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Q. I am thinking about my stomach disease all the day. Kindly help.

Answered by
Dr. Sathya Prakash
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 13, 2016 and last reviewed on: Jul 04, 2020

Hi doctor,

I have been suffering from stomach disease and I did not get it diagnosed for almost for 10 years. Sometime, my doctors say it as GERD and sometimes as irritable bowel syndrome. Now, they said that my stomach is not transferring food to my colon normally and that means my stomach muscle is weak. I have also been suffering from severe vomiting. All these things make me very anxious. I am spending my whole time thinking about the diseases and reading in online. I am not enjoying my life because of this.Last year, I had some unknown problem in my body, such as feeling more tired, etc. I went to my family doctor and he said that everything is normal. But, I continued going to the ER as I was scared of cancer. Most of the information I read about related to cancer. I visited ER every day until they admitted me in the hospital and diagnosed me with depression and anxiety. They gave me medications, which changed my thinking and let me focus on day-to-day events. I stopped them when I felt fine. Now, when I came for a vacation, my stomach started to be bad. I had diarrhea for several days and I got vomiting also. Last week, I ha severe vomiting with stomach pain. I went to the ER and they admitted me in the hospital to do an endoscopy, which was terrible as I vomited twice during it. My doctor diagnosed me with gastroparesis, which means weak stomach muscles. Now, I am thinking about my life. I am not even able to eat like others. I spend my whole time in questioning and reading about the problem. I have no interest to talk or do anything else. I am just searching and thinking about it. I feel there is no solution to it like cancer. I feel my life like the hell.

#

Dear,

Welcome to icliniq.com.

  • First and foremost, do not be disheartened as I see patients with similar problems every day and they get better.
  • You definitely have a psychological problem similar to depression and anxiety. My opinion is that you will need long-term psychotropic medicines to get you completely back on track.
  • Do not be in a hurry to stop them. This does not mean that you have to take medicines for a lifetime, but you will have to take it without missing a dose for up to a year.
  • I will need a few more details of other symptoms to give an accurate suggestion. How is your sleep? Do you or your family have a history of bipolar disorder?
  • Do you have a history of constipation? Also, whether this diagnosis of gastroparesis was a definitive diagnosis or just the most likely possibility given as everything else was normal?
  • I think Mirtazapine 7.5 mg at bedtime would work very well for you. Further increases in doses may or may not be needed depending upon the improvement you are having. Consult your specialist doctor, discuss with him or her and take the medicine with consent.

Revert back with the answers to the above questions to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist

Thank you doctor,

I do not feel good during sleep. I wake up a lot. My family does not have any mental disorders. I have difficulties to get stool out. I do not eat well because I am scared of getting vomited. The diagnosis is not definitive. I called my doctor and he said that the endoscopy cannot confirm that, so I am going to get some other test soon to be sure. I feel that I will not be able to live normally, if the diagnosis is confirmed. I am married and have a baby, Also, my wife is pregnant now. I am thinking about my stomach and monitoring it all the day. Will the medication work fast or I have to wait for months?

#

Hi,

Welcome back to icliniq.com.

Thank you for confirming the information.

  • I really think Mirtazapine as suggested earlier is the right medicine. Please start it and increase as advised.
  • In a couple of weeks some improvement must be evident. Please let me know in two weeks time.
  • Do not think much about this and please start the medicine. Considering your life situation, you need it urgently. You will get better. Take care.

For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist


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