Nausea/constipation/gerd all related?

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babygirl10150
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Date Joined Jul 2006
Total Posts : 639
   Posted 7/3/2011 2:54 AM (GMT -6)   
A little background about me. I was born with anal/rectal strictures..or so this is what I'm told. I was supposed to go to the dr every few years to be dialated. My mother refused to take me which led to 22 years of stimulant laxative use to keep things moving. Eventually they stopped working and I would have to go to the ER to get disimpacted after weeks of no bm. Numerous rounds of golytely, lactolose, magnesium citrate, phosphasoda. I had my first son when I was 20, in 2004. No problems there...at least not more than before. While I was pregnant with my second son a year later, the constipation issue really kicked in. I ended up not having a bm for the last almost 4 months. I seen 3 gastros when I was pregnant but none of them would do anything until I delivered. I ended up having a scheduled c-section due to my very full colon in 2006. Right after I delivered, I met with a surgeon. There was no additional testing done exept a CT scan which made him rush me to surgery. We decided on a colostomy...fine with me! Surgery went great! Surgeon said he removed 12 lbs and my colon was the size of a football! If I would have waited any longer it would have ruptured. Everything was wonderful after surgery. I was like a new person, could do what I wanted, eat whatever I wanted. Fast forward to 2008, got pregnant with my daughter. I was about 2 months along when I rushed to the ER with what I thought was a heart attack. Turned out to be severe heartburn. I was put on meds, dr said it would go away after I delivered. I was so sick, could barely eat or drink anything, only gained 6 lbs the whole 9 months. Delivered in 2009, symptoms never went away. I was so nauseous, I couldn't hold my daughter to feed her, any pressure on my stomach made it so much worse. After about 6 months I was referred to a GI. I've had multiple tests done, manometry, bravo, multiple scopes, lactose intolerance, breath test, ultrasound and HIDA scan for gall gladder, gastric emptying, hormone levels, thyroid. Everything came back normal but I had severe erosion in my esophagus which led to the diagnosis of GERD. In Dec 2009 I had my first nissen funduplication. Nothing changed. Had a redo in May 2010. Again nothing changed. I had another redo in Dec 2010. Nothing changed. I have tried every reflux med out there. None helped for very long. My symptoms are severe nausea...to the point I sit in the bathroom for hours, acid coming up, constant burping, bloating, gas. Since all of this has started, I don't have normal bms like I used to. I will have a little output but usually only have alot of output during my periods. I don't feel constipated like before my colostomy but I know I am. I don't think I have any blockages since I can still pass gas and no pain. I did see one GI specialist that said my system might be slow eventhough the gastric emptying test came back normal so he gave me domperidone. I didn't see a difference with it. A few weeks ago my GI gave me an antidepressant for IBS. I tried it for 3 weeks with no positive results. IBS has never been brought up until my last scope.

I'm wondering if anyone has these symptoms or if the gerd could be related to the constipation? I'm afraid to take any laxatives since the only ones that work are stimulants and I have a very reactive stomach. I've lost a total of 50 lbs since I delivered my daughter...remember I only gained 6 lbs and she weighed 5 lb 9oz. I have anxiety and depression from all of this. I get very frustrated as it's hard to take care of the kids when I feel so bad. I'm afraid to eat more than a few bites because of the result. I'm sick of the nausea which is the worst. I'm run down, tired, weak. I think I get more frustrated because I dealt with the intestinal issues for 22 years, had 4 "normal" years and now this. I see a specialist at one of the best hospitals around here next month but that seems like a lifetime. I've changed my diet completely, everything I eat is bland. I've forgotten what flavor is. Because of the nissen, I can't eat or drink more than 6 oz at a time every 3-4 hours but I can't even handle that much. Any comments, advice is welcome!!!

I give you credit if you made it through the whole post!! turn
Michelle

~Nissen redo again 12/13/10~
~Nissen redo 05/10/10~
~Nissen 12/14/09~
~Colostomy 07/30/06~

blueglass
Veteran Member


Date Joined Dec 2010
Total Posts : 3332
   Posted 7/3/2011 8:08 AM (GMT -6)   
Michelle,

So sorry you've been going through so much. I did read your whole post! Unfortunately, I don't have anything helpful to say about your medical stuff, as mine is very different; hopefully someone else will be along with some information.

It would make sense to me that everything in your digestive system would be related, though, hard to imagine that you'd have two unrelated, serious digestive issues. Have you been able to ask a gi doc that question?

Hope you find some answers soon!
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery

babygirl10150
Veteran Member


Date Joined Jul 2006
Total Posts : 639
   Posted 7/3/2011 1:52 PM (GMT -6)   
The last GI that I seen brought up that the gerd might be related to my intestinal problems and that's why he gave me domperidone. That was the first time it was brought up. It does make sense that everything is related, I just didn't know if something on one end would cause that many problems on the other.
Michelle

~Nissen redo again 12/13/10~
~Nissen redo 05/10/10~
~Nissen 12/14/09~
~Colostomy 07/30/06~

frostyboy
Regular Member


Date Joined Mar 2011
Total Posts : 272
   Posted 7/3/2011 2:09 PM (GMT -6)   
I have a long story Michelle!  But I have suffered from CI about all my life, till about a few years back; it started to get really bad.  This year, I have been through 3 surgeries to try and get me better, and I am still having problems.  On June 2nd, I did finally have my whole colon removed, small intestine attached to rectum!  Discharged, had more problems, full of blood in abdomen, rectum narrowed, emergency surgery, and a second surgery.  Now, continue on having problems that I still can't poop!  I had a defecography before my original surgery, which came back fine, so we don't know why my bottom keeps on giving out, why it narrowed before.  I am just starting to give myself enemas all the time b/c I have problems passing the gas and stool.  Right now, the doc is considering doing an anal manometry test, never had that done before surgery, and biofeedback.  But to answer your question, I usually post on the colon inertia thread, me and one another gal, nanci (fitgal), we are continuning to have problems.  Yes, I believe constipation goes hand in hand with gerd and nausea.  I have lately been having extreme episodes, mostly at night, because I can't let out my gas and stool properly, where I feel sick, feel like I am going to puke (I don't; thank god!).  Also, I start to suffer from excessive burpiness when I eat something wrong, or can't poop or fart!  I am getting very frustrated, and I just want to be better!  I hope this answers your question.  You are not the only one that gets sick!

babygirl10150
Veteran Member


Date Joined Jul 2006
Total Posts : 639
   Posted 7/3/2011 4:04 PM (GMT -6)   
Thanks for the reply! I'm sorry you are still having problems! I couldn't imagine! As far as I know anal/rectal strictures was my only diagnosis. Most of my episodes are at night also. I have not vomited yet but have come really close. It seems like everything i eat during the day just sits there with nowhere to go and kicks in later in the day. I feel ok during the day until I eat something, anything. I'm really hoping there's an answer for this and hoepfully a cure of some sort.
Michelle

~Nissen redo again 12/13/10~
~Nissen redo 05/10/10~
~Nissen 12/14/09~
~Colostomy 07/30/06~
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