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Young woman with recurrent vomiting associated with weight loss
  1. Ray Boyapati1,
  2. Mayur Garg1,
  3. Peter Crowley2,
  4. Nathan Connelly1
  1. 1Gastroenterology and Liver Transplant Unit, Austin Hospital, Heidelberg, Victoria, Australia
  2. 2Department of Pathology, Heidelberg, Victoria, Australia
  1. Correspondence to Dr Ray Boyapati, Gastroenterology and Liver Transplant Unit, Level 8, Harold Stokes Building, Austin Hospital, 145 Studley Road, Heidelberg, Victoria 3084, Australia; ray.boyapati{at}gmail.com

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A 39-year-old woman presented with an 18-month history of episodic severe nausea, vomiting, diarrhoea and 30 kg weight loss requiring multiple hospital admissions. Her past medical history included hypothyroidism, migraines and lower back pain for which she used paracetamol, codeine and intermittent diclofenac up to 150 mg per day for up to a week during exacerbations.

C reactive protein and erythrocyte sedimentation rate were raised up to 89 mg/l and 80 mm/h respectively during some of these admissions. She was iron, vitamin B12 …

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