#gastroenterology

[sobbdeep]

Another day, another butthole 😇

[justabunny]

I hate that somedays I can eat a pretty normal amount of food and other days I smell something and get super nauseous

[fleshwizard]

wish me luck for my presentation /exam

[willowreader]

I had gut issues when I had Covid. Long Covid can cause many serious gastric issues. An informative very readable article.

[heardatmedschool]

“Adult mammals don’t drink milk, with the exception of some greedy felines, and some mutants in this room.”

[mandana-the-service-pup]

I had my GI appointment today.

He doesn’t think the throbbing aching chest/upper abdominal pain that flares up with activity is GI related. Neither do I but doctors love to make gastroparesis the scapegoat.

He also doesn’t think my nausea is GI related which really surprised me. He said you would expect GI related nausea to be more episodic and flare up with food related events. Not the constant state of nausea that I’m in that flares up with even the slightest movement or activity. He wasn’t willing to say what could be causing it if not GI but there are plenty of things like severe pain, cardiac problems, dysautonomia, medication side effects etc that could cause nausea. So idk but it’s new info to work with so that’s good.

He thinks my handfuls of ibuprofen three times a day is probably causing my stomach aches. Which…like…duh. I already know that but that’s why we’re going the methotrexate route instead. I’m scheduled for an endoscopy to check for ulcers the day after I’m scheduled for my chest CT + calcium score. If there’s damage he’s going to give me a Rx that’s supposed to help protect against the damage associated with NSAIDs

TMI warning. He thinks my lack of appetite is being exacerbated by my chronic pain and constipation but he agrees that most laxatives would make me more sick. He wants me to try a specific OTC medication called Docusate.

He was kind and understanding. He accepted that I have bad brain fog and gave me as much time as I needed to work through the conversation. He acknowledged that I probably knew a lot of this stuff already and that my medical issues are complicated. He understood how frustrating it was that everyone keeps pushing the GI route when it’s so obviously not the cause. He answered all my questions, sometimes multiple times and never labeled me as an anxious patient for being concerned about my health. I really appreciated having a good experience with a doctor. It’s been a while.

[dinodaydreams]

Do you think shaggy and scooby would still eat with me even tho I have several stomach conditions that mean I can't eat very much and being able to eat outside food is rare?

[littleirontablet]

Bruh I had my dietitian appointment that I’ve been waiting 6 months for just to get told to go back to the gp bc it’s “not a food issue”

YEAH NO SHIT LADY

Literally everything I eat makes me feel sick / throw up and or other really fun bodily functions that I don’t want to even think about

I had to fill out so many forms of invasive and incredibly personal information about my body and the reactions it had, for this lady to NOT EVEN LOOK AT THEM

She saw I filled out the food diary (everything I ate made me sick / ill / uncomfortable) but told me that I will still getting the nutrients I need despite it making me so sick so I should continue doing that

The only reason that food log was filled out our properly was because I was told to, otherwise it wouldn’t be

She said that because I have nice skin (I have hEDS my skin will always look a certain way because of this condition) and the fact that I’m not malnourished (and am not underweight) that there’s nothing wrong with me

So great. I’m back to the start, triggered (she told me my weight even after I asked her not to) and told me she sees sicker people then me and therefore it’s not a food issue and I’m fine.

So yay. I’m completely fucked.

If anyone has any advice or suggestions I would love to hear them because I’m desperate at this point.

[peterdoesart]

Y'all the funniest thing at the gastroenterologist the other day

It's like, that's the day I learned I apparently medically count as "healthy". Y'all I am practically a walking mound of assorted symptoms in a trenchcoat. I am over six kilos underweight for my height and age despite being on a pretty solid diet and on that note, I was there for only one facet of my poorly functioning digestive system. They literally got my upcoming procedure scheduled for NEXT WEEK despite the original wait for the consult being several months, and I was told my relevant symptoms are typically only seen in elderly folks.

Like do I count as healthy because I'm 20 and not actively dying??? I am so curious?????

[teachingrounds]

This week on Teaching Rounds, we're going to talk about proton-pump inhibitors (PPIs). How do they work?

PPIs block the gastric hydrogen/potassium-ATPase "proton pumps" on the luminal side of parietal cells in the gastric mucosa, thereby preventing the production of hydrochloric acid. They don't stop the reflux of stomach contents into the esophagus, but they do increase the pH and lower the "ouch factor."

[ahhvernin]

I wonder if there have been any medical studies done to see if there is any differences in saliva, stomach acids and gut flora from cultures that still routinely eat raw meat and cultures that do not, and if there were any hints on how to help folks with food poisoning.

[watercolor-wings]

Playing pharmacist at the restaurant like hmmmm these people put cheese when I said no cheese but I don't have lactaid....I wonder if 3 pepcid can stand in for it instead

[seventhofcrows]

Example: NG Tube Placement in Humans

This is for a future project that I will not reveal just yet. In the Splatoon universe, though. The second option is probably the most painful, but may work for the horror setting. And add additional complications, of course. Which might work. Especially if the first option is chosen.

[justabunny]

finally saw gastroenterology, and they suspect I have Celiac 🙂 yippee/sar

[willowreader]

Yes, Covid can damage your gastric system.

[heardatmedschool]

“For me, an upper GI endoscopy is almost part of the physical exam… That’s an exageration, please don’t repeat that anywhere.”

Sorry, doc.