Vomiting (again....)

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hukleberrie
Regular Member


Date Joined Jan 2008
Total Posts : 491
   Posted 4/3/2009 9:33 AM (GMT -7)   
Here I am again, posting on here. I have been so busy lately, and out of town, I haven't visited. I was doing pretty well for a while.

For those of you who are new or don't remember, I have had GI problems since 07. My PCP thinks I have crohn's, my GI thought so too, but goes back & forth & has never given me a definitive dx. (I had one c-scope that showed small ulceration & inflammation, one after being on azulfidine & prednisone for a while was clear, a SBFT that showed inflammation in one area but no strictures, the IBD sereology test was negative, and the first EGD after the vomiting got bad showed ulceration & inflammation. Negative for cancer & h.pylori). In November 08 I the vomiting I was having became much more frequent & the weight loss began again (I have lost 50 lbs. total). It became really bad, that's why they did the second EGD. I was just told by the GI that she didn't know what to do with me. She felt the problems were from "too much acid production" even though I was already on a script for prilosec & also carafate.

I started feeling a bit better in the beginning of March, and was doing pretty well. The vomiting had FINALLY subsided. I just stay on my 2 candy bar a day diet & eat double the calories I should to keep my weight up. Recently I began having bad stomach pains again. Then the nausea & fatigue has come back as well.

Today I come to work & my husband had sent me with a cinny roll. It was yummy, but immediately started feeling ill. I got sick twice. I am not sure if it's just my stomach acting up or what since I have been constipated lately... I worry a bit that it could be an obstruction or something....

I don't know why I am posting. I am confused as to what is the vomiting issue.... My PCP thinks it's CD, but wants me to pursue treatment from a GI. I am getting nowhere with my GI, so I contacted a doc at a nearby teaching hospital & asked if I could still have IBD after being negative for the IBD sereology & having 1 clean scope & she said I need to have an appt. She is the director of their IBD dept. & I think she will finally have some answers for me. I see her this Monday.

In the meantime, I am nearing lunchtime & afraid to eat. Is it just my stomach acting up or an obstruction? How do you know? I have had much more abdominal & back pain today, but thought maybe it's just the weather....????
Live for today, for tomorrow you might just get hit by a semi.


gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4099
   Posted 4/3/2009 1:01 PM (GMT -7)   
I'm sorry you feel so sick, and I'm glad that you are seeing a specialist on Monday. There is a lot of gastroenteritis (stomach flu) going around; is it possible that you caught a bug? I don't know what's wrong, but I think you may want to stay with very mild food and lots of liquids until you see the doctor. I've never had an obstruction, but I think in addition to the vomiting it is very painful. You can go to the ER if it gets really bad, but hopefully you can hang in there until Monday
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007. Also have IBS, and had Salmonella Dec. '07
currently taking Pentasa- 4 500mg pills per day, Metamucil and colace for constipation


hukleberrie
Regular Member


Date Joined Jan 2008
Total Posts : 491
   Posted 4/3/2009 1:10 PM (GMT -7)   
Thanks for your post. I don't think it's the stomach flu. No one else has the flu around here, it was all over around here in January & I had it twice then. The flu usually comes with D for me, and I don't have D right now, in fact, I haven't went much lately... It's more like eating causes the vomiting...

When my ulcer was really bad, I was vomiting constantly. The thing is, I haven't had an issue with puking for a while. Then all of the sudden, after having a few bad days, it creeps up on me again. I was vomiting daily for a while. This is the first time I have gotten sick in over a month. I am a bit worried though, that I am going to go back to vomiting daily, and that scares me a bit. I can handle a lot, but vomiting is the worst for me.

I guess I just have to wait it out & see if it continues. I haven't eaten anything today since I got sick. I think I might try soup after I get home.

I would love any other suggestions...
Live for today, for tomorrow you might just get hit by a semi.


