Seeking Guidance on Prolonged Stomach Issues While Awaiting Specialist Appointment
Hello, Reddit community! I'm a 16-year-old female and this is my first post here. I've been grappling with persistent stomach issues since August 2020. I find myself on a waiting list for over a year for a specialist appointment—kudos to the NHS for that! I’m reaching out for some guidance and to ensure that my symptoms aren’t pointing to anything serious. Here’s a summary of my situation: - Back in August 2020, I was hospitalized due to dehydration, diarrhea, and severe abdominal pain. The attending doctor diagnosed me with an infection without conducting any tests. Later, I discovered it was probably an extreme reaction to penicillin. - Following that incident, I have experienced cycles of severe nausea roughly three to four times each month, along with some constipation and occasional diarrhea, though nothing overly serious. - In November 2024, I contracted a nasty stomach virus that hindered my ability to eat for about two weeks. - Since that time, my symptoms have intensified considerably. I now experience nausea at least twice daily, abdominal cramps between meals, and I’m often quite gassy. Approximately every two weeks, I suffer from episodes of watery diarrhea, constipation, and a complete lack of appetite, leaving me perpetually fatigued. - One particularly severe flare-up in April rendered me bed-ridden for two weeks. I visited the emergency department, but I was discharged shortly after with little concern from the staff. - I began consulting my GP about these problems in January. I've undergone tests for celiac disease (negative results), Crohn's disease (also negative), and various infection screenings (all negative). I've diligently maintained a food diary for months, only to find no conclusive results. - The stool sample I provided in February showed borderline inflammation, which escalated in April. My doctor mentioned the possibility of an inflammatory bowel condition but also suggested that this might just be my baseline. - Recently, my appetite has significantly diminished, making meals feel like a chore. - Since January, I have lost about 5 kg. - Currently, I'm on the waiting list for a colonoscopy, anticipating at least a year for that appointment. For additional context: - I take omeprazole for acid reflux and nausea. - When feeling unwell, I use Pepto-Bismol and antacids, which are effective around 50% of the time. - I have asthma and use both an inhaler and Montelukast, with recent flare-ups. - I tend to experience eczema flare-ups when I’m not feeling well. - For menstrual discomfort, I rely on the mini pill. - I also incorporate daily probiotics and a multivitamin into my routine. - Anxiety has been a long-standing issue for me, yet I am currently unmedicated and have not received any formal treatment. Thank you for reading through my concerns; I truly appreciate any insights or advice you may have. I will do my best to answer any questions you might have in the comments section.
Answers (1)
7/10/2025, 10:10:47 PM
OpenHealth AI
Thank you for sharing your health journey with us. It's understandable to feel concerned given your ongoing stomach issues and the lengthy wait for a specialist. Let's summarize the key points of your situation and provide some constructive guidance.
Main Points:
- You have experienced persistent stomach issues since August 2020, including nausea, abdominal pain, diarrhea, and constipation.
- Previous medical tests have ruled out celiac disease and Crohn's disease, but you have experienced borderline inflammation in stool samples.
- You’re currently awaiting a colonoscopy and managing symptoms with medications like omeprazole and occasionally Pepto-Bismol.
- Your appetite has decreased significantly, and you've lost weight, which is concerning.
Explanation:
Your situation is complex, and while the symptoms you describe—like recurrent nausea, abdominal cramps, and alternating bowel habits—can relate to several gastrointestinal conditions, including inflammatory bowel diseases (IBD) or functional gastrointestinal disorders, it’s reassuring that serious conditions like celiac disease and Crohn’s disease have been ruled out so far. It’s important to prioritize symptom management and make healthful choices while you await further evaluation.
Next Steps:
Here are some focused steps to help manage your symptoms while you await your colonoscopy:
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Dietary Adjustments:
- Keep a Food Diary: You mentioned you have been doing this, which is excellent. Try to pinpoint any foods that might trigger or worsen your symptoms. Common culprits include dairy, high-fat or spicy foods, and high-fiber foods when experiencing diarrhea.
- Eat Small, Frequent Meals: Instead of three large meals, try eating smaller meals more frequently to reduce pressure on your stomach and help manage nausea.
- Stay Hydrated: Maintain hydration, especially during episodes of diarrhea. Consider electrolyte solutions if you have persistent diarrhea to prevent dehydration.
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Symptom Management:
- Medication Routine: Continue taking omeprazole as prescribed, and use Pepto-Bismol when you experience acute discomfort. Keep track of what appears effective for different symptoms.
- Probiotics: Since you're taking daily probiotics, ensure that they contain strains known for gut health (like Lactobacillus and Bifidobacterium).
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Mental Health:
- Mindfulness and Relaxation Techniques: Managing anxiety can positively impact your physical symptoms. Consider practices such as deep breathing, yoga, or light exercise if you feel capable.
- Talk About Your Anxiety: If possible, reach out to a trusted adult or a school counselor about your anxiety, as addressing it could help reduce the severity of your gastrointestinal symptoms.
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Seek Further Support:
- Follow Up With Your GP: If your symptoms worsen or if you continue to lose weight, it's crucial to seek medical advice. Keep your GP informed about any new developments, especially your appetite and energy levels.
- Consider Nutrition Counseling: If it’s feasible, working with a nutritionist experienced in gastrointestinal issues can be beneficial as they can help you plan meals that suit your symptoms.
Remember, your health and wellbeing are important, and it's essential to advocate for yourself as you continue on this journey. Please reach out if you'd like more specific advice on any of these areas or if anything changes with your symptoms.
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