Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Weight Loss While Suffering From Fatigue And Vomiting?
Posted on
Wed, 3 Feb 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 3 Feb 2016
Answered on
Sat, 2 Apr 2016
Last reviewed on
Question : I have been sick with nausea no vomiting stomach pain diarrhea 22pound weight loss this last month. Ct scan blood tests normal. I have been diagnosed with autonomic dysfunction and bipolar 25 years ago. I have fatigue, general sick feeling, no fever. I am unable to stay out of bed for any length of time and can't eat without pain or diarrhea. The medicine for nausea was phenergan.
Brief Answer:
Further work up needed.
Detailed Answer:
Helo,Madam.
I can certainly understand your concerns.
You possibly seem to have a protracted course of diarrhea. This need in depth evaluation.
Since CT scan and blood tests are normal, bthe possibility of organic bowel lesion can be virtually ruled out.
Before framing accurate treatment, it's important to identify the type of diarrhea in your case that is secretory vs Similar.
For this, I advice you to get a complete stool examination and stool anion Gap.
Further management if any is largely based on test results.
The current medications can be continued.
Post your further queries if any.
Thank you.
Further work up needed.
Detailed Answer:
Helo,Madam.
I can certainly understand your concerns.
You possibly seem to have a protracted course of diarrhea. This need in depth evaluation.
Since CT scan and blood tests are normal, bthe possibility of organic bowel lesion can be virtually ruled out.
Before framing accurate treatment, it's important to identify the type of diarrhea in your case that is secretory vs Similar.
For this, I advice you to get a complete stool examination and stool anion Gap.
Further management if any is largely based on test results.
The current medications can be continued.
Post your further queries if any.
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My primary care doctors opinion is that this stomach problem I've been having is due to the autonomic dysfunction. He says that the autonomic nervous system regulates digestion and when it does not function properly, flare ups such as the type I am experiencing is common. The problem is that there is no treatment he says for autonomic dysfunction. That only management of the symptoms is possible.
Brief Answer:
Autonomic dysfunction does not cause protracted diarrhea
Detailed Answer:
Hello, Madam.
I can certainly understand your concerns.
I apologize for the delayed response considering my hectic work schedule.
I don't think the symptoms in your case can be attributed solely to Autonomic dysfunction.
AD is known to cause constipation as its predominant symptoms but not protracted diarrhea as in your case.
Associated nausea and sensation of being sick can reflect electrolyte loss from the body through diarrhoeal stool.This warrants a check up for serum electrolytes.
Antidiarrheal medications cannot be given in your case in presumptive basis considering your age and duration of symptoms.
I request you to consult an expert GASTROENTEROLOGIST and get the relevant tests at the earliest .
Further management can be meticulously planned based on test results.
Post your further queries if any.
Thank you
Autonomic dysfunction does not cause protracted diarrhea
Detailed Answer:
Hello, Madam.
I can certainly understand your concerns.
I apologize for the delayed response considering my hectic work schedule.
I don't think the symptoms in your case can be attributed solely to Autonomic dysfunction.
AD is known to cause constipation as its predominant symptoms but not protracted diarrhea as in your case.
Associated nausea and sensation of being sick can reflect electrolyte loss from the body through diarrhoeal stool.This warrants a check up for serum electrolytes.
Antidiarrheal medications cannot be given in your case in presumptive basis considering your age and duration of symptoms.
I request you to consult an expert GASTROENTEROLOGIST and get the relevant tests at the earliest .
Further management can be meticulously planned based on test results.
Post your further queries if any.
Thank you
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
