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Nutritionist
The causes of your gastrointestinal issues may be multi-faceted. Whilst you’ve taken steps to eliminate gluten and lactose from your diet, there may be many other foods which are aggravating your gut mucosa. Were you tested for Coeliac disease? It would be prudent to have a Food Intolerance test done followed by an elimination diet. Foods from the Nightshade family often cause gastrointestinal problems (potato, eggplant, cayenne pepper, chilli, paprika, sesame, tahini, tomato, peppers).Another possibility is that you have fructose malabsorption- difficulty digesting and absorbing the sugars in foods.
The vomiting/nausea may indicate a decrease in your digestive enzyme activity. Even though you do not have H.Pylori, you may have SIBO-small intestinal bacterial overgrowth which greatly affects gastrointestinal health. In order to seek out the real causes, arrange a consultation with a Nutritionist who will look at your detailed food diary plus general health, medications, stress and so forth.
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Dietitian
I would encourage you to see a Gastroenerologist.
There are a number of blood tests that are required and a endoscopy/colonoscopy required first to see if there is any underlying pathology causing your altered bowel function before you make any dietary changes. Before some of these tests it is important to return gluten back into your diet for these to be meaningful. A Dieitian can advise you how to eat before these tests.
Once these test have been completed with the results, only then can specific dietary advice be given which may help you achieve a better bowel function.
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Dietitian, Nutritionist
The vomiting of undigested food so many hours after consuming it is of concern and requires medical investigation. You may have a blockage or muscular stricture which is at the root of all your symptoms and it may not relate to types of food at all. You mention that you do not have H Pylori, which indicates you have had some medical investigations. Back to your general practitioner for referral to a gastroenterologist would be the first port of call. The gastroenterologist can then refer you to an experienced dietitian in your area to deal with the findings. If you have seen a gastro before and been given the all clear it is still appropriate to front up again to indicate the problem has not settled.
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