r/functionaldyspepsia

I have zero clue what direction to take with my epigastric pain?

Hello Everyone,

I have been dealing with epigastric pain for a couple of months now, as well as yellow, frequent stools, yellow tongue, general "sick/cold" feeling, and dull aches near my shoulder, and I am pretty stuck on what to do next?

My situation is a little different from typical heartburn however because I really only feel it when on an empty stomach or a calorie deficit. When I eat I feel better, and I don't really have trigger foods except coffee on an empty stomach which has since been cut out. Because of this pattern I assumed a duodenal ulcer was my cause of issue but my endoscopy revealed that the duodenum was "perfect", and that I only have "mild" inflammation in my esophagus, according to my gastro. What is extremely frustrating is that I am up 12 pounds since April because of this, if I eat way above maintenance, it becomes bearable, sometimes even dissapearing.

I have been on and off PPI's since April and they might help with the direct sternum pain but otherwise my discomfort is still there. Because of the yellow stools I am considering digestive enzymes, but also strongly considering tricyclics, most of my symptoms has its origins from a vomiting episode nearly a year ago (which slowly got worse to the point I felt like having a heart attack in April), which I have read can damage the nerve?

I would love to get some advice or commentary?

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u/Lopied2 — 10 days ago

Amitriptyline

I started Amitriptyline almost 2 months ago. It has helped my FD significantly but causes severe constipation. I’ve been battling constipation for 10 years so I know a lot of tricks but never this bad. Anybody else battle this and what tricks have they tried?. I know I can’t come off the Amitriptyline, it’s been the only thing that works.

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u/Desiderata0413 — 11 days ago

Is it also hard for you to describe your functional nausea to people?

So I've had chronic nausea for years now. On and off, but it's been worse the past few years. I also have OCD and health anxiety, and the nausea is just worse given I also suffer from those conditions. I'm on Cipralex 15 mg and nortriptyline 10 mg (nortriptyline was started August 2nd, no real change yet my psychiatrist will likely increase).

Anyway, I find it hard to describe my nausea. It's not felt in my stomach. I wake up with it and it's just a feeling of overall sickness, malaise, discomfort in a general kinda way. Do you guys have the same experience? It's hard to put into words. I have it most mornings and sometimes it goes away fast and other times it lingers and goes up and down all day.

I've gotten all kinds of blood tests, ultrasounds, stool tests. everything came back clean. I do have a gallstone but my doctor doesn't think it's the cause of the nausea.

what does the nausea feel like for you guys? also, I may switch over to mirtazapine if the 20 mg nortriptyline still does nothing.

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u/BeanMeisterPrime — 12 days ago

One week on mirtazapine

I feel so good off mirtazapine way less nausea and belching and a lot of appetite!!! I hope anyone who’s thinking about it tries it and if you have any questions lmk! I’m on 15mg btw

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u/Less-Device1851 — 13 days ago

Anybody else get this

Hello all, Im pretty sure I have visceral hypersensitivity or FD. Had a rough few years dealing with sibo,candida,gastritis. Got to a point where I was pretty normal, could eat and drink what I wanted without worrying and only occasionally get symptoms such as feeling full like needing to Bench but cant and some nausea. I noticed that usually my symptoms come and go randomly nearly daily. Like I could feel fine all day then one meal triggers me to feel like mild nausea/plain feeling in stomach with the mild sensation to burp. Even when I do it's not a relief. Also if I eat something then like 1hr late eat something else it potentially can trigger this feeling. Once it comes it usually lasts for the rest of the day. Anybody know of something like this and if so what should I do about it.

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u/Firm-Illustrator4843 — 10 days ago

Endless stomach pain, help!

Im a 13 year old kid and my stomach has been hurting for 2 and a half years now which forces me going to stay at the toilet 24/7, i literally tried EVERY medicament my doctor suggested me but they dont work at all. The symptoms keep returning. Once he told me to take one tablet of OMEP every morning but after days, it loses the ffect more and more. I keep taking it, but it just doesnt work anymore. I usually drink a lot of water and rarely fast food. Ive been dealing with my mental health for more than 5 years. I dont want to assume depression because im still not diagnosed plus i dont want to explain my whole life right now.

Is anybody a professional or does know what to do in that case? Ive never got a concrete answer and my stomach keeps playing tricks on me, same with when i need to use the toilet. For some reason, some poses, movements, colours and volume triggers me. I know this sounds weird, but i need the exact meaning of why this wont go away.

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u/PizzaLover1766 — 10 days ago

What should I do if 10 mg nortriptyline doesn't work?

So as some of you read in my last thread, I have chronic nausea and OCD and health anxiety. All my blood work comes back clean, stool tests, ultrasound (I have a gallstone but it's been there since 2020, no change in 6 years and my doctor doesnt think it's causing my nausea). I'm on 15 mg cipralex (over 2 years on this medication at varying doses) and 10 mg nortriptyline (since August 2nd).

There's been no real significant change in my nausea since starting the nortriptyline. I told my psychiatrist that if a medication doesnt work, I want to change it. I wasted enough time being only on cipralex and I was suffering needlessly. We're only still on cipralex cause we're trying the combo with nortriptyline.

I'm seeing the psychiatrist on Wednesday and we'll likely go up to 20 mg nortriptyline. He said before it's likely the 10 mg is too low. I'm trying to figure out what to do if that doesnt work. I suggested mirtazapine in the past but hes very against it. he said it's a 'useless sedating drug' which makes me not really trust his judgement since it clearly works for many people and is used to treat nausea. Anyway, my family doctor said he'd prescribe it if my psychiatrist doesnt want to.

Do any of you have experience with these meds? Is 10 mg nortriptyline likely too low to have an impact?

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u/BeanMeisterPrime — 11 days ago

Anyone give soup or liquid diet a serious try?

Once a homoeopathy doctor told me if you can go on liquid diet like organic chicken soup or other types of home made soups for extended period of time like two to three months, it might help my stomach to heal better.

I never tried. Don’t think I can make that long provably not even seven or ten days.Maybe at best can manage three or four days at most.

By any chance any of you tried soup or

liquid diet for ten days or even longer?If yes, did you get any solid improvement or healing of your stomach from the soup or liquid diet?

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u/Skeuomorph7 — 13 days ago

Started motegrity, will these side effects get better or should I stop?

I started taking Motegrity 9 days ago, I started with 0.5mg and I was tolerating that dose pretty well, I was just feeling more fatigued and sort of a flu like feeling but in terms of stomach and intestine I was feeling quite fine, it did help a lot with the constipation as it made me very regular, however I was yet to notice any improvements with my stomach but at least it didn’t make things worse so after 6 days I increased the dose and 3 days ago I started taking 1mg, and since then my stomach has been feeling much worse, with nausea, fullness, worse early satiety and bloating. The fullness and early satiety are the symptoms that are bothering me the most, recently I had been doing better so this set back from the medicine is scaring me that I might have pushed myself into a major flare. I dunno what I should do, if I should stop or keep taking it to see if it gets better, has anyone experienced this?

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u/Ok-Welcome-5867 — 12 days ago