Hi I have been having a problem with keeping food down for over 2 years I have had many tests and little treatment other than a couple of lesions down my escophgus I had nothing else found and have been left for the last year with no answer and no treatment I used to be nearly 23 stone my eating habits never seem to have a problem I first notest when I ate any thing I get this terrible pain in my guts like they were on fire so without really realising I change what I ate then 2 years ago every thing I eat i would vomit up then fluids I now experience pain in middle of chest going throw to my back and guts fill like there on fire and being yanked on and feels like if i dont throw up ill pass out in pain its that bad on fire this starts from the very first bite till can't take pain no more and this can happen befor i even finished the meal then vomit it up due to pain feeling so bad once its all up feel OK but feel Sicky and hungry again as I said I used to be 23 stone in less than 2 years I have lost over half my body weight and weight a little over 11 stone I origally put on weight due to mobility problems as I have degeneration of the spine and lupus as well as some other medical problems the weight lose hasn't helped with the pain I suffer cause of my spin if anything if feels worse when I vomit it solid with acid my stools when I go can be bloody some times and a lot lighter than they used tobe i get the erge to push but nothing happens when it does then its very loose I'm feel tired and weak and my get up and go abandoned me long ago and I feel cold all the time I have tried every thing to eat even try to puree my food it just made more mess when it came back up can anyone help me please thanks in advance Giggles
Have you had a stomach emptying test to look for gastroparesis which causes nausea and vomiting? Maybe when you changed your diet, the foods you switched to irritated your stomach. Have you tried a food diary?
See a different doctor to get another opinion.
Hi giggles1978
Have you been tested for HPylori. This is a bacteria that lives in your gut and duodenum. You have typical symptms of this gut bacteria. If you have not had the test ask your doc for either a breath test or stool test.....you can have an endoscopy but this may aggravate the lesions on your oesophagaes.....best wishes...
With loosing weight, that fat pad around aorta get's smaller, the angle of SMA more acute, there are organ structures (like left renal vein and duodenum) underneath, so it does often have an impact if those get compressed.
Vomiting, pain after eating, heartburn are often classic signs of SMAS what you describe.
Yet, as others mentioned, first be sure you have no infection like Hpylori or intolerance to anything.
SMAS (and also MALS) are physical obstructions of physical needed intestinal organs, be it the duodenum itself (SMAS) (or a blood vessel, nerves in MALS).
Many docs do not think of those though.
It won't show up in endoscopies or blood work. Also not in normal organ check ultrasounds.
Gastric emptying might be delayed, but it doesn't tell you as to why.
It might be visible in MRIs, but the focus needs to be on this diagnosis, otherwise vascular angles are often not looked at.
My girl has gastroparesis (slow gastric emptying), no motility drug helped and it is clear now why:
MALS and SMAS (and many other compressions).
It can be diagnosed non invasive first via doppler ultrasound and MRA and CTA or barium meals.
Have a search please.
If it was SMAS often a nasal jejunal (not gastric) tube for tube feds beyond the compression is the first way to get nutrition in as it is a mechanical obstruction, sometimes together with TPN. Increasing weight often helps conservatively.
Some lie on left side with knees up.
I had to give and make her a lot of smoothies, special full food liquid tube feed formulas and electrolyte icy poles to escape that tube route and keep weight up.
Best of luck!