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Constant nausea without cause
Hi,
A little over a week ago, I felt a little sick, but thought nothing of it. Over the weekend, I felt slightly nauseous, but on Monday the nausea grew to such an extent I was unable to sleep, eat or really think about anything else. On Tuesday, the nausea lessened, and from Wednesday until today (Friday) it's remained at this level (i.e. it's not going away), which is to say I can eat rice and bananas, but not much else, and it's a challenge falling asleep because I'm very nauseous, especially when I lay on my side.
Besides the nausea, I've also noticed an occasional acidic taste in my mouth and the feeling of an obstruction in my throat when I swallow that probably isn't there. The nausea itself is worst in the morning when I first wake up, and usually abates to a tolerable level during the day. Food (what little I eat) makes it feel better, but I never seem to have an appetite. I've also been burping a lot more when the nausea gets bad. I haven't vomited, probably on account of the small amounts of bland food I've been eating, but there have been times I thought I would. There was a slight fever, but that's mostly gone, and the blood test indicated there were lowered white blood cells (so the possibility of an infection was there, but that could have been an opportunistic infection due to my poor eating habits & probably should be gone by now anyway). The check showed no signs of liver, gallbladder or appendix worries. There is no diarrhea or constipation; stools are normal.
I have had no history of GI problems, and no symptoms of silent reflux before this. The only other time I experienced a similar amount of nausea was when I started taking Wellbutrin. I am taking no medications right now (or wasn't, prior to the onset of this sickness; since then I have been taking Protonix and Maalox (calcium) for acid relief at the doctor's suggestion, and have tried both compazine and promethazine for the nausea, neither of which have helped.
A little over a week ago, I felt a little sick, but thought nothing of it. Over the weekend, I felt slightly nauseous, but on Monday the nausea grew to such an extent I was unable to sleep, eat or really think about anything else. On Tuesday, the nausea lessened, and from Wednesday until today (Friday) it's remained at this level (i.e. it's not going away), which is to say I can eat rice and bananas, but not much else, and it's a challenge falling asleep because I'm very nauseous, especially when I lay on my side.
Besides the nausea, I've also noticed an occasional acidic taste in my mouth and the feeling of an obstruction in my throat when I swallow that probably isn't there. The nausea itself is worst in the morning when I first wake up, and usually abates to a tolerable level during the day. Food (what little I eat) makes it feel better, but I never seem to have an appetite. I've also been burping a lot more when the nausea gets bad. I haven't vomited, probably on account of the small amounts of bland food I've been eating, but there have been times I thought I would. There was a slight fever, but that's mostly gone, and the blood test indicated there were lowered white blood cells (so the possibility of an infection was there, but that could have been an opportunistic infection due to my poor eating habits & probably should be gone by now anyway). The check showed no signs of liver, gallbladder or appendix worries. There is no diarrhea or constipation; stools are normal.
I have had no history of GI problems, and no symptoms of silent reflux before this. The only other time I experienced a similar amount of nausea was when I started taking Wellbutrin. I am taking no medications right now (or wasn't, prior to the onset of this sickness; since then I have been taking Protonix and Maalox (calcium) for acid relief at the doctor's suggestion, and have tried both compazine and promethazine for the nausea, neither of which have helped.
My daughter is now 14 years old and has been put through test after test since around 8 years old.
ultra sounds, cat scans, allergy tests, shes not anemic, barium? twst, gasteriol stomach emptying, blood allergy tests, celiac disease, h.pylou gastritis, acute intermittent porphyria, fmf,had her gal bladder, kidneys, intestines all looked at and checked twice. She lives daily with nasuea. dr. has her on metoclopramide 10mg 4 times per day. Still nasuea!! Involved in the 24hr pee test right now. It is so frustrating to watch your child have this happen to her. She has attacks that drain her face of all color and a low grade fever when you touch her forehead, she have been complaing recently of burning up from her chest to the top of her head but when I touch her she feels cold on her cheeks, forehead and neck. Her chest flutters and she always burps up her food no matter if it's her favorite.
