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Gastroenterology (Expert Forum)
Dizzyness, and Nasea 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.
Dizzyness, and Nasea after eating
by mhdstein, Jun 11, 2005 12:00AM
Hello Dr.
I got off a 3-day Carnival Cruise about two weeks ago and have been getting dizzy and naseous about 20-30 minutes after I eat. On the cruise I drank alot (4 drinks a day) but never to the point of vomiting, out-of-control behavoir or blackouts. Since the cruise ended this is how my day goes.
I feel best in the morning. As the day goes on I experience waves of dizzyness, and nasea especially after eating. By the time night arrives, I'm disappointed because I feel dizzy and unmotivated. The sensation goes away when I sit down or lay down. I'm mostly disturbed when I stand up and move around.
Do you have any ideas on what is going on?
I got off a 3-day Carnival Cruise about two weeks ago and have been getting dizzy and naseous about 20-30 minutes after I eat. On the cruise I drank alot (4 drinks a day) but never to the point of vomiting, out-of-control behavoir or blackouts. Since the cruise ended this is how my day goes.
I feel best in the morning. As the day goes on I experience waves of dizzyness, and nasea especially after eating. By the time night arrives, I'm disappointed because I feel dizzy and unmotivated. The sensation goes away when I sit down or lay down. I'm mostly disturbed when I stand up and move around.
Do you have any ideas on what is going on?
Doctor's Answer
by Kevin Pho, MD, Jun 12, 2005 12:00AM
, Jun 12, 2005 12:00AM
There can be several options, ranging from ulcers to gastritis to gastroenteritis.
I would consider an upper GI series or upper endoscopy as a reasonable initial test to evaluate for any masses, strictures, ulcers, or obstruction. Stools can be sent out for various GI diseases - including culture, Giardia and ova/parasites.
If everything returns negative, you can opt for more specialized testing. One condition that comes to mind is carcinoid syndrome - which can lead to flushing and dizziness after eating. A urine test for the metabolite 5-HIAA would be the initial test for this uncommon condition.
Another would be gastroparesis - or delayed gastric emptying. A gastric emptying scan would be required to diagnose this.
These options can be discussed with your personal physician.
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.
Kevin, M.D.
Medical Weblog:
kevinmd_b
I would consider an upper GI series or upper endoscopy as a reasonable initial test to evaluate for any masses, strictures, ulcers, or obstruction. Stools can be sent out for various GI diseases - including culture, Giardia and ova/parasites.
If everything returns negative, you can opt for more specialized testing. One condition that comes to mind is carcinoid syndrome - which can lead to flushing and dizziness after eating. A urine test for the metabolite 5-HIAA would be the initial test for this uncommon condition.
Another would be gastroparesis - or delayed gastric emptying. A gastric emptying scan would be required to diagnose this.
These options can be discussed with your personal physician.
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.
Kevin, M.D.
Medical Weblog:
kevinmd_b
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Their buffets usually have some stale stuff mixed with fresh stuff.
and did you drink from local joints when you are on excursion?/
Will you please tell me what is going on?