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    Old 02-27-2019, 06:22 AM   #1
    sue311
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    Unable to keep any liquids down

    After being on Prilosec, Zantac and Zofran due to down keeping any food down, she was put on Protonix. She was unable to keep any liquid down and had an endoscopy and was found to have esophagitis. She was put on Carafate and told to keep taking Protonix. However, she is still unable to keep all her liquids down. She is strictly on a liquid diet as she hasn't been able to keep down any solid food for almost a month. She has lost over 20 lbs in less than a month. She has no pain anywhere in her body. They have no idea why she is not keeping down all her liquid and insist she just continue taking the medication. I even have her sipping broth like 2 tbsp.

    She was diagnosed with Esophagitis 2 weeks ago. Any suggestions will be appreciated.

     
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    Old 02-27-2019, 10:51 AM   #2
    JohnR41
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    Re: Unable to keep any liquids down

    It might help to know her age and BMI. Does she have an eating disorder?

    Here's a question you might ask her doctor: Once she succeeds in reducing her stomach acid by taking Protonix, how will she be able to digest her food? Isn't strong stomach acid needed for proper digestion?

    It seems her doctor is treating her Esophagitis but not the cause of her GERD. So the GERD continues while the stomach is no longer able to digest, due to her stomach acid being reduced.

    In my opinion, the cause of her GERD is what needs treatment.

     
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    Old 02-27-2019, 12:31 PM   #3
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    Re: Unable to keep any liquids down

    Oh wow...your poor daughter!

    The cause of GERD is mechanical...is it possible she has a hernia, And was upper imaging done?

    The esophagitis could be from her vomitting. Does she have nausea or does she just spontaneously vomit? I can see if she has strictures in the esophahus preventing anything to go down to be expelled.

    Has your daughter been checked for h. Pylori? And were biopsies taken?

    It might be in her interests to see another specialist if his one is only treating her with PPI meds with no further testing.

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    Old 02-28-2019, 11:02 AM   #4
    sue311
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    Re: Unable to keep any liquids down

    @johnR41 She is 25 and use to weigh 180 lbs. Due to not eating she has lost 20 lbs in less than a month. She does not have a eating problem.

    @quincy she does not have nausea...she just vomits some of the liquids she intakes even water. She was checked for h.pylori and biopsies and everything is normal. No one mentioned anything to us about GERD, hernia and no upper imaging was done.

    These are things I will be asking her doctor. Thanks.

    Last edited by sue311; 02-28-2019 at 11:04 AM.

     
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    Old 02-28-2019, 12:44 PM   #5
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    Re: Unable to keep any liquids down

    One other to ask about is a swallow test.

    Please keep us updated,
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    Old 04-30-2019, 07:20 PM   #6
    sue311
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    Re: Vomiting has started back again.

    Update:

    My daughter is doing much better as she is keeping some food down. She is being treated for gastroparesis with Reglan and Protonix. However, she started getting funny feelings being on Reglan and so the doctor has her taking it once a day. Yesterday she started vomiting again after 3 weeks keeping everything down.

    She takes it in the morning and her breakfast stays down. Lunch and dinner doesn't. So it seems when she is on the Reglan for twice a day everything stays down.

    This is so frustrating.

     
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    Old 05-01-2019, 05:20 AM   #7
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    Re: Unable to keep any liquids down

    How was she diagnosed? Did she have an endoscopy? This can be really dangerous long term as she will wind up with a feeding tube. She isnt getting enough nutrition... please talk to her GI doctor and find out what the next step is...she cannot maintain her health if she cannot get liquids down.
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    Old 05-01-2019, 08:15 AM   #8
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    Re: Unable to keep any liquids down

    Quote:
    Originally Posted by sue311 View Post
    She was put on Carafate and told to keep taking Protonix. However, she is still unable to keep all her liquids down.
    This was from your first post and I just found out that a common symptom of Carafate is vomiting. Being that she was already having a problem keeping her food down, it seems strange the doctor would put her on Carafate. Carafate is an anti-ulcer medication.

     
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    Old 05-01-2019, 08:44 AM   #9
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    Re: Unable to keep any liquids down

    Now, in your latest post, we have been told she has gastroparesis and is taking Reglan and Protonix.

    Reglan is mainly used to treat acid-reflux disease (GERD) by speeding up the rate of stomach empting. But speeding up the rate of stomach emptying may also help with gastroparesis.

    Protonix is used to treat esophagitis, whether caused by GERD or throwing up, by reducing the production of stomach acid.

    With gastroparesis, the problem is that the stomach does not empty as fast as it should. So I can see why the doctor would try Reglan. And being that the doctor prescribed Protonix for esophagitis, it seems that both are being treated at the same time, as the two are likely related.

    You said her breakfast stays down but lunch and dinner doesn't. If the main issue is the slow rate of stomach empting, then it makes sense that she can't keep eating more meals when the first meal hasn't yet moved on. And that probably means that Reglan isn't working to speed up stomach emptying as was expected.

    I would call the doctor's office and ask if there's any point of continuing to take those medications if they are not working. This is very serious because she's not getting much nutrition while her liver and kidneys have to deal with processing and disposing of those medications. Perhaps they need to come up with another plan of treatment. You might ask if there is another treatment alternative.

     
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    Old 05-02-2019, 03:53 PM   #10
    sue311
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    Re: Unable to keep any liquids down

    I should have made it clear that she was keeping food down until she switched to one a day with Reglan, which she only did for 2 days. We believe that's why she vomited. Now she is back to taking it twice a day and since the Reglan have her feeling funny plus weird dreams, she is also now taking Benadryl.

    Unless I drive to the doctor, its hard to get anyone on the phone. They are the only gastroenterologist.

    We have an appointment later this month so will raised the question of another treatment cause she cant stay on the Reglan forever.

     
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    endoscopy, esophagitis, protonix



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