[27F] With chronic vomiting and blood sugar drops

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Gastroparesis:

   • Rationale: Your symptoms of vomiting undigested food hours after eating, feeling full quickly, bloating, and fluctuating blood sugar levels are classic signs of gastroparesis. This condition involves delayed stomach emptying, which can lead to these symptoms.
   • Typical Treatments/Testing: Diagnosis often involves gastric emptying studies, where you eat a meal containing a small amount of radioactive material, and imaging tracks how quickly food leaves your stomach. Treatment may include dietary changes, medications to stimulate stomach muscles, and in severe cases, surgical interventions.

2. Gastroesophageal Reflux Disease (GERD):

   • Rationale: Your symptoms of acid reflux and chest pain near your stomach suggest GERD, a condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus).
   • Typical Treatments/Testing: Diagnosis can involve endoscopy, pH monitoring, and esophageal manometry. Treatment often includes lifestyle changes, medications to reduce acid production, and sometimes surgery.

What you can do

Gastroparesis:

• Dietary Changes: Eat smaller, more frequent meals. Avoid high-fat and high-fiber foods as they can slow stomach emptying.
• Medications: Consult a healthcare provider about medications like metoclopramide or erythromycin, which can help stimulate stomach muscles.
• Hydration: Stay well-hydrated, especially if vomiting frequently.
• Monitoring: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider.

Gastroesophageal Reflux Disease (GERD):

• Lifestyle Changes: Avoid foods and drinks that trigger reflux (e.g., spicy foods, alcohol, caffeine). Elevate the head of your bed and avoid lying down immediately after eating.
• Medications: Over-the-counter antacids, H2 blockers, or proton pump inhibitors can help reduce acid production.
• Consult a Doctor: For persistent symptoms, see a healthcare provider for further evaluation and management.

What you should look out for

Given the severity and chronic nature of your symptoms, it's important to seek medical care. Reasons to seek care more urgently include:

• Severe or worsening chest pain: This could indicate a more serious condition.
• Significant weight loss: This needs to be evaluated to rule out other underlying conditions.
• Persistent vomiting: This can lead to dehydration and electrolyte imbalances.
• Blood in vomit: This is a sign that requires immediate medical attention.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.