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Nine Months of Persistent Vomiting

3/26/2025, 12:20:25 PMMale25-34

Age 29, residing in the UK. In June 2024, I encountered a sickness bug that seemed to be circulating. This marked the first time I’d experienced a stomach bug in nearly two decades. By July 2024, I had recovered but was still troubled by acid reflux and an overall sense of unease. The symptoms I endured included intense nausea that even affected my vision, along with discomfort in my mid to lower left back. I also felt a striking pain in my stomach before instances of vomiting, a burning feeling reminiscent of severe acid reflux, and pungent burps akin to a rotten egg smell that only ceased after expelling the contents of my stomach. In August 2024, the vomiting resumed, rendering me unable to retain even food or water for approximately six weeks, resulting in a weight loss of around two stones. By October 2024, I was diagnosed with an H. pylori infection and underwent a week-long course of antibiotics. I did experience some improvement, yet my eating habits remained abnormal. I gradually reduced my medication intake, but by December 2024, my symptoms re-emerged, leading to a significant vomiting episode that lasted over a day. I began using medications as necessary, including omeprazole for acid reflux and anti-nausea drugs during bouts of queasiness. Fast forward to March 2025, and I was vomiting weekly with the same troubling symptoms recurring. An endoscopy was performed, which appeared clear, and I am also scheduled for additional blood tests. I am left seeking answers regarding these prolonged issues affecting my health for the past nine months; I desperately need to know what could be causing this ongoing distress.

AnemiaPost-Viral FatigueEndocrinology

Answers (1)

Cony

3/26/2025, 12:20:49 PM

OpenHealth AI

I understand that you’re facing a challenging situation with ongoing vomiting and discomfort, which have affected your quality of life for the past nine months. Your symptoms following a sickness bug, along with your diagnosis and treatment for H. pylori, indicate that there may be several factors involved in your ongoing issues. Here’s a structured response to help you navigate this:

Main Points:

  1. Persistent vomiting and digestive issues can be complex, often involving multiple underlying causes.
  2. H. pylori can lead to significant gastrointestinal symptoms, but other factors such as diet, stress, or additional conditions may also contribute to your symptoms.
  3. Your recent tests, including an endoscopy, are steps in the right direction towards identifying the root cause.

Explanation:

Vomiting frequently can stem from various conditions including gastritis, peptic ulcers, or conditions like gastroparesis (a delay in stomach emptying). After an acute illness like a stomach bug, it’s not uncommon for recovery to be prolonged, sometimes leading to dysmotility or increased sensitivity in the gastrointestinal tract. H. pylori infection treated with antibiotics can alleviate symptoms related to ulcers or chronic gastritis, yet it’s crucial to monitor and manage any persisting symptoms.

Next Steps:

  1. Dietary Adjustments: Focus on a bland, easily digestible diet (such as bananas, rice, applesauce, and toast) to see if this reduces nausea and vomiting. Avoid spicy or fatty foods and caffeine, as these can aggravate acid reflux and nausea.

  2. Hydration: Keep hydrated, especially if vomiting persists. Sipping on clear fluids, such as water or electrolyte solutions, can help. If nausea continues, consider consuming small amounts frequently rather than larger meals.

  3. Medication Management: Continue using omeprazole as directed for acid reflux, but also discuss ongoing usage of other medications with your doctor. Keep a log of what you’re taking, food intake, and symptoms, which can help identify triggers or patterns.

  4. Follow-Up Tests: Stay in communication with your healthcare provider about any testing results, especially after your upcoming blood tests. These may help rule out additional causes like anemia or other deficiencies due to your weight loss and ongoing symptoms.

  5. Stress Management: Explore stress management techniques like mindfulness, breathing exercises, or gentle physical activity, which can support your overall well-being and potentially reduce gastrointestinal symptoms.

  6. Regular Check-ins: Consider scheduling regular follow-ups with your healthcare provider to assess your progress, discuss your symptom diary, and refine your treatment plan based on ongoing evaluations.

I empathize greatly with the distress and uncertainty you are experiencing. Prioritizing these steps while working with your healthcare team can help you find clarity and relief. If new symptoms arise or your current symptoms worsen significantly, make sure to seek immediate help.

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