or protein, this could explain your difficulty in gaining weight.

Regarding your concerns about undergoing an endoscopy (gastroscopy), this procedure can be very informative. It allows doctors to visualize the inside of your stomach and can help diagnose conditions such as gastritis, ulcers, or other abnormalities. While it is understandable to have reservations about the procedure, it is a common diagnostic tool that can provide valuable information about your gastrointestinal health. If you are worried about the potential for discomfort or complications, discussing these concerns with your healthcare provider can help alleviate your fears and provide you with a clearer understanding of the procedure's benefits.

In addition to seeking medical evaluation, there are several lifestyle modifications that may help improve your symptoms. These include:
1. Dietary Adjustments: Focus on a balanced diet that includes a variety of foods to ensure you are getting adequate nutrition. Consider incorporating more easily digestible foods and avoiding spicy, fatty, or acidic foods that may irritate your stomach.

2. Regular Meal Patterns: Eating smaller, more frequent meals can help reduce the burden on your stomach and may alleviate some symptoms of nausea and vomiting.

3. Hydration: Ensure you are drinking enough fluids, especially if you are experiencing vomiting, to prevent dehydration.

4. Stress Management: Stress can exacerbate gastrointestinal symptoms, so incorporating relaxation techniques such as mindfulness, yoga, or meditation may be beneficial.

5. Follow-Up Care: Regular follow-up with a healthcare provider is essential to monitor your symptoms and adjust your treatment plan as necessary.

In summary, your symptoms are concerning and warrant further investigation. An endoscopy may provide valuable insights into your condition, and addressing your dietary habits and stress levels can also play a significant role in managing your symptoms. It is crucial to work closely with a healthcare professional to develop a comprehensive treatment plan tailored to your needs.

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