Can GERD causes nausea and lost of appetite this bad?

[20151231]

Hi all, I have been suffering from nausea since mid July this year and the nausea problem just got worse in recent days.

In 2013, I had an episode of unexplained nausea. One doctor thought the cause was anxiety and prescribed me seritonin. The nausea disappeared for about a year but has come back this July.

I have very severe gag reflex and so I am terribly terrified of doing a stomach endoscopy. Another doctor suggested a barium meal test which was done in September and came back normal.

The only know physiological situation I have that I know can cause nausea is my fatty liver. But internet tells me that the majority of people with fatty liver has no symptoms. Also, my nausea got worse even my blood liver enzyme level has been lowered. So, I guess it is not the cause of my nausea.

My wife and some doctors said that the nausea symptom could be resulted from my anxiety. I would admit that I am a stressful person, full of negative thinking and lack of friends. However, if anxiety is the culprit, I don't understand why my nausea suddenly gone wild.

On the first working day after the Christmas holiday, when I took bus home after work, I felt I was going to throw up. At first I think it is motion sickness, but the urge to throw up did not stop even after I drop off. Of course I ate nothing before going bed. For the record, I did not have diarrhea or dizzy.

It has been 3 days now and the nausea has not gone away and I cannot ate more than a few bites of food. I am already taking 1) Digestin; 2) Dexlansoprazole; 3) Domperidone; & 4) Lexapro prescribed by my doctor (who guessed that I may have my stomach may have a sudden surge of acid production which caused my nausea) but the nausea is still there and I cannot eat.

I am a fat guy who can normally eat quite a lot, but now I can only eat a few bite. This scared me a lot.

I understand barium meal is not the most accurate examination of the stomach, so should I do an endoscopy now? In fact I tried to do it in July but I throw up immediately when the nurse spray to local anesthesia on the back of my throat and I could not continue. If I need to do it this time, I would do it under MAC.

Also, if the anxiety is the cause, could it suddenly worsen the symptoms from nausea to veryyyyyyyy nausea in just a bus trip?

I am so worry to go to work now because I really worry that bus trip.

Any enlightenment would be appreciated.

[selmaS]

  If there is a blockage it will show on the barium....if it is a neurological issue that will not show...I had a neurological issue so for me the barium test  helped
determine that.

[20151231]

Thank you SelmaS.

Do U think the barium meal test is accurate enough?

[selmaS]

  Hi and welcome to the GERD forum,

The best way to handle this is to modify your diet in addition to the meds you are on and EAT...try 6 small meals a day instead of 3 it will help use up the excess acids which are making you nauseated.....

Keep a journal of what you eat and when....this will help you and your Drs decide on best course of treatment for you.

Let us know what you find out.