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Due to irritation

​Hello. I have reviewed the extensive history of your mother's condition. ​It is deeply concerning that she continues to suffer from persistent vomiting despite undergoing such a comprehensive diagnostic evaluation. When standard tests like endoscopy and CT scans fail to provide a clear answer for chronic vomiting and bleeding, we must look into less common physiological or functional disorders. ​1. Potential Clinical Considerations ​Esophageal Motility Disorders: Since she vomits shortly after eating or drinking, a condition like Achalasia (where the lower esophageal sphincter fails to relax) or Distal Esophageal Spasm should be ruled out. These often require a High-Resolution Manometry (HRM) test, which measures the pressure and coordination of the food pipe. ​Vascular Abnormalities: The "small leakage" that causes bleeding could be due to Dieulafoy’s lesion or Gastric Antral Vascular Ectasia (GAVE), which are sometimes missed on standard endoscopies if not bleeding actively at the time of the procedure. ​Cyclic Vomiting Syndrome (CVS) or Gastroparesis: If the stomach does not empty properly (Gastroparesis), vomiting is common. A Gastric Emptying Study is the gold standard to confirm this. ​2. Next Steps in Diagnosis ​Esophageal Manometry: This is critical if not already done, as it evaluates the functional movement of the esophagus rather than just the structure seen on an MRI or CT. ​Repeat Endoscopy with Narrow-Band Imaging (NBI): This specialized light can help doctors see subtle vascular "leakages" that might be missed under normal light. ​Second Opinion - Motility Specialist: I recommend seeking a consultation with a gastroenterologist who specifically specializes in Neuro-gastroenterology and Motility. ​3. Supportive Care ​Nutritional Support: With such frequent vomiting, she is at high risk for electrolyte imbalances and malnutrition. Ensure she is being monitored for dehydration and consider discussing temporary liquid nutritional supplements that are pre-digested. ​Summary Advice: Since standard imaging and "depression" consultations have not yielded results, the focus must shift to the functional and mechanical movement of the GI tract. Please inquire with her current team at Medanta about performing a Manometry and a Gastric Emptying Study.

Unable to understand  leakage bleeding,  vomiting

Since your mother has a persistent vomiting despite multiple tests, this needs a detailed reassessment of all previous reports. This cannot be managed without reviewing everything in detail.

​"I can understand how distressing it must be to see your mother go through this for over a year, especially when top-tier hospitals like Medanta are still investigating the root cause. Persistent vomiting shortly after eating or drinking, despite normal CT/MRI/Endoscopy results, often points toward a functional motility disorder or a rare condition like Achalasia Cardia (where the lower esophagus fails to open) or Gastroparesis (delayed stomach emptying). Since she has already seen neurologists and psychiatrists, we must also consider the possibility of Rumination Syndrome or a rare vascular compression like SMA Syndrome."

Very typical case.

If you can provide all reports and detailed history. Then it’ll be helpful in detailed evaluation

Gastritis Avoid spicy foods Avoid coffee and tea in empty stomach Use more of curd and butter milk

Kindly do connect and consult

Need a few more details please consult for further evaluation and treatment

Can help you, kindly consult and provide detailed history for proper diagnosis and further management