Chronic vomiting for 12 years, constipation after galbladder removal?

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CircusFreak
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Date Joined Apr 2008
Total Posts : 1
   Posted 4/7/2008 6:52 PM (GMT -7)   
I'm 19 and I've had chronic vomiting since I was about 7. It comes on without warning, I feel fine then suddenly get sick and throw up anywhere from an hour to a week or even two weeks. What I throw up is usually yellow in colour, ranging from pastel to almost neon. I believe it to be bile but am not positive. It tastes very acidic and burns very badly. My bowel movements had been normal until I had my galbladder removed in Nov. of 07, they thought it was part of the problem but I believe it was a wasted surgery. There were no galstones or inflimation. It wasn't working 100%, so they just took it out. Since the surgery I have been slightly to severly constipated, and taking fiber or stool softener doesn't help it. I know normally it causes the opposite problem.
Back to my vomiting attacks, whenever they happen there is usually no fever or cramping, a slight pain in the upper abdominals that becomes severe when touched. I have been to the ER with this countless times and they always give me an iv and send me home. I've had CT scans, xrays, ultrasounds, upper and lower GI, blood tests. Everything comes back normal. Even if I can't find the problem, are there any medicines that may help? I tried prilosec, nexium, etc but I really don't have acid indegestion, and these all caused cramping. Also I am slightly underweight (about 5'6 and 100 lbs.) but I eat very healthy most of the time with only the occasional splurge. I don't eat much fatty or junk food.
 
 
Edit: more information
 
It isn't a diet problem. My low weight is from not being able to keep anything down for one or more days a week. When I can eat, I eat a lot of whole grain/multigrain, high fiber foods, dairy, and a lot of good fats (peanut butter on everything!). I also eat a lot of pasta and chicken as it's usually the easiest on my gut. I have had allergy tests done and am not allergic to any foods, and have also had blood test for wheat gluten, dairy, everything else. I also do a lot of stress relieveing exercises like yoga and try to keep my core strong.
 
Also, I do currently take birth control pills for cycle regulation because of low horomones, it does make me a little naseaus but I've had this problem long before that. I am not on any other medication, even childrens daily vitamins make me sick.

Post Edited (CircusFreak) : 4/8/2008 1:22:46 PM (GMT-6)


Sergeant Bob
Regular Member


Date Joined Aug 2006
Total Posts : 46
   Posted 4/7/2008 10:29 PM (GMT -7)   
Have you ever had Pancreatitis? I was watching a show on Discovery Health Channel called Mystery Diagnosis and there was a woman who IIRC had some of the same symptoms and the doctors couldn't find a cause. They removed her gall bladder too, with no relief.

She was finally diagnosed with Sphincter of Oddi Dysfunction. What happens is, the sphincter doesn't work correctly and causes a restriction which has symptoms that mimic gall bladder problems. Here's something I found on the disease.

________________________________________________________________________________
What is Sphincter of Oddi Dysfunction?
The sphincter of Oddi has three major functions: 1) regulation of bile and pancreatic flow into the duodenum, 2) diversion of hepatic bile into the gallbladder, and 3) the prevention of reflux of duodenal contents into the pancreaticobiliary tract. With the ingestion of a meal, the gallbladder contracts and there is a simultaneous decrease in the resistance in the sphincter of Oddi zone.

The sphincter of Oddi consists of circular and longitudinal smooth muscle fibers surrounding a variable length of the distal bile and pancreatic duct. There are three discrete areas of muscle thickness, or mini sphincters: the sphincter papillae, the sphincter pancreaticus, and the sphincter choledochus (Figure 2).

The major physiologic role of the sphincter is the regulation of the flow of bile and pancreatic juice. Cholecystokinin (CCK) and nitrates decrease the resistance offered by the sphincter. Laboratory studies observing the effects of numerous peptides, hormones, and medications on the sphincter have suggested a multifactor control mechanism for the sphincter of Oddi.

There are two types of sphincter of Oddi dysfunction: 1) papillary stenosis and 2) sphincter of Oddi dyskinesia. Papillary stenosis is a fixed anatomic narrowing of the sphincter, often due to fibrosis. Sphincter of Oddi dyskinesia refers to a variety of manometric abnormalities of the sphincter of Oddi.



Symptoms
The major presenting symptom in patients with sphincter of Oddi dysfunction is abdominal pain. The pain is characteristically sharp, postprandial, and located in the right upper quadrant or epigastrium. The pain may be associated with nausea and/or vomiting, may last for several hours, and may radiate to the back or shoulder blades. Fever, chills, and jaundice are uncommon symptoms. Patients may also present with acute recurrent pancreatitis.
____________________________________________________________________________________

Here is a link to the article: Johns Hopkins Institute

I sincerely hope you find an answer to your problem. Good luck.
Each day is a gift, make every one count.


Canyonbabe711
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Date Joined Mar 2006
Total Posts : 1451
   Posted 4/7/2008 10:52 PM (GMT -7)   
I sure hope you find an answer soon. I would say you were severly underweight. Have you tried different diets. I assum you have been tested for gluten sensitivity and tried all the pro-biotics. Also, all the allergy tests. I know you are probably saying Yes, I have but just trying to give you some ideas since nothing else is showing anything I thought of allergies and diet. If you could find a diet that keeps your from throwing up that would be the first step. Perhaps you are not eating enough fat. It is necessary for digestion.

