morning nausea every day!!

[akteech]

My a.m. nausea really got bad after a bout of rhabdomyolysis in May of this year.  I do have Crohn's so tummy troubles are common, but this nausea is baffling.  We are trying different meds but still no relief.
Would love to hear any comments.

[akteech]

Thank you so much for your help!!  No I'm not pregnant,  full hysterectomy,  no gallbladder,  I take dexalant for Gerd even though I've had. Nissen fundoplication done.
Been to all my docs,  pc, both gastro doctors. I stopped most dairy after the Nissen.  I eat very little.  The only nausea drug I'm not allergic to is Zofran.  This is just so hard to get under control.
Thank you again!!

[Dr. Kokil Mathur]

Hi!
Is there a possibility that you are pregnant? This needs to be ruled out. Commonest cause of chronic nausea is acidity. Take omeprazole (empty stomach in morning) and antacid gel and see if it helps. Liver and kidney dysfunction is another cause. Hence kidney and liver function tests should be done. Other causes are diabetes and hypothyroidism. Electrolyte imbalance too can cause nausea. IBS, gluten or lactose intolerance, parasites in gut too can be the cause. A stool test should be done for worms, giardiasis etc. Chronic hepatitis or chronic infection of the gall bladder are the other possibilities. Also if nothing is found then food challenge test to detect food intolerance should be done. Keep a food diary and see if there is a co-relation between what you eat and symptoms that appear. Chronic constipation, sedentary life style building up gas in the gut, inflammatory bowel disease (like the Crohn's disease you have), food rich in sulfites (molasses, dry powder, pickles, tinned shrimp, cookies, crackers, and readymade pie dough), cabbage, raddish etc also cause bloating and nausea.
Please consult your PCP for primary examination followed by proper referral.
Take care!