I am an 18-year-old female with a height of 5.3 feet and a weight of 170 lbs. Sudden onset makes me feel tired and unmotivated. Since I have an ovarian cyst, I took Drospirenone and Ethinyl Estradiol tablets (birth control). I recently stopped taking Abilify 10 mg and Prozac 20 mg. I also occasionally take Hydroxycut women. I also smoke marijuana and e-cigarettes. About a year or two ago, I developed bulimia. At first, it did not affect me, but a year in and I started to go through spells of throwing up patches of blood. It usually occurs when I throw up for the first time in a while, not a lot of blood. I am assuming that it is the Mallory-Weiss tear, but I have never been checked out, so I have not been diagnosed with anything. Last week I started experiencing acid reflux and a lot of bowel movements. I threw up, with blood, and my throat has not healed since. I have black diarrhea, and I am having trouble sleeping at night. I feel nauseous, and food is not helping. If I throw up without food in me, it is usually throw up white bubbly mucus. Otherwise, I cough up brown mucus. My stomach is now just in pain, and I do not know if this is serious enough to go to the emergency room. Another concern is that I am a college student, so I do not have the money for expensive doctor visits. Thank you for reading through this tragedy.
Thank you for the detailed history, and I understand your concern.
As far as I understand, all these started with your medications and supplements and smoking. Due to that, it leads to ulcers or tears in the stomach or food canal. Those ulcers are causing bleeding and black stool. You were also concerned about losing weight, so there have been ups and down in your diet. That could be cause for your stomach ache and acidity (gastric reflux disease). I would suggest you go for an endoscopy to check if there is any tear, so if there is any vessel bleeding, they can seal it. If this bleeding continues, then you may suffer from anemia. So better go to the emergency room, get an endoscopy done, and then take proper treatment accordingly.
The diagnosis of rumination can be confirmed with gastroesophageal manometry with impedance which is a test to measure the change in pressure across the stomach and esophagus while you do this rumination . Read full
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