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Gastroenterology  (Expert Forum)
 | 
ALWAYS NAUSEATED AFTER EATING
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
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MedHelp Member's Question

ALWAYS NAUSEATED AFTER EATING

by LITTLE GENERAL, Mar 12, 2003 12:00AM
For the past 4-5 weeks, after each meal, I experience nausea, flu like symptons such as chills and aching all over. I also have reflux and occasionally vomit. As long as I just snack lightly through out the day I do not experience these symptons. It only occurs when I eat a normal meal. It occurs regardless of the type food I eat.  I have tried no fat, low fat and high fat food as well as the extremes in carbohydrates and sugar. Even just eating a single bowl of Cherrios with skim milk and Equal causes these symptons. Also, as an after thought, I also experience weakness and feel sleepy along with the other symptons.
Doctor's Answer

by Kevin Pho, MD, Mar 13, 2003 12:00AM
Hello - thanks for asking your question.



Please understand my limitations over the internet as I have neither met nor examined you. This information is for patient education only.  Please see your personal physician for further evaluation.  



A variety of diseases can cause nausea and vomiting.  Examples (this is not a complete list) include gastroenteritis, food poisoning, acute non-gastrointestial infections (i.e. pneumonia, pyelonephritis), obstruction of the stomach, small bowel or colon, liver or gall bladder disease, pancreatic disease, peptic disease or cancer.  



You are experiencing nausea and vomiting associated with meals, flu-like symptoms, and chills.  Infections causes such as acute gastroenteritis or a non-GI infection should be considered and evaluated for.  



Another consideration would be bowel obstruction.  The most common symptoms of bowel obstruction are abdominal distention, vomiting, crampy abdominal pain, and inability to pass flatus.  



In any case, you need to be evaluated by a physician.  At a minimum, proper xrays to evaluate for bowel obstruction, and blood tests for gall bladder, pancreas and liver should be performed.  



If everything comes up negative, you then may want to be evaluated for more uncommon causes such as delayed gastric emptying or gastroparesis.  



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Thanks,

Kevin, M.D.

Member Comments (8)

by pj1963, Mar 13, 2003 12:00AM
have you been checked out for a bowel blockage or Crohns?

by 4gpact, Mar 14, 2003 12:00AM
another possibility; delayed stomach emptying, also called gastroparesis. You might want to ask your doctor about a gastric emptying scan.

by Restless, Mar 14, 2003 12:00AM
I know this may be TOO general, but do you take the Pill, or have you changed doses? Towards the middle of last year I started taking the pill to regulate my periods, and I started noticing similar symptoms that you described. I kept taking it for another couple of months until I could find a pattern and then I stopped for two months. The problem went away. The solution "for me" was a lower dose pill. This may not be your problem, but maybe food for thought. Hope you feel better.

by karrie2020, Mar 15, 2003 12:00AM
I had similar symptoms.  I had these symptoms for years.  I always complained to doctors. No testing was ever suggested by doctors.

I had read about ulcers, and h. pylori bacteria causing lots of different gastric symptoms.

It was a "shot in the Dark", on my part, I REQUESTED an H. Pylori test (serum).

It came back positive...0-1 normal range (mine came back 6.1) I am now on a 14 day course of antibiotics called "PREV PAC".

IF ANYONE ELSE HAS BEEN THOUGH THIS TREATMENT PLEASE POST AND LET ME KNOW YOUR RESULTS.



                            ~ rose25 ~

                    







by IDA DIAB, Mar 16, 2003 12:00AM


Since 8 years am suffering from Gastric Ulcer always after two hours from every meal i feel heart burn the acid goes up to my mouth, I have gone under several treatment such as gastrocpy three times and I have taken course for Helicobacter Pylori for two weeks and I repeat the same after one year I have taken few type of medecine such as Losec/Gosec/Nexuim etc. all this medecine block the acid for 24 hour and back again.



Kindly advise



Thank You

by kevlismc, Mar 17, 2003 12:00AM
I have had alot of pain in my abdomen, nausea, weight loss and other symptoms. I saw a physician and she said gall bladder. I was  tested for everything under the sun and finally was diagnosed with h pylori. I have been on prevpac for a week. The tenderness around my navel is gone but I still have severe pain under my right rib, nausea,& weakness with trembling. I may have the pylori but I feel there is something else wrong too. I do think the prevpac is working but the pain in my upper abdomen is only getting worse. I have pain in my upper back and sometimes shooting pain up my right breast to my neck. Maybe someone could tell me if these are normal sympotms of h pylori. It's a nasty bacteria.

by karrie2020, Apr 20, 2003 12:00AM
To: kevlismc
I HAVE YOU EXACT SYMPTOMS!!!! RIGHT TO THE T!!!!! THIS IS AMAZING, i have also had the prevpac for 14 days, and the hpylori was positive, and was found to have a cyst on liver. Your doc should do an ultra sound and CT of your liver gall bladder etc.  ALSO....you may have gallstones....please keep me posted.....i would like to hear about your followup, sometimes, by "comparing" we can HELP EACH OTHER!!!!!!!!



thanks  ROSE

by yoshi