Discussions By Condition: I cannot get a diagnosis.

Sudden and recurring several abdominal pain, vomiting, please help!!

Posted In: I cannot get a diagnosis. 6 Replies
  • Posted By: catr2133
  • January 7, 2010
  • 10:57 AM

I really need some help with a diagnosis for my poor husband!! He gets these sudden attacks of severe abdominal pain and vomiting, that just seem to come out of nowhere… he is virtually crippled during these attacks, cant walk properly, almost screaming in pain.. sometimes the only forewarning (if any) is hot/cold sweats shortly before, and twice he had black/sticky stools, once there was blood in the vomit – may have been due to the violent vomiting. He also seems to be really confused/out of it sometimes when its happening but that may be the painkillers they keep giving him. It has been recurring about 5 or 6 times for about 5 months now and the doctors just can’t figure out anything and keep sending us away and tell us to come back to hospital next time it happens again!

We go to the emergency room and they just give him morphine for the pain (he seems to need at least 10mg to relieve it at all) and maxalon, they also tried buscopan and heaps of other drugs but nothing works. We have done CT scans, xrays, etc they keep checking for appendicitis, gallstones, and never find anything. He always has a high white blood cell count too (16 last time, can’t remember the other times). He was admitted for 4 days once and they thought maybe he had ulcers so they did an endoscopy, which found nothing (and also made him violently ill again due to the anaesthetic). He is still taking nexium for ulcers, even though the endoscopy was clean, but has been taking it for 5 months now and had 4 more attacks since then.

These attacks/symptoms sometimes disappear as suddenly as they come on – most recently was last night, he got sick about 4:30/5pm quite suddenly, I came home from work to find him curled up on the floor vomiting and moaning. I took him back to the hospital at 6pm and by 10:30pm, he just suddenly got better – they gave him so many pain killers during the first 2 hours he was there and nothing worked, they would not give him anymore as they said he would have to go on a respirator if they did! 2.5 hrs later the symptoms just disappeared! This has happened several times for varying lengths of time with pain lasting from 5 hrs – 12 hrs at a time, sometimes he feels better only for a day or two, sometimes 2 or 3 months he is fine and then its back and we go through all the same tests all over again….

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6 Replies:

  • I really need some help with a diagnosis for my poor husband!! He gets these sudden attacks of severe abdominal pain and vomiting, that just seem to come out of nowhere… he is virtually crippled during these attacks, cant walk properly, almost screaming in pain.. sometimes the only forewarning (if any) is hot/cold sweats shortly before, and twice he had black/sticky stools, once there was blood in the vomit – may have been due to the violent vomiting. He also seems to be really confused/out of it sometimes when its happening but that may be the painkillers they keep giving him. It has been recurring about 5 or 6 times for about 5 months now and the doctors just can’t figure out anything and keep sending us away and tell us to come back to hospital next time it happens again! We go to the emergency room and they just give him morphine for the pain (he seems to need at least 10mg to relieve it at all) and maxalon, they also tried buscopan and heaps of other drugs but nothing works. We have done CT scans, xrays, etc they keep checking for appendicitis, gallstones, and never find anything. He always has a high white blood cell count too (16 last time, can’t remember the other times). He was admitted for 4 days once and they thought maybe he had ulcers so they did an endoscopy, which found nothing (and also made him violently ill again due to the anaesthetic). He is still taking nexium for ulcers, even though the endoscopy was clean, but has been taking it for 5 months now and had 4 more attacks since then. These attacks/symptoms sometimes disappear as suddenly as they come on – most recently was last night, he got sick about 4:30/5pm quite suddenly, I came home from work to find him curled up on the floor vomiting and moaning. I took him back to the hospital at 6pm and by 10:30pm, he just suddenly got better – they gave him so many pain killers during the first 2 hours he was there and nothing worked, they would not give him anymore as they said he would have to go on a respirator if they did! 2.5 hrs later the symptoms just disappeared! This has happened several times for varying lengths of time with pain lasting from 5 hrs – 12 hrs at a time, sometimes he feels better only for a day or two, sometimes 2 or 3 months he is fine and then its back and we go through all the same tests all over again…. Intussusception?
    kat2009 14 Replies
    • January 9, 2010
    • 06:45 PM
    • 0
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  • Intussusception is exactly what I was going to suggest. I went through a very similar situation with my son. The only way to accurately diagnose this is by getting an upper GI contrast study WHILE he is exhibiting symptoms. This can be tricky if you are going through the ER everytime as they can't control how fast they get you into imaging. Try getting a good contact in GI or surgery and get them to write you a standing order. Good luck!Intussusception?
    Anonymous 42789 Replies
    • January 9, 2010
    • 10:59 PM
    • 0
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  • Hi, thanks for responding. He did have one contrast CT scan during an attack in ER but i dont think it showed anything - but I cant recall if his pain had subsided by that point or not. Would it show up on Xrays or CT scans? To update since my original post he has had another attack since then, two days later and back to ER we went. Kept him in for two days this time and did a diagnostic laparoscopy and removed his appendix just for the sake of it, but found nothing wrong with his appendix. They said they did drain some fluid from the abdomen that shouldnt have been there but that was it.
    catr2133 1 Replies
    • January 13, 2010
    • 07:30 AM
    • 0
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  • my daughter is suffering from exactly the same recurring symptoms and the same inability of the doctors to diagnose the problem have you had any success since posting your original message? I would be very grateful for any information you could provide
    Anonymous 42789 Replies
    • January 14, 2011
    • 09:15 AM
    • 0
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  • my daughter is suffering from exactly the same recurring symptoms and the same inability of the doctors to diagnose the problem have you had any success since posting your original message? I would be very grateful for any information you could provideTRY CVS -CYCLIC VOMITING SYNDROME or ABDOMINAL MIGRAINES
    Anonymous 42789 Replies Flag this Response
  • Intussusception?I lived with the same symthoms for my whole life until I was diagnosed with Familial Medeteranian Fever, treated with colcrys. I live pain free with little or no problems other than routine bloodwork.
    Anonymous 42789 Replies Flag this Response
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