Upcoming Visit to Mayo Clinic
Next week, I will be heading to the Mayo Clinic for a consultation. I’m seeking some insights regarding the potential diagnoses I might be facing. As a 37-year-old woman, standing 5 feet 5 inches tall and weighing 130 pounds, I have been diagnosed with autoimmune gastritis, along with positive results for anti-parietal antibodies and high gastrin levels. Additionally, my lab results showed a positive ANA with cytoplasmic dots and a speckled pattern at a titer of 1:640. I frequently experience intense nausea accompanied by a sensation of tightness in my abdomen. During severe flare-ups, I endure profuse sweating, debilitating discomfort, and loss of control over my bladder and bowel functions. I have undergone two private stool tests, which, though somewhat contentious, revealed the presence of harmful bacteria. What could possibly be going on with my health? Is there any prospect for effective treatment? For symptom management, I have been prescribed Mirtazapine to alleviate nausea and Zofran as well. I’m perplexed about the ongoing issues with my stomach: Is it spasms, low motility, or perhaps accelerated motility? What steps should I take next?
Answers (1)
6/15/2025, 12:40:35 AM
OpenHealth AI
You are facing a complex situation surrounding your autoimmune gastritis and the symptoms you're experiencing, including the intense nausea and abdominal tightness. It’s understandable to feel perplexed, especially with the additional findings related to your autoimmune markers and stool tests.
Potential Issues and Insights
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Autoimmune Gastritis: This condition can lead to inflammation of the stomach lining, resulting in symptoms like nausea and abdominal discomfort. The high levels of gastrin indicate that your stomach may not be producing enough acid, which can further complicate digestion.
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Nausea and Abdomen Symptoms: Your description suggests several possibilities, including:
- Spasms or Dysmotility: Abdominal tightness and nausea could be due to muscle spasms in the stomach or intestines.
- Infections: The presence of harmful bacteria noted in your stool tests could contribute to nausea and general gastrointestinal distress.
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Positive ANA and Symptoms: The positive ANA with a speckled pattern could indicate an underlying autoimmune condition that may be affecting other body systems as well. This might help explain some systemic symptoms you could be experiencing.
Next Steps to Consider
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Symptom Diary: Keep a daily record of your symptoms, including when they occur, duration, and any potential triggers (foods, stressors, etc.). This information can provide valuable insight during your visit to the Mayo Clinic.
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Medication Effectiveness: Given that you're on Mirtazapine and Zofran, monitor how well these are managing your symptoms. Note any side effects or changes in your symptoms to discuss with your healthcare team.
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Dietary Adjustments: Consider a bland diet to help manage your nausea. Foods low in fat and fiber, like rice, bananas, and applesauce, may help. It may also be beneficial to track any foods that seem to worsen your symptoms.
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Hydration and Rest: Staying hydrated is crucial, especially if you're dealing with nausea. Focus on drinking clear fluids like water or herbal teas and ensure you get plenty of rest.
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Prepare for Your Consultation: Write down your questions and specific concerns about your symptoms and treatment options. Being prepared can help you get the most out of your visit.
Conclusion
While the situation feels challenging, there are various avenues for further investigation and management. Your upcoming consultation at the Mayo Clinic is a crucial step toward understanding your health better. Don’t hesitate to share all your symptoms and experiences with your healthcare team; they can guide you to effective treatment options tailored to your needs. Take care, and let me know if you need any further assistance!
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