Guess what----no stress or depression to blame it on. Weve been out on our sailboat in the middle of summer and shes had numerous attacks. We've had our boat for 6 years now. Our Dr. is betting it to be Acute Intermittent Porphyria. She is under going the first of two 24 hour urine test to see if this is it. look it up. I will let you know how things go!
momlookingforthecure
ultra sounds, cat scans, allergy tests, shes not anemic, barium? twst, gasteriol stomach emptying, blood allergy tests, celiac disease, h.pylou gastritis, acute intermittent porphyria, fmf,had her gal bladder, kidneys, intestines all looked at and checked twice. She lives daily with nasuea. dr. has her on metoclopramide 10mg 4 times per day. Still nasuea!! Involved in the 24hr pee test right now. It is so frustrating to watch your child have this happen to her. She has attacks that drain her face of all color and a low grade fever when you touch her forehead, she have been complaing recently of burning up from her chest to the top of her head but when I touch her she feels cold on her cheeks, forehead and neck. Her chest flutters and she always burps up her food no matter if it's her favorite.
Guess what----no stress or depression to blame it on. Weve been out on our sailboat in the middle of summer and shes had numerous attacks. We've had our boat for 6 years now. Our Dr. is betting it to be Acute Intermittent Porphyria. She is under going the first of two 24 hour urine test to see if this is it. look it up. I will let you know how things go!
momlookingforthecure
A related discussion, Constant Nausea was started.
I had intense nausea for over 2 months that came out of the blue. Test after test came back negative.
This is what I found that finally cured me...
http://www.youtube.com/watch?v=GRcslVrqwBY
This is what I found that finally cured me...
http://www.youtube.com/watch?v=GRcslVrqwBY
I had intense nausea for over 2 months that came out of the blue. Test after test came back negative.
This is what I found that finally cured me... http://www.youtube.com/watch?v=GRcslVrqwBY
This is what I found that finally cured me... http://www.youtube.com/watch?v=GRcslVrqwBY
ive never been depressed and for the most part not had much stress in my life. i always controlled my ibs with diet but it would still flare up about once a month when it was time for my period. i went to the hospital tonight, they did x-rays and an ultrasound of my liver my right kidney and my gallbladder just to release me and tell me to take mylanta after each meal and before bedtime, they also gave me acephex for in the mornings. hopefully this works, but i already tried eating boneless-skinless baked chicken breast and still managed to feel sick. took two mylanta tablets and still sick. it doesnt feel like heartburn... they are scanning my ovaries tomorrow to look for a ruptured cyst and on the 9th of november they are looking at my gallbladder again... what i couldnt get over is the ER doctor released me without a radiologist looking at the scan of my stomach. its like they are punishing me because i already have a gallbladder ultrasound scheduled and they had to do another one. the doctor actually asked me "did you come in here to get it done sooner?"... i know the ER doctors dont know you like your family doctor, but do they need to assume that all people are there for the wrong reasons? i like to go to class and love my job at walgreens pharmacy, i would much rather be there than doubled over in pain in the ER. im trying to find a Gastroenterology physician up in the columbus area, if anyone knows of any, let me know, please... my family physician seems to only take more and more bloodtests that all come back normal... so i need to go to someone else... thank you....
ive never been depressed and for the most part not had much stress in my life. i always controlled my ibs with diet but it would still flare up about once a month when it was time for my period. i went to the hospital tonight, they did x-rays and an ultrasound of my liver my right kidney and my gallbladder just to release me and tell me to take mylanta after each meal and before bedtime, they also gave me acephex for in the mornings. hopefully this works, but i already tried eating boneless-skinless baked chicken breast and still managed to feel sick. took two mylanta tablets and still sick. it doesnt feel like heartburn... they are scanning my ovaries tomorrow to look for a ruptured cyst and on the 9th of november they are looking at my gallbladder again... what i couldnt get over is the ER doctor released me without a radiologist looking at the scan of my stomach. its like they are punishing me because i already have a gallbladder ultrasound scheduled and they had to do another one. the doctor actually asked me "did you come in here to get it done sooner?"... i know the ER doctors dont know you like your family doctor, but do they need to assume that all people are there for the wrong reasons? i like to go to class and love my job at walgreens pharmacy, i would much rather be there than doubled over in pain in the ER. im trying to find a Gastroenterology physician up in the columbus area, if anyone knows of any, let me know, please... my family physician seems to only take more and more bloodtests that all come back normal... so i need to go to someone else... thank you....
