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Sudden epigastric pain, profuse sweating, nausea, weakness.

I'm a 23 year old female with history of elevated lipids and PCOS, otherwise healthy.

I've had four episodes of this pain within the past 2 years (2 days ago most recently). In all four cases, I'm lying in bed ready to fall asleep. I feel sudden epigastric pain and fullness. The pain is constant, dull and feels as if my intestines are being squeezed. The pain progresses and I start feeling nauseous. I go to toilet and 2/4 times have a small bowel movement. I start sweating profusely. I feel extremely weak/dizzy/fatigue to where I can't stand up. Sometimes, the pain lasts all night until morning. Other times, the pain only lasts 1-2 hours. I initially thought this was food poisoning but it happened during times when I hadn't eating anything extraordinary. What could be going on with my body?
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replied May 7th, 2014
Welcome to e health forum.

Exact medical diagnosis cannot be provided here, due to the lack of complete medical history and physical examination findings. But a general advice has been provided.

With the history provided, it is possible that your symptoms could be due to Irritable bowel syndrome.

Hormonal imbalances due to PCOS, could be a contributory factor for this condition.

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). These symptoms usually are present for at least 12 weeks in a patient during the previous one year, and unfortunately the onset or subsidence cannot be predicted.

Pain that originates due to IBS (Irritable bowel syndrome) is variable from day to day, hour to hour and sometimes moment to moment.
Two or more of the following must apply for pain to be identified as due to IBS.
1. Pain is relieved by a bowel movement
2. Onset of pain is related to a change in frequency of stool
3. Onset of pain is related to a change in the appearance of stool.

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).

Medications like activated charcoal (Charcocaps, charcoal tablets) can help to reduce the symptoms of bloating, belching, etc

You may consult with your doctor or a gastroenterologist, who can clear any remaining doubts and provide you a proper medical advice as well as prescribe any medications to treat the symptoms of Irritable bowel syndrome.

I hope this helps.
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