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 4/3/2009 4:17 PM (GMT -7)   
Since getting diagnosed w/ crohns I find any large amount of sugar (but an amount that would be normal to other people) make me naseuas and frequently cause vomitting. I know you are trying to keep your weight up but try cutting out the candy bars and cinnabons for awhile and see if that helps. I also tend to vomit after eating avacados. I was going to start a post about that. Oh, and after having sandwich meat from chain places like subway.... all = vomiting. Don't know why.
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night.  I take xanax prn for situational anxiety (aka no easy bathroom access). 


mtgman
Veteran Member


Date Joined Mar 2005
Total Posts : 1289
   Posted 4/3/2009 6:55 PM (GMT -7)   
hi there...do you vomit throughout the day at random times or is it after you eat, while you're trying to go to the bathroom or something else more specific?
I have been having an issue with puking as well. Not sure if it's what you are experencing but for me when i have to go to the bathroom I get serious pains in the area below the belly button (rediculous cramping type pain...sweating want to pass out...) and about 1/2 the time I puke...sometimes it seems to be just bile and other times if i have eaten recently it's full on vomiting (fun).
Not sure what's going on as I have never had these symptoms in 20 yrs with Crohn's.
35 year old male living in AZ.  Diagnosed with Crohns at age of 15.
Currently tapering prednisone (15 mgs) and I've been on 6_MP for 2 months.
In the middle of a bad flare now for 6 months...lost almost 30 lbs.


Valerie3
Veteran Member


Date Joined Feb 2009
Total Posts : 529
   Posted 4/3/2009 7:28 PM (GMT -7)   
Does the pain go away after you vomit? I vomited a lot when I was flaring, but as soon as I started to get better, the vomiting stopped. I didn't have an obstruction, but I had similar symptoms to what you have, if it's an consolation. It could be a flare. Are you taking anything for Crohn's right now, or just the Prilosec and carafate?

Kittikatt
Regular Member


Date Joined Jul 2004
Total Posts : 422
   Posted 4/4/2009 10:18 AM (GMT -7)   
I'm curious to know if you're vomiting along with a bowel movement? confused   Or are you eating food and then throwing it up with no bowel movement?  Or are you just sitting there, maybe haven't eaten in a while and then all of a sudden get nauseous and vomiting, still with no bowel movement?
 
I'm asking because I, too, have had MAJOR vomiting with bowel movements issues (it's not in any medical dictionary, but the "urban dictionary" online calls this VOMICATION!).
 
Since August, I've thought I was working on developing a stomach ulcer.  It was a dull ache until January of this year when it became painfully unbearable.  I was certain it was a stomach ulcer.  So my GI scheduled me for an Upper Endoscopy and an ultrasound of my gall bladder AND put me on CARAFATE to take away the pain I was having right in the middle of my breastbone...right at the top of my stomach-area.
 
Turns out I have gall stones...so my GI figured the pain was from the gall stones, cancelled the Upper Endoscopy and instead scheduled me for surgery to have my gall bladder removed.  I'm doing that next Tuesday.
 
But since the first of January, my bowel movements with gas have been so awful and the gas pain has been so bad that it has caused me to vomit while I'm sitting on the toilet pooping....pooping and puking at the same time!  I've done that 23 times since the first of January.  Lost a lot of my food (which I haven't eaten much of anyway) and because of that have lost a lot of weight, my iron levels have gotten lower, I've been massively fatigued, malnourished...etc. etc.
 
I went in to ask my GI about the vomiting with the bowel movements last week b/c I was anxious about feeling so crappy prior to my surgery.  HE said he didn't know WHAT would be causing me to vomit during a bowel movement...EH?!  I mean, he'd never even heard of anyone doing that.  HUH?!  Has he simply never had a the flu?  This is different from the flu but still...seems fairly obvious that PAIN of ANY kind could induce vomiting...so he was of no help in telling me WHY I might be VOMITING whille POOPING...
 
...but he DID send me for an Abdominal & Pelvic CT scan to see if THAT showed anything (I was thinking that the vomiting with BM's were b/c of a possible obstruction) but that test came back fine...I mean, other than the fact that it pointed out I still have CROHN'S!!!
 
Well, I'm rambling at this point...sorry. tongue   
 
I went on a low-residue diet for several weeks (not by choice, but because I felt so bad) but the vomiting DID get better.   It's been 2 weeks since I threw up or dry heaved with a bowel movement...
 
I sure hope you find some answers (AND RELIEF!) soon.
 
