5 Years of Nausea/Vomiting

1999: I lost my job and my stomach had a breakdown.  I couldn

[Kevin Pho, MD]

I would suggest a HIDA scan with CCK stimulation to quantify the function of the gallbladder.  If decreased, removing the gallbladder may improve the symptoms.

Other tests to consider would be a 24-hr pH study or gastric emptying scan. The first study would be a definitive study for GERD.  If you continue to have increased acid secretions despite Protonix, then surgical therapy may be considered.  The second test would evaluate for delayed gastric emptying - which can result in the nausea.

You may want to discuss these tests 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

[te971]

I have had some of the same syptoms (symptoms) but not nearly as severe.  About a year and a half ago, I had an Upper GI which showed a reflux.  I had an ultrasound which showed no gall stones.  Then I had a HIDA scan that showed 80% function.  They did not give me the second injection to make the gall bladder contract for the HIDA scan.  They had me leave, eat a greasy breakfast, and come back.  I continued to have the same symptoms since then.

Finally, I saw a different doctor.  He ran the HIDA scan again.  This time they used the second injection to make the gall bladder contract.  When it did, I had awful symptoms...nausea, pain in the right ribs etc.  My function was rated at 24%.

I had my gall bladder removed four days ago.  Although I am still sore, I am feeling so much better already.  They also found several small stones.  If your doctor thinks it may help you to have it removed it is worth a try.  The surgery is not bad at all.  I am glad I went through with it.  Good luck.

[mesayhi]

Hi
  Did you get the cholesectomy with laparoscopic procedure ? How was your post op pain (1-10 scale)? How much did the pain reliever help ?