Hello doctor,
I am a 27-year-old male. My primary symptoms are large amounts of gas produced in stomach and/or intestine. I feels like stomach acid becomes carbonated, pain and pinching feeling from gas. I also have tingling, spasms or pain in pectoral, armpit, calf shoulder stiffness or aching in right arm, usually on the right side of the body. These symptoms are relieved upon belching and are likely due to pressure on the nervous system. Gas in stomach occurs simultaneously with sinus sweating, thin watery mucus. Later that mucus will dry and obstruct the nasal passage way in a dry plasticky film that must often be manually removed. Gas appears in much greater quantities in episodes, often followed by by constipation and/or diarrhea.
Medical history: I had walking pneumonia 15 years ago. After which a history of sinus headaches in childhood. I thought it to be the result dehydration, cured only by vomiting or sleep. Allergic reaction with facial swelling and butterfly rashes, compromised immune response 11 years ago, and cured by Prednisone. EKG five years ago (results normal) prompted by muscle spasms and random aforementioned pains (absence of gas at this stage) followed by upper endoscopy with biopsy and first of three tests for H pylori (negative, only abnormality was patent and malformed pylorus).
Blood tests came back normal. Calprotectin, negative (no inflammation). H Pylori, negative. Candida, negative. Ultrasound came back normal besides massive amounts of air pockets in the stomach and large intestine. Origin of the air is unknown, repeatedly presumed to be fungal or bacterial. Fecal occult blood came back positive. Two years ago, after throwing up blood. This was the only time the condition ever induced vomiting. Effective medications: Sucralfate.
PPIs appear ineffective, at least without the aid of sucralfate. Magnesium and Aluminum appears wholly ineffective even at the highest medically prescribed doses. Simethicone does not reduce the gas. Domperidone, prescribed to treat a previous, abandoned diagnosis of aerophagia, only served to increase pain and force more gas to be released rectally and orally.
Due to testing negative for candida, anti-fungals were never prescribed. Due to testing negative for calprotectin and appearing to lack inflammation, a recent diagnosis of gastroenterocolitis was abandoned. The source of the bacteria, if any, could not be determined, and thus antibiotics were never prescribed for anything more than diarrhea, however, this did appear to help.
Knowing what to test for at this stage would be invaluable towards prescribing the right antibiotic, anti-fungal, or antiviral to treat the source of this condition.
More details about the presenting complaint:
Current medications: Sucralfate is the only one that works, also taking Pantoprazole and Spazmex currently.
Past medications of the same issue: Omeprazole, Domperidone, and Simethicone.
Lab tests performed: Endoscopy, fecal occult blood, H.pylori test (biopsy and 2x fecal test) blood test, candida test, and ultrasound.