Diagnosed in October, 2004 at age 32.
37/F/SC
Current Rx's: Colazal (generic), Omeprazole, Ferrous Sulfate, Librax, One-A-Day multivitamin, Probiotic, Omega-3 Fish Oil, Vitamin D, Vitamin A, Calcium-Magnesium-Zinc, Cranberry pills
Secondary conditions: mouth ulcers, joint pain, swelling ankles, extreme fatigue
Previous/occasional Rx's: 20mg Prednisone taper, Flagyl, Levaquin
No surgeries to date


Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 4/4/2009 10:41 AM (GMT -7)   
I hope you can get some help from the specialist on Monday. I have had CD for going on 21 years and never really had an issue with nausea until about 2 years ago. But boy when it started was it bad. Eventually they decided I had gastritis and duodenitis, but they never did figure out why I had it, and they both just went away. I ended up in the hospital a bunch of times, had so many C-scopes and Endocscopies and tests I couldn't have even imagined before. I lost about 60lbs by the end of it all, not that I didn't need to lose it (way too much prednisone over the years), but it wasn't the way I would choose to go about it.

Just a few things that might help get you through the weekend. Try small meals. Try drinking chicken bouillon. Also saltines with a little smear of butter. Something about the salt and the combination of fat seems to settle the stomach.
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


Homeboy
Veteran Member


Date Joined Dec 2005
Total Posts : 637
   Posted 4/4/2009 11:01 AM (GMT -7)   
Wow Kittikat;

Sorry you are feeling horrible. shakehead

Before my gallbladder came out I was vomiting much more than usual. I really think it was because of so MUCH PAIN, instead of nausea. There were times I had to go to the bathroom, and also I was feeling like I needed to vomit. I simply couldn't do both at the same time, it was focus on one or the other.

VOMICATION huh, that is a rather unusual word, fitting though.

I hope you get to feeling better, I think getting out your gallbladder will help you ALOT.

Let us know how your surgery goes.

Sending happy thoughts your way. smilewinkgrin
CD dx @ 13 (1987)
Prednisone 10mg every other day
Phenergen PRN
Zantac 300 - Twice Day
Pain Meds
Vitamins


hukleberrie
Regular Member


Date Joined Jan 2008
Total Posts : 491
   Posted 4/6/2009 1:31 AM (GMT -7)   
I don't vomit during a bowel movement. It just kinda comes on. I feel really weird, start sweating & dizzy-like... then I have the dripping mouth & I have to run to the bathroom. At this point, I haven't gotten sick since Friday, so that's good.

This vomiting has gone on since last summer with periods of no vomiting in between. Drives me crazy. My doc did think I had an ulcer, which I did, along with gastritis, which I have had for a couple of years. There was talk of looking at my gallbladder, but I guess she decided against it. My GI is kinda MIA on me. I hope my specialist today will have some answers. I will post when I get home.

BTW, yes, I am only on prilosec, carafate (GI said I could quit taking but I started back on it due to pain when I eat) & elavil to slow my GI tract down. Problem is, I haven't had a BM since Friday morning... : (
Live for today, for tomorrow you might just get hit by a semi.


Texan with Crohn's
Regular Member


Date Joined Dec 2007
Total Posts : 362
   Posted 4/6/2009 3:26 AM (GMT -7)   
VOMICATION... now there's something that I can use as a description.

Been vomiting along with horrific bowels lately. I must admit that I too eat a lot of sugar. It's just easy to digest, that and bread. Symptoms are much like KittKatt. Ain't life grand. :(

Kittikatt
Regular Member


Date Joined Jul 2004
Total Posts : 422
   Posted 4/6/2009 8:30 AM (GMT -7)   
I'm surprised (well, maybe I'm not) that at least one of the docs you've been to so far hasn't ordered a gall bladder ultrasound AND gall bladder HIDA scan. Gall bladder problems present with vomiting; "stomach ulcer-like pain" anywhere in the upper abdomen; back pain in the mirroring place of the abdomen pain and sometimes right-side shoulder pain (how weird is that?!).
 
Of course my OWN GI didn't send me for a GB ultrasound until months after I'd complained about the pain, was doubled over in pain, not eating and pestering the heck out of his office staff about how sick I was.  But with your "out-of-the-blue" vomiting, seems like someone along the way would have thought about the gall bladder.  My cousin has been an ultrasound specialist for over 20 years and she says gall bladder problems are the thing they see at their radiology group most often...and usually the patient has suffered for a long time with pain because docs don't think first about the gall bladder. 
 
