F/ 28/ 5'8/ 220 lbs. I don't drink or smoke
Meds: None except tums and occasionally Dicylomine for IBS-D. can only treat Gerd with tums due to bad reaction to Pantoprazol, Pepcid, Ozemprazole (sorry if thats the same medicine), priolisac -- you name it I can't take it
Health issues: GERD, IBS-D, PMOS although I don't have the hormonal symptoms of it via testing (all normal) only the secondary amenorrhea + weight gain but still qualifies for diagnosis
As the title implies, I am on my third yearly bout of bizzare unexplained stomach symptoms that happen this time of year every year for several years.
It all started the summer of 2024. I started working at an internship while in grad school and changed my eating habits to include breakfast and lunch because for the first time in my life, I was regularly waking up early enough for it. (Did not grow up in a "breakfast before school" house lol)
I started noticing slowly over the course of the summer that I was getting lunch later and later and pushing off dinner until I realized I had essentially no appetite and eating 2, let alone 3 meals a day led to severe, persistent nausea that Zofran could not touch. I didn't realize any issues for over a month bc I assumed it was just my body adjusting to a more stable meal routine
It got worse and worst until I switched to mostly applesauce, broth with carrots/ noodles, protein shakes, and strangly chicken nuggets because any and everything led to severe nausea.
One morning I woke up as white as a sheet and dripping in sweat -- went to the ER and they assumed I was fine because I didn't really have pain localized anywhere but ran a CT scan -- it came back as an enlarged appendix and I was dx'd with early appendicitis. They admitted me and treated me (my choice) with an insane antibiotic schedule in lieu of the surgery (Crazy i know but Iwas worried my insurance would label it an elective surgery since they gave me the option of trying antibiotics first... healthcare, am I right?)
I recovered from that element but still had extensive early satiety and extreme, severe nausea anytime I ate within about 2 hours.
I finally get into my PCP who suspects gastroparesis and refers me to a GI. GI sends me for an endoscopy (comes back normal) and a gastric emptying test (also comes back normal ruling out Gastroparesis).
After (or maybe slightly before I can't remember) I have one flare-up of the worst stomach aches of my entire life with horrific symptoms (was stuck in the bathroom for 5+ hours, blood everywhere, sorry for the TMI) that knock me out for a week straight. Was too sick to even try to go to the hospital and lowkey accepted my fate. I did recover from that flare up and only had one more rebound stomach ache of that intensity until probably 6 or so months later.
Either way by November of 2024 (first symptoms appeared in June) , basically every symptom was gone. Since then, I've struggled on and off with stomach aches and IBS-D flare-ups, but those ultimately were linked to the pepcid/pantroprazol I was put on at the beginning of these problems. In general, my gut seems to be extremely sensitive to medicine.
Without fail though, every year around this time of year I have a flare up of the extreme nausea and early satiety. Last year it only lasted about a month compared to the longer flare the summer before. Now it's back and I feel so defeated. I'm a lawyer, just started a new job and feel like I have to spend another month or two back on the liquid diet avoiding all food unless its late enough that I can sleep the nausea away.
other new-ish symptoms: major change in bowel habits including the "incomplete evacuation" sensation (TMI sorry) as well as an absent period for the last few months.
Yes, I have an appointment with my GI in Nov (soonest I could get in) but any thoughts would be appreciated. Happy to answer any questions but I hope this covers the gist of it
Any thoughts? Coincidentally timed Gastroparesis flares that are effected by stress/ change of weather?
Other random info in case this is helpful:
- I've had severe stomach aches since I was 6. Like fall on the floor, stuck on the couch for a week flare ups. I was raised on a self sufficient farm so I grew up eating extremely healthy so that's my data point for it not being food related (because now I definately struggle eating as well).
- On that note, kale/lettuce/broccoli etc send me into a nausea/slowed down stomach motility episode 1000% of the time since the first episode in 2024 (and I noticed espeically b/c I ate salad every day that summer) but I haven't notice any other foods that have this effect, pointing away from something like a bilemalabsorption issues (Especially bc I never had junk/greasy food growing up but always had stomach aches)
- I have severe OCD and sometimes notice my anxiety/OCD effecting my gut
- I do have a high stress job but find that some high stress periods (bar exam for example) have absolutely zero effect on these flare ups
- Randomly get phantom smells (usually a burning smell) but idk how these could be connected lol
- I live in a warm humid in the spring/summer/fall, cool/cold in the winter climate
- Went from severe stomach aches in childhood, to severe migraines in high school, back to severe stomach aches in law school/post grad(Strangely, zero issues with either in college)
- Was an extreme athlete growing up, coach in college, and out of shape now lol so same issues seem to span across varying health walks
Okay sorry that's long! Thanks in advance :)
Edit to add: I don't really have bouts of these issues outside of this time of year (the end of the last three summers). If I do, it lasts 3-4 days and it hasn't happened enough to be memorable. However, I have had a noticible uptick in severe stomach aches over the last three years, but they are almost always resolved quickly by dicylomine. And, while, I know this medicine is meant to slow down stomach motility, the issues started before I started taking it and I've never noticed a connection to taking it and having a flare up, especially bc I take it pretty regularly