My mother has suffered severe, chronic nausea for years. Sometimes it
subsides for a short while, then reappears. Metroclopramide makes her
extremely nervous. She's 80 now, so I give it to her as a last resort.
Promethezine provides only limited relief. Alka-Seltzer provides temporary
relief.
Looking, again, for a solution, on the internet, this morning, I found the
following article. I hope it provides a a cure, or at least, some relief. It
is sad to see a loved-one suffer so.
God bless you all.
Allen
La Grange, North Carolina
Friday, October 26, 2007
Featured Article
www.wfubmc.edu
Unexplained Chronic Nausea
from Clinical Update, Fall 2003
Abstract: Unexplained chronic nausea and other dyspepsia symptoms affect about 25 percent of the general population. The cause may be neuromuscular disorders of the stomach.
Nausea is a noxious, debilitating and under-appreciated symptom,” said Kenneth Koch, M.D., chief of the gastroenterology section at Wake Forest University Baptist Medical Center. “When a physician has completed the routine tests such as blood studies, barium X-ray studies, ultrasound and endoscopic examinations and has ruled out more common causes of nausea, then neuromuscular disorders of the stomach should be considered.”
Koch recently moved to North Carolina from Pennsylvania, and has studied electrical and contractile disorders of the stomach for over 20 years.
“Most people don’t realize that the stomach is a sophisticated muscular pump with a pacemaker,” said Koch. “Some patients with unexplained nausea have electrical dysrhythmias termed tachygastria, in which the pacemaker is too fast, or bradygastria, where the pacemaker is too slow. Others have gastroparesis, where the stomach is paralyzed.”
To diagnose gastric dysrhythmias, Koch and his team of specialists run an electrogastrogram (EGG) to determine whether gastric dysrhythmias exist. Koch developed the non-invasive EGG recording device.
“For many patients, the diagnosis of gastric dysrhythmias puts a name to a problem that has plagued them for years,” Koch said.
Unexplained chronic nausea and other dyspepsia symptoms affect about 25 percent of the general population. Patients with Type I and Type II diabetes are particularly susceptible to gastric dysrhythmias and gastroparesis. Patients suffering from esophageal reflux disease frequently have gastric rhythm problems as well as gastroparesis.
Treatment for these disorders includes medication, dietary changes and gastric pacemakers.
“Gastric pacemakers work like cardiac pacemakers and attempt to reestablish the normal pacemaker rhythm of the stomach by applying current to the stomach,” Koch said. “This is a relatively new area of treatment and has shown promising results in patients with severe nausea, vomiting and weight loss.”
When diagnosing the cause of chronic nausea, Koch recommends the following questions be asked while taking the patient’s history:
• Is abdominal pain present?
• Have occult gastro esophageal reflux disease (GERD) and gallbladder disease been considered?
• Have endocrine disorders such as diabetes, hypothyroidism and Addison’s disease been excluded?
• Has the drug history been reviewed?
• Are neurological symptoms present? Has a central nervous system source of nausea been considered?
When common causes of chronic nausea have been excluded, then gastric neuromuscular disorders should be considered.
www.wfubmc.edu
subsides for a short while, then reappears. Metroclopramide makes her
extremely nervous. She's 80 now, so I give it to her as a last resort.
Promethezine provides only limited relief. Alka-Seltzer provides temporary
relief.
Looking, again, for a solution, on the internet, this morning, I found the
following article. I hope it provides a a cure, or at least, some relief. It
is sad to see a loved-one suffer so.
God bless you all.
Allen
La Grange, North Carolina
Friday, October 26, 2007
Featured Article
www.wfubmc.edu
Unexplained Chronic Nausea
from Clinical Update, Fall 2003
Abstract: Unexplained chronic nausea and other dyspepsia symptoms affect about 25 percent of the general population. The cause may be neuromuscular disorders of the stomach.
