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Gastroenterology (Expert Forum)
Chronic Nausea
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.
Chronic Nausea
by Denver_Colorado, Jan 26, 2004 12:00AM
Hello,
I have been having nausea on and off for two years now. I have had an appendectomy, my gallblader removed and endoscopic sinus surgery with tonsillectomy on the side. The nausea lasts for four to five days at a time and seems only to be relieved by eating but then comes back moments after I finish a meal. It lasts all day and has not resulted in actual vomiting. I also developed indigestion for the first time in my whole life about a year ago. Also on and off, I'll take Tums for a couple of days (worse in the morning)
I have had endoscopic search for ulsers (neg) and blood work for many things including h. pylori (also all neg) My Gastro prescribed Methocropalmine (sp?) to take 30 min before meals not really helping. He also diagnosed me with Gilberts Syndrome due to my high liver count.
In addition to the nausea (may or may not be related) I have recurrent bouts with lower left abdominal pain and diarhea after eating. This also comes and goes every two weeks or so and lasts four to five days. It does not appear to be diet related as I have tested this theory. So, If I'm not nauseaus, I've got lower left abd pain with diahrea or indigestion. ARGH!
The only other medication I am on is zyrtec (for enviro allergies - none to food) and yasmin (birth control for a few years now).
Any help would be greatly appreciated. Thank you in advance.
I have been having nausea on and off for two years now. I have had an appendectomy, my gallblader removed and endoscopic sinus surgery with tonsillectomy on the side. The nausea lasts for four to five days at a time and seems only to be relieved by eating but then comes back moments after I finish a meal. It lasts all day and has not resulted in actual vomiting. I also developed indigestion for the first time in my whole life about a year ago. Also on and off, I'll take Tums for a couple of days (worse in the morning)
I have had endoscopic search for ulsers (neg) and blood work for many things including h. pylori (also all neg) My Gastro prescribed Methocropalmine (sp?) to take 30 min before meals not really helping. He also diagnosed me with Gilberts Syndrome due to my high liver count.
In addition to the nausea (may or may not be related) I have recurrent bouts with lower left abdominal pain and diarhea after eating. This also comes and goes every two weeks or so and lasts four to five days. It does not appear to be diet related as I have tested this theory. So, If I'm not nauseaus, I've got lower left abd pain with diahrea or indigestion. ARGH!
The only other medication I am on is zyrtec (for enviro allergies - none to food) and yasmin (birth control for a few years now).
Any help would be greatly appreciated. Thank you in advance.
Doctor's Answer
by Kevin Pho, MD, Jan 29, 2004 12:00AM
, Jan 29, 2004 12:00AM
An endoscopy is a pretty comprehensive evaluation for nausea. H Pylori is also a reasonable test - from your description, I am assume these tests were not revealing.
The next test I would consider would be a gastric emptying study. This can look for delayed gastric emptying - or gastroparesis, which is also a significant cause for nausea. Nausea can occur after eating in this disorder.
Regarding the left lower abdominal pain - this may or may not be related. Causes include colitis, inflammatory bowel disease, or a mass. A CT scan would be a reasonable first test to evaluate this pain, followed by a colonoscopy if the scan was not revealing.
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.
The next test I would consider would be a gastric emptying study. This can look for delayed gastric emptying - or gastroparesis, which is also a significant cause for nausea. Nausea can occur after eating in this disorder.
Regarding the left lower abdominal pain - this may or may not be related. Causes include colitis, inflammatory bowel disease, or a mass. A CT scan would be a reasonable first test to evaluate this pain, followed by a colonoscopy if the scan was not revealing.
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.
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End of Jan 04, went to see a nutritionist (sorry about my spelling) he did a pin ***** blood sample and showed us it under the microscope and found out i have a leaky gut/candida. i also have an intolerance to E numbers, and a problem with my nervous system, I'm being treated for the leaky gut, have been on all the supliments for about 3 weeks and im still feeling awful. I can have a not so bad week, and then the following week like this week has been hell. I've tried all the anti-sickness tablets going and they just don't seem to help. Also tried Aloe Vera juice, to help my bowel, didn't really help either! But it would be nice if u could give me some advice on my nausea, and whether you think having an endoscopy to look further into my stomach would proove/show anything up. Many many thanks.
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