<s>[INST] I have been sick for over 2 years and no one can figure out why. My episodes come and go all the time. I get very nauseated in mornings and usually vomit but i only vomit yellow bile . I have had my gallbladder removed and still vomiting bile. I have diarrhea about 8 times a day and its just bile also. When an episode comes on i began to sweat so bad then i get awful chills. I usually require going to the ER and need an IV with zophran phenergan and protonics. I have had all kinds of test, scans, ive changed my diet 100 times nothing helps. It just comes out of nowhere and its frustrating [/INST] Dear Friend.Welcome to HCM. I am Dr Anshul Varshney.I have read your query in detail. I understand your concern.These signs and symptoms might be because of any of the following:1. Irritable bowel syndrome2. Inflammatory bowel disease3. Malabsorption syndromes4. HyperthyroidismReview with us with all of your reports.This is my best advice for you with the available details, if you have any further query, please ask us.Stay Healthy </s>