Re: Nausea

Posted By HFHSM.D.-rf on October 15, 1998 at 22:33:38:

In Reply to: Nausea posted by eva on October 09, 1998 at 17:35:02:






October 9, 1998
Hi:
This is my second letter to you.  In my last letter you suggested that I have a gastric emptying study done.  I did have it and it was normal.  I'll just refresh you on my problem.  I have terrible nausea that comes and goes (missed five months of work).  I now have some heartburn (not too much and not very often which I didn't have before).  I do have pain in my chest that goes to my  left side.  I also seem to have some gurgling or bubbles in my throat from time to time.  The worst to deal with is the nausea.  I don't know if my diet matters much. One gastro doctor told me it was reflux (without any tests, except the surgeons endoscopy results which showed mild cronic (chronic) gastritis).  The Pantoloc he precribed had bad side effects so I couldn't take it.  (depression and anxiety)   Tried several times.  The second gastro doctor told me it wasn't reflux but probably something neurological.  He wasn't much help either.  I went to a walk in clinic September 21rst and the doctor there gave me Axid and Cisapride.  The nausea is much better (80%) but I still have pain in my chest and a bit of indigestion.   The nausea lasts for 1/2 hour then disappears on and off.   Again for ten days I was symptom free.  
June 1997  endoscopy -  diagnosed with H. pylori and some lesions
put on triple medication for six day.  Felt better for two months then back to being sick.
Nov. 1997  - put back on triple medication for 7 days  but it didn't do a thing.
December  - had another endoscopy by a surgeon - told me I didn't have H. pylori anymore but I had mild cronic (chronic) gastritis
June 1998 - blood test a bit high for H. pylor.  Put on triple medication again but was told to stop three days later as they decided that my blood test will always be high as I had the H. pylor before.
How can I get the right diagnosis? Are my endoscopies outdated ?  Things do change.  Should I be having another one to see why I'm not getting better?   Do you think I have reflux?
If I have gastritis does this mean I still have the H. pylori possibly? How do you cure gastritis?  How long would it take for the Axid and Cisapride to make me feel better?  Am I expecting too much from being on it for 18 days?    Are there any other better drugs than Axid and Cisapride that  don't work the same way as Pantoloc or Raninidine (without causing anxiety and depression)?   It's been 15 months of this nausea for me.  I was completely healthy before.  I'm not getting any answers from the G.P.'s or gastro doctors here at all.  Thank you very much for any answers you can give me.  Much appreciated.
Eva
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Dear Eva,
Gastroparesis is one of those diseases that is frequently overlooked as a cause of nausea.  Since gastroparesis has been excluded as a cause for your symptoms, the differential diagnosis includes nonulcer dyspepsia ( symptoms in the absence of objective findings), gastritis/ulcer, and increased central nervous system pressure.  Revisit your physician and ask him to repeat the evaluation looking for treabale causes for your symptoms.
This information is presented for educational purposes.  Always consult your personal physician for specific medical questions.
HFHSM.D.-rf
*keywords: nausea
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