Since finding out I have to have my GB removed because of gall stones, I've learned that so MANY people in my life have had theirs removed, too!  Evidently, having your gall bladder removed is one of the most common surgeries performed in the USA.  Even the young 20-something girl who did my CT scan week before last had just had hers removed 3 weeks ago...and then the nurse who took my medical history for my pre-op on Friday had just had hers removed 3 1/2 weeks ago!  What are the odds of that???
 
Since your vomiting is NOT coming on with a bowel movement, I would certainly ask for a gall bladder test...or at least check out online the symptoms of gall stones and/or a NON-functioning gall bladder for yourself to determine if you want to get your GB checked out.  It could at least be something you could rule out.  Vomiting IS a symptom of gall bladder problems. 
 
We have to take a stand and ask for our own tests now...I truly am beginning to believe we have to know more about our own health problems than our own doctors as well as stay a step ahead of them in information since when we go for an office visit, we only have so much time with "the pro".  I mean, COME ON!  My GI had never even heard of anyone vomiting and puking at the same time and he's been practicing for over 20 years!!! shocked
 
As I mentioned, I'm on Carafate too, but my GI has told me that Carafate is not a drug to STAY on.  It's an "in-between" drug to help coat the stomach pain until the docs can figure out what is actually CAUSING the pain and fix THAT problem.  My gall bladder surgery is tomorrow.  Yesterday was the last day I'm going to take the Carafate.  If once I have my GB removed I still have the same pain I was having before starting the Carafate, then they'll know it wasn't the gall stones causing my pain and will do an Upper Endoscopy to check and see what ELSE could be going on...like stomach ulcer.  But either way, now I know my GB has got to go! 
 
I'm so glad I found the word VOMICATION... UrbanDictionary.com can be so helpful!  "Hey Doc!  You ain't gonna find THIS in any of your medical dictionaries but I've been experiencing VOMICATION...what should I do?!"  Hehe... tongue
Diagnosed in October, 2004 at age 32.
37/F/SC
Current Rx's: Colazal (generic), Omeprazole, Ferrous Sulfate, Librax, One-A-Day multivitamin, Probiotic, Omega-3 Fish Oil, Vitamin D, Vitamin A, Calcium-Magnesium-Zinc, Cranberry pills
Secondary conditions: mouth ulcers, joint pain, swelling ankles, extreme fatigue
Previous/occasional Rx's: 20mg Prednisone taper, Flagyl, Levaquin
No surgeries to date


hukleberrie
Regular Member


Date Joined Jan 2008
Total Posts : 491
   Posted 4/6/2009 12:08 PM (GMT -7)   
I didn't have a hida scan, but recently had an endoscopic ultrasound looking at my pancreas which also noted that my gallbladder looked fine, no stones. Thing is — I DO have ulcers in my stomach. No reason yet as to why I have them. I do not get right sided shoulder pain, my pain is all in the left. I am pretty familiar with gallbladder problems as my mother had her removed last year & before they diagnosed my brother with pan cancer, they thought his problem was his gallbladder as well. It's still possible, but since I do have ulcers, I am thinking it's not my gallbladder causing my vomiting & pain but my stomach/GI tract instead.

Things had gotten a little better after my third epidural pain block. I wonder if the steroids in the injection helped me for a while? It's been about 6 weeks now & things have been heading downward again... I am getting the stomach pain & nausea/vomiting.

The appt. went okay. She couldn't tell me if it is crohn's or not. She felt more towards it not being crohn's but didn't have any of my scope reports or biospy results so I go back & see her in 2 months with all my info in hand & she sees how I am doing then. One thing she did have me do is send all of my slides down their pathology dept to have them check them over. She told me that crohn's is unmistakable in pathology, so if it hasn't shown on my c-scope & EGD, then it probably is not crohn's. She did say depending on what she thinks & how I am doing when I go back in June, she may want to do a special CT or the capsule endoscopy since I haven't had those done yet.

So I guess I am back to waiting not knowing what is causing my frequency, blood, vomiting, pain, fatigue & weight loss. Somehow I just can't understand how that could be IBS.
Live for today, for tomorrow you might just get hit by a semi.

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