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feel like I'm going to vomit or need to rush to the toilet

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I was diagnosed with panic disorder 7 years ago and due to my anxiety I was feeling sick most of the time. I had CBT for this and it helped a lot and I haven't had any panic attacks for a number of years but for the past year or so I have been having really bad stomach cramps on and off. They usually last for about a week and are quite intense for around 3 days. I have also been feeling sick most of the time for a number of weeks and every time I eat I feel like I am going to vomit or I need to rush to the toilet. I don't get diarrhoea but I do get very loose stools. I'm not sure if I am just getting anxiety again or if there may be something physically wrong. I went to the doctors and they give me antiemetics and said it was probably stress but I really want an definitive answer instead of something that just gets rid of the symptoms. I have never had any tests for anything physical but cramps and nausea can be symptoms of so many different things I'm not really sure what to do.

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replied May 30th, 2012
Digestive and Bowel Disorders Answer A35509
Hello and welcome to e health forum.

Your history does not help to provide you a proper definitive diagnosis.

The cause of your pain could be due to benign spasmodic contractions of the intestines. In case the symptoms are persistent, it may be a sign of irritable bowel syndrome.

Irritable bowel syndrome (IBS) is a chronic functional disorder characterized by cramping abdominal pain or discomfort with alterations in bowel habits (bloating, constipation, and diarrhea).

Lack of major symptoms like fever, loss of weight and appetite, bloody stools, etc. in your case does rule out other causes of abdominal pain like - inflammatory bowel disease, malabsorption syndromes, lactose intolerance, parasitic infestations, etc.

IBS does not cause any permanent damage or any serious illness but the symptoms cause severe discomfort & distress affecting an individuals work, ability to travel and attend social events.

Most symptoms of IBS can be controlled with diet, stress management, and prescribed medications (laxatives, antidiarrheals, antispasmodics, or antidepressants).

You might consult with your doctor or your gastroenterologist for a proper examination and treatment.

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