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 4/8/2008 7:33 AM (GMT -7)   
As Canyon says, fat is necessary for regular bowel movements. I know; I went on a low-fat diet a little while after I got my gall bladder taken out and got severe and immediate constipation. Went off the diet and had normal bowel movements again. That being said, good fat is better on your guts than bad fat. I can eat ice cream and other dairy, but not trans fat fried foods. I too tend to stay away from fast food and junk; I get most of my fat from cream-based soups and cheeses, with some nuts and olive oil. Look into the French diet, which emphasizes healthier fats.

While constipation is not common after gall bladder removal (most people have diarrhea instead), it's not unheard of either. I read about "bile salts" online; apparently it's an old-fashioned type of laxative that mimics bile in the intestines to break down your food. It sounds like you are vomiting your bile out instead of putting it down into your intestines.

Acid (bile) reflux is actually rather common post-gall bladder, but I can't say that I know many people that throw up; that is rather odd. I would suggest that you look into what Sergeant Bob posted. Come to think of it, my parents' dog has pancretitis and she has gall bladder-like symptoms. She was always a bit underweight, would lay around not feeling good, then would vomit yellow bile. I don't know what's out there for people, but the vet gave my parents some pills for her, and they give them to her when she starts to show signs of being sick. Eating certain things sometimes bring on an attack. She also gets yellow diarrhea sometimes from it.

Sergeant Bob
Regular Member


Date Joined Aug 2006
Total Posts : 46
   Posted 4/8/2008 12:29 PM (GMT -7)   
I probably should have been a bit more clear. I wasn't suggesting that pancreatitis was the problem but, a symptom of Sphincter of Oddi dysfunction.
Each day is a gift, make every one count.


Keriamon
Veteran Member


Date Joined Jun 2005
Total Posts : 2976
   Posted 4/8/2008 1:07 PM (GMT -7)   
Actually, pancretitis mimics bad gall bladder as well, so she should probably check out the Spincter of Oddi, as you suggested AND her pancreas too (unless it's been checked already).

Circus, has anyone tried putting you on an anti-vomiting medicine daily/long-term, like Fenergin? Or an anti-spasmodic (might help keep the muscles in your stomach and esophagus from reversing direction on you constantly)?

klkosach
New Member


Date Joined Aug 2008
Total Posts : 1
   Posted 8/31/2008 10:29 AM (GMT -7)   
I had/have the very same issues you are facing. I will say this, once I stopped taking low hormone birth control. I had tried this before and I went about 4 months with out any episodes. Once I started right back to taking birth control, it all started up again. My episodes were very similar to yours. At one point the docs. in the ER thought I was just seeking pain killers because that was the very first thing I would ask for because the pain is so intense. I had my gallbladder taken out about 3 years ago, but like you, I still have issues. However, there is light at the end of the tunnel. Every time I feel like there is an attack coming, I take anti-spastic medicine and a pain pill to numb the pain I get from vomiting. Since I have been doing this, I only throw up once or twice, NO ER. Maybe talk to you GI doc and see if this would work for you. GOOD LUCK!!! And don’t forget, your not Crazy and you are most definitely NOT the only one!!!

marathongirl
Regular Member


Date Joined Sep 2008
Total Posts : 24
   Posted 9/15/2008 7:23 PM (GMT -7)   

This is being looked in to for me also.  Everyone thinks is't my gallbladder, but nothing is showing up conclusively on any tests.  The Spincter of Oddi was mentioned.

My understanding is to tell the difference they have to take out the gallbladder first.  So, if the symptoms go away... great it was the gallbladder, if they don't then it's the SOD problem.

I don't really know.


stetson177
New Member


Date Joined Dec 2009
Total Posts : 1
   Posted 12/3/2009 10:44 PM (GMT -7)   
My daughter had her gall bladder out and for 9 months she was sick.  We finally found a dr (Sr. Kinney, a GI dr.) at Hennipen County in Minneapolis that was able to do the procedure to make her feel better.  There are only about 8 hospitals in the US that specializes in this surgery.  We had been through Cedars Sinai, UCLA, and Mayo and they all thought it was in her head.  We persisted and finally found someone that would help.  After an ERCP she had much impovement and feels like she can get back to her life.  Good Luck in your search for good health.

mckyb
New Member


Date Joined Oct 2011
Total Posts : 1
   Posted 10/21/2011 7:41 AM (GMT -7)   
My sister has similar symptoms. Doctors diagnosed her with Cyclic Vomiting Syndrome. There isn't much research on it yet, but they think it may be a neurological disorder. Usually anxiety or excitement triggers the symptoms...does this happen with you?

Anyways, doctors gave her Prilosec to take when she begins to feel nauseous...this helps sometimes. But if she is feeling more nauseous than usual, it's not enough to help, and she ends up going to the ER for an IV.

Please post if you're able to find something that works for you.

titolo
New Member


Date Joined Jan 2012
Total Posts : 1
   Posted 1/11/2012 3:36 PM (GMT -7)   
What is the doctor name in minneapolis Stetson177
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