Nausea is a noxious, debilitating and under-appreciated symptom,” said Kenneth Koch, M.D., chief of the gastroenterology section at Wake Forest University Baptist Medical Center. “When a physician has completed the routine tests such as blood studies, barium X-ray studies, ultrasound and endoscopic examinations and has ruled out more common causes of nausea, then neuromuscular disorders of the stomach should be considered.”
Koch recently moved to North Carolina from Pennsylvania, and has studied electrical and contractile disorders of the stomach for over 20 years.
“Most people don’t realize that the stomach is a sophisticated muscular pump with a pacemaker,” said Koch. “Some patients with unexplained nausea have electrical dysrhythmias termed tachygastria, in which the pacemaker is too fast, or bradygastria, where the pacemaker is too slow. Others have gastroparesis, where the stomach is paralyzed.”
To diagnose gastric dysrhythmias, Koch and his team of specialists run an electrogastrogram (EGG) to determine whether gastric dysrhythmias exist. Koch developed the non-invasive EGG recording device.
“For many patients, the diagnosis of gastric dysrhythmias puts a name to a problem that has plagued them for years,” Koch said.
Unexplained chronic nausea and other dyspepsia symptoms affect about 25 percent of the general population. Patients with Type I and Type II diabetes are particularly susceptible to gastric dysrhythmias and gastroparesis. Patients suffering from esophageal reflux disease frequently have gastric rhythm problems as well as gastroparesis.
Treatment for these disorders includes medication, dietary changes and gastric pacemakers.
“Gastric pacemakers work like cardiac pacemakers and attempt to reestablish the normal pacemaker rhythm of the stomach by applying current to the stomach,” Koch said. “This is a relatively new area of treatment and has shown promising results in patients with severe nausea, vomiting and weight loss.”
When diagnosing the cause of chronic nausea, Koch recommends the following questions be asked while taking the patient’s history:
• Is abdominal pain present?
• Have occult gastro esophageal reflux disease (GERD) and gallbladder disease been considered?
• Have endocrine disorders such as diabetes, hypothyroidism and Addison’s disease been excluded?
• Has the drug history been reviewed?
• Are neurological symptoms present? Has a central nervous system source of nausea been considered?
When common causes of chronic nausea have been excluded, then gastric neuromuscular disorders should be considered.
www.wfubmc.edu
IBS since you've been 8? Is that from stress and or depression? That many years takes a toll on the stomach and intestines causing more problems, like ulcers, both in stomach and or intestines, also thinning of the intestinal lining, inwhich obstruction can occur, malabsorbtion also, both these will cause nausea and more problems
I have the same problems, except I have IBS also. I am 19, have had IBS since i was about 8. But here within the past two weeks i have had IBS attacks and nausea and severe belching. I havent felt this bad since before I was diagnosed with IBS. I dont take any medications other than trinessa. Through over 10 years of having IBS I've never had nausea with it until two weeks ago. Not a day goes by that i dont feel like im going to throw up, with or without having an IBS attack. After my IBS attack ends, which, its happened three times in the past two weeks, the worst its been for a long time. I feel like im going to pass out after the attack, if thats what this belching/nausea really is. Im tired of living by the trash can because I constantly feel like im going to throw up. The belching doesnt bother me as much as the constant sick feeling. I just want to know what it is thats wrong and how to get rid of whatever it is. If you have any guesses let me know.
MEDICAL PROFESSIONAL
Evaluating the upper digestive tract can be considered. GERD, an ulcer, or an inflammation of the upper digestive tract can all be considered.
You can consider an upper GI series or upper endoscopy to further evaluate for these considerations.
More specialized tests like a gastric emptying scan or 24-hr pH study can be considered as well to look for gastroparesis or GERD respectively.
I agree with the Protonix. The aforementioned tests 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.
www.kevinmd.com
You can consider an upper GI series or upper endoscopy to further evaluate for these considerations.
More specialized tests like a gastric emptying scan or 24-hr pH study can be considered as well to look for gastroparesis or GERD respectively.
I agree with the Protonix. The aforementioned tests 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.
www.kevinmd.com
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