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Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.
Question Title: Chronic Nausea (PLEASE HELP!!!)Forum: The Gastroenterology and Liver Diseases Forum
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I have suffered with chronic nausea for over 4 years now. It appears out of the blue many times and even wakes me up at night. I have had almost every stomach test performed with no clue to what it could be. I am also troubled with sinus infections (and terrible thick post-nasal drip). We have been unable to pinpoint what the cause of my nausea is and I have tried many medications with no success. Do you have any idea of anything it could be? Or have you ever heard of a case like mine? I am so desperate for relief. It is handicapping my entire life!!! ANY help you can provide will be greatly appreciated!!! __ Dear Valerie, There are several possible explanations for your nausea (that I assume is not associated with vomiting). Your post nasal drip and sinus condition could be the cause of your problem. Gastrointestinal causes to be excluded include esophageal reflux, gastric inflammation and delayed gastric emptying. This last condition can be related to a number of illnesses including diabetes, hypothyroidism, and abnormalities of gastrointestinal muscles or nerves. I suggest that you see an ear, nose and throat specialist. Necessary gastrointestinal tests include an endoscopy (to visualize the lining of the esophagus stomach and duodenum) and a gastric emptying study. Empiric treatment with a prokinetic agent such as Propulsid could also be tried. Best of luck. This response is offered for your general information and should not replace the conclusions drawn from a careful and complete evaluation by your physician. HFHSM.D.-rf
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