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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
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Experience:  Over 20 yrs of Family Practice
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3 years ago I had bowel movement but started vomiting, never

Customer Question

3 years ago I had bowel movement but started vomiting, never in 65 years had I ever vomited. Had several episodes over the last 3 years and suddenly have urge to poo and then vomiting begins. Food is un digested, no food or drink triggers, has been sausage, coffee, salads, Salmon any thing. I have kept a diary of periodic vomiting while having bowel movement. Only vomit when I have BM.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.

Hi. This is most likely a vagus nerve stimulating problem--the vagus nerve can get stimulated by things like bowel movements.

That said, it could be combined with an H pylori stomach infection so I would screen you for that.

Let me know if you need more information please

Expert:  Dr Basu replied 1 year ago.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

These symptoms can also be due to the gallbladder problem.
Inflammatory bowel disorders like Crohn's disease, microscopic colitis, eosinophilic gastroenteritis are other possibilities.
This requires colonoscopy to establish the diagnosis.
Malabsorption syndrome is another strong possibility.
Malabsorption syndrome includes the follow possibilities:
1. Excess bacterial overgrowth in the small intestine known as SIBO syndrome.
This is not usually diagnosed by the colonoscopy.
Small intestinal aspirate can be sent for bacterial count.
Carbohydrate breath test ( D xylose) is a simple test to diagnose this condition.
But, the treatment is much easier.
A 14 day course of Rifaximine improves the symptoms dramatically/
2. Lactose intolerance--- regular milk, dairy products.
3.gluten senisitivity or celiac disease--- Wheat based products.
4. Chronic pancreatitis --- deficiency of the digestive enzymes produced by the pancreas.
5. Gastroparesis -- delayed gastric and intestinal movement.-- treated with metoclopramide or domperidone daily.
You should consider following low fermentable sugar diet ( FODMAP diet) to reduce your symptoms.
Please go to this link for detailed information:
http://stanfordhealthcare.org/content/dam/SHC/for-patients-component/programs-services/clinical-nutrition-services/docs/pdf-lowfodmapdiet.pdf

Please also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria.
Also take a probiotic ( lactobacilli, bifidobacterium) daily to restore intestinal microbial balance.
Culturelle 30 Counts twice daily should be fine.

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Expert:  Dr. Chip replied 1 year ago.

Hi again. I'm the first expert.

None of what you've said is consistent with a gall bladder problem or with inflammatory bowel disease

SIBO would also be very unlikely.

Ask your doctor for the H pylori screen