Hi I need some help I feel like I'm going crazy here. I'm a 25 year old female, 5'7'' 135 lbs and maintaining that weight. My only medication is oral contraceptive. My problems started February of 2013. After an acute illness, which I chalked up to the 24 hour bug, I began having upper left quadrant abdominal pain. Af first it just seemed to be attributed to when I ate or when my stomach was too empty. After a month of dealing with it I went to my PCP who took an immunoglobulin test to h pylori, it came back positive. Other labs drawn were a CBC, CMP, mad TSH which were normal. We did a two week course triple therapy and I felt better for a few month though I still noticed occasional (maybe 2/3 times a day) pain attacks lasting just a few moments. Then the pain accelerated again to the point that I went back in and we did a quadruple therapy round. Once again it helped for a little bit but within 2 months I was miserable again. I set up an appointment to see a GI specialist and during the month wait my symptoms continued to escalate. The end of December 2013 in had an EGD which showed some sites of gastritis, no ulcers, and a compression on the 3rd portion of my duodenum. I have had a CT angio of the abdomen which showed aortic angle of 27 degrees and a compression to 6mm in the duodenum. I didn't fit all categories for SMA syndrome but we tried to treat it as such and I was told to try and gain weight with oral intake. In the mean time I had a gastric emptying scan which came back normal, a HIDA scan which came back at 91% ejection fraction and normal. Last week after failing to gain any weight in two months I had an upper GI study with small bowel follow through. The only noted abnormalities were that my stomach is in a "vertical" position and some slight dilation of the duodenum as the contrast passed into the jejunum. I received a call today informing me that I do NOT have sma syndrome and there is nothing surgically that could be done. I'm being sent back to my GI in two weeks but my symptoms are now progressing so quickly I'm afraid of how bad off I will be in two weeks. For the last two weeks all I can eat is tiny amounts of bland food and for the most part I stick to liquids. The nausea is increasing, I've vomited twice in the last week after trying to eat a 1/2 slice of toast and the pain is now constant but still worsens with food intake. Throughout the whole process my bowel movements have remanded regular and without any signs of blood. I'm asking for possible diagnosis and suggestions to help ease the discomfort; I'm so fed up with this.