GERD OR GASTROPARESIS

For the last year and a half i have been dealing with the following symptoms:
Bloating Nausea Chills Dry Heavy Sore stomach (next day) Constipation

It all started a few years ago, it would stick around for a week and seemlessly vanish for a year. It did that for 3 years. then one day, it hit me like a ton of bricks and stuck around.
Basically i will eat food, feel bloated, stay bloated for a couple of hours, get the nausea, dry heave (no food comes up) get the chills and feel like crap the next day.
Going to the ER a few times they keep saying the same thing, its constipation. I finally went to a gastro doc and had a upper endoscopy and colonoscopy. Endoscopy revealed a red irritated stomach, but it was empty. Colonoscopy revealed a pea sized polyp that turned out to be nothing. the doc did not think i had GP. I then had a hida scan on my gallbladder that revealed normal GB function with mild to moderate bile reflux.
Then it got better. I would get sick maybe once every 8-10 weeks after going on Zegerid, a combo of 1100mg of baking soda and 40mb of prilosec.

Now here is the kicker, i take lactulose for constipation, but if i take it when i get sick, i pass a ton of gas and i start to feel a lot better and the next day its almost as if it never happened. But only if i take the lactulose when i get sick.

I saw my doc for the first time in a year a week ago and he ordered a empty scan for my benefit. He insisted that i dont have GP because im a male (sorry ladies) and im not diabetic. He also told me that gp just does not vanish for weeks, come back for one or two days and then vanish again.
So basically, am i over thinking this? could this be something simple as gas pains or acid indegestion? My biggest thing is when i get sick, more bile or acid and mucus come out rather than food. I can only remember throwing up food twice since iv been getting sick, both times only a small portion of the food came up (maybe 10-20%) an hour after i ate but that was it.
My doc thinks it mental more than anything. He said the lactulose causing me to pass gas and making me feel better, the almost normal upper endo and the lack of contact in my dry heaves point away from GP.
what it boils down to, im crazy nervous for my test friday morning
thanks for reading

i might add, i can eat large meals from time to time. I remember two weeks ago was the last time i got sick. I was fine for the most part and then i had steak and a1 sauce and got sick, but i only threw up the potatoes an hour after eating, and a small portion of them at that. I had steak days before and felt fine, but when i had left overs with a1, boom, sick.
Then the next day after getting sick, for breakfast i had a large hashbrown, toast, egg white and bacon, without thinking twice.

thank you for your response. I find it hard to believe that "many doctors dont realize" it causes delayed GE, esp my gastro doc. From what i heard, from years and years old studies that i could find, is that its rare. My wife has been taking prilosec for 6 years and has not developed dge. also keep in mind too that these symptoms and issues came 6 months (and even a few times a few years ago) before i started ever taking PPI's. Out of the list of those symptoms, i have the nausea, bloating, sometimes pain and acid reflux. my bowel movements before i went on the lactulose was at best 3-4 days apart for years, in fact i remember the symptoms started when i started having fewer bowel movements.

Not to mention i actually went from 210 to 220 in the last year after i lost a bit of weight from fear of eating.

thank you. My other thing is that, besides being able to eat large meals, is medication like lactulose that makes my expell gas will actually relieve symptoms too. my Doc is only doing the test for my own piece of mind. He said when he did the upper endoscopy that he saw my stomach was totally empty and noticed no damage other than slight redness.

He also mentioned it could be my bile reflux

edit, also, i have had times that i get the symptoms, but eating actually helps it go away. So has drinking cold ice drinks. I have also had symptoms that went away after 2 hours instead of staying all day

Post Edited (kyomagi) : 8/1/2015 12:52:21 PM (GMT-6)