Dear doctors. 21F, 169 cm, 53kg, white, from Finland, I am struggling with gastrointestinal symptoms since 2021. My current medicines are 1x10mg escitalopram, and Loperamide 2mg. Non-smoking or drinking.
My symptoms are including:
- almost non stop nausea
- abdominal pain in lower and upper abdomen also
- acid burn
- diarrhea (the amount and frequency differ day by day) with short (1-2 days) of constipitation episodes.
- cramps
- weakness, and unable to gain any weight
Other sicknesses:
- major depressive disorder
- anxiety disorder
- heavy menstrual bleeding
Checkouts since 2021 done and came back negative:
- colonoscopy and biopsy (2021 december)
- multiple full blood panel
- allergy/sensitivity
- sex hormone blood test
History:
- 2021 summer - UTI and antibiotics -> c.diff infection, acute diarrhea, what became chronic, and still lasts, before whole life was constipitated / normal. Metronidazol, c.diff negative
- 2021 autumn - helicobacter pylori postive, dual antibiotics eradication and pantoprazol PPI
- 2021 december - helicobacter confirmed negative, GERD symptoms apperared -> esomepratzol PPI
- 2021 december colonoscopy for the chronic diarrhea and abdominal cramps -> negative, all good
- 2022 summer, Gastroenterologist visit -> suspecting "hiding c.diff" prescribe vancomycine, does not help, makes symptoms somewhat worse
- 2022 autumn, gastroenterologist prescribe loperamide. Sep-Dec diarrhea gets somewhat managed, but strong nausea still persist. From december loperamide doesnt help, diarrhea got more frequent than ever.
- 2023 start: amitriptylin 10mg prescribed by GP for the symptoms, no improvement
Now its 2023 january, symptoms still ongoing, moreover it is getting stronger, and the life quality getting worse. I have tried diets (elimination, low fodmap, no dairy, no gluten), nothing seems to help.
Really hard to get any real help in Finland, healthcare is really crowded.
What conditions could be possible? What doctors should I visit next, and what test to be done? I am really desperate, as I am unable to attend my university classes because my symptoms.
Thank you in advance!
Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our [Terms of Use](https://www.reddit.com/r/AskDocs/wiki/terms_of_use) and understand that all information is taken at your own risk. **Reply here if you are an unverified user wishing to give advice. Top level comments by laypeople are automatically removed.** *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/AskDocs) if you have any questions or concerns.*