What causes chronic acid problems?

Hello doctor,

I am a 29- year old female. Nineteen years ago, I was diagnosed with chronic gastric antrum body-type mucosa during endoscopy. Seven years ago, I was diagnosed with benign gastric antral oxynite mucosa with mild chronic inactive gastritis. Recently, I have been diagnosed with IBS type C and M. Colonoscopy done last year showed three hyperplastic polyps; One 2 mm in transverse colon and two 3 mm and 6 mm in sigamoid colon. Despite trying every over-the-counter medication, Linzess, and Amitiza, nothing has provided relief. What is going on with my body? I used to throw up bile and defecate bile since I was a newborn.

Since childhood, I have experienced acid problems. I used to constantly vomit bile from my small intestine and defecate it as well. I have tried every over-the-counter medication and nothing helped. Then I started taking probiotics nine years back. Probiotics stopped the acid problems. but a year after that, I developed severe constipation. The 2018 endoscopy showed benign gastric antral and oxyntic mucosa with mild chronic inactive gastritis. and in June 2023, the colonoscopy revealed three polyps. One was 2 mm in the transverse colon and positive as a hyperplastic polyp (negative for dysplasia or malignancy ) two were 3 mm and 6 mm found in the sigmoid colon as fragments of hyperplastic (tested negative for dysplasia or malignancy).

Recently, I was diagnosed with a third-degree prolapsed hemorrhoid with an attached anal tag. Pathology results for the anal tag revealed it to be a benign fibroepithelial polyp with hyperkeratosis and vascular congestion, confirming it is negative for dysplasia and malignancy. I am awaiting pathology results for the third-degree hemorrhoid itself, which my doctor has sent for testing.

I have also attached my CBC auto differential and metabolic panel blood results done before my colonoscopy last year. I have also attached blood results from CBC auto differential, CMP, hemoglobin A1C, lipid panel, etc, done two years ago. Please help me understand what is causing these issues. Doctors think I do not have Ulcerative colitis or Crohn’s disease, as I have never undergone tests to confirm these. Besides an acid reflux test with contrast when I was 11 years old. That is why diagnosed with IBS two years ago. Over the past few months, I have unintentionally lost 12 pounds, dropping from 157 to between 144 to 145 pounds.

Current medications include Zoloft 100 mg and Vyvanse 50 mg. started a year ago to make sure this is not a nerve problem.

Previous medications for similar complaints include Zantac, Prilosec, Nexium, Tagamet, Tums, Pepto Bismol, Linzess, Amitiza, MiraLax, Colace, and adherence to a high-fiber diet with increased water intake.

Thank you.

Hello doctor,

Thanks for replying.

The Zoloft and Vyvanse I am taking is for ADHD management. I do not have depression or anxiety. These acid problems have persisted since birth, as told by my family members. Now that I am an adult, and am in a position to find out what is going on. My parents neglected me as a child to become an adult. They did not take me to doctors for my health because of their conflicts. I just want to be healthy. My mental health has been under the control of my psychiatrist and counseling therapist for the last year and six months. Can you please help me to find out what this is?

Additionally, due to my ADHD, I have noticed:

1. Bruising very easily.

2. Any bites like mosquito bites take longer to heal than they used to. It leaves big brown marks that never go away. I still have bites from three years ago on my legs and feet that still have not gone away. I noticed that as something odd and I feel that should be notified with you as well.

3. I have also been getting spider varicose veins on my legs and back as well. I know my mother has the same issue but I guess that was somehow passed down to me. I am not sure.

4. My blood pressure has been low as well, and I tend to faint a lot. Even after eating a healthy meal, walking my dog for 30 to 40 minutes twice every day, and staying hydrated by drinking water. This started happening seven years ago. I had some fainting spells as a child, but not as bad as it is now.

Can you please help me to figure this out? I want to get better and stay healthy and also help others who might be going through the same thing. Is it normal for a 28-year-old to have three colorectal polyps? If you have a new recommendation on medicines or what to do please let me know.

Thank you.