A Childhood Diagnosis
Kaitlyn was 5 years old when she first began battling symptoms like severe abdominal pain, persistent diarrhea, fatigue and weight loss. In 2005, she came to Cincinnati Children’s and was diagnosed with Crohn’s disease, an inflammatory bowel disease that causes long-term inflammation throughout the digestive tract.
Kaitlyn’s care team managed her condition with medications and other therapies until 2019, when her symptoms worsened significantly.
“I started having severe upper abdominal pain and lost about 20 pounds unintentionally,” she recalled. “I was also having severe nausea and couldn’t eat. When I tried to eat, I’d experience this revulsion to putting food in my mouth.”
Scott Pentiuk, MD, a pediatric gastroenterologist at Cincinnati Children’s who helped lead Kaitlyn’s care team, ordered a nuclear medicine test called gastric emptying scintigraphy, which uses a small amount of a radioactive substance to track how food moves through the digestive system.
The test showed that Kaitlyn had gastroparesis, also known as delayed gastric emptying—a condition in which the stomach takes too long to empty its contents, leading to symptoms like nausea, vomiting and abdominal pain.
Treatments like medications, Botox injections and balloon dilation procedures helped reduce Kaitlyn’s symptoms for a few months, but the nausea and vomiting returned. In 2020, she became so dehydrated and weak that she had to be hospitalized. Her team placed a short-term feeding tube to help her get the nutrients she needed.
“All of this was going on while I was in undergrad for pre-medicine and also working part-time at a local pediatrician’s office,” Kaitlyn said. “I was really trying not to miss a lot during that time, but sometimes it was impossible.”