severe nausea

Had an endoscopy recently and nothing was found.  Had galbladder, liver, blood, sygmoidoscopy (96) -- all tests have been normal. Had a parasite in 92 -- but recent stool test showed no infection.  I don't know why I get so nauseous all the time, but I have for years and it is delibitating.  I was prescribed Promethazine, but I can't take this med every day.  My primary care says he can't help me anymore.  I was also denied disability insurance twice over the past 15 years because they say nausea is a symptom not a diagnosis -- so If you have any suggestions, feel free to give me your advice.  Thanks.

[nadia]

Don't rule out your gallbladder as a cause of your nausea.  You need to ask for a Hida scan. That is the definitive test for functional problems with the gallbladder. No stones need to be present.  Good luck!

[ChickenBriar]

Don't rule out Gastroparesis.  Though doctors are often slow to diagnose it, I belive it is much more common than often thought.  Have your doctor give you a Gastric Emptying Test.  It is a simple test - your eat some eggs (or oatmeal or whatever they choose) and they X-ray you periodically over a couple of hours to see how quickly your somach empties.  Commonly, it should empty in about 90 minutes or so.  My wife who has a very severe care of GP showed almost NO emptying after 2 hours!  It would be worth your time to have it checked out.

[Suziepie]

It amazes me how stupid doctors are and how they DON'T listen to their patients.  I've mentioned a test that will help you figure this out on other posts.  My daughter had the gastric emptying test and it showed delayed gastric emptying.  She has been diagnosed with "protein digestion impaired" and Dysbiosis from Klebsiella Pnemoniae last week.  I had her on the awareness products for parasites for a few months then she developed the bacteria.  This bacteria is very hard to get rid of.  My point is, most of the people that are diagnosed with delayed gastric emptying aka gastroparesis have this because something else is causing it.  Sometimes gastroparesis is a symptom and it is caused by something else wrong in the digestive system.

[4gpact]

I agree with the previous comments; ask for the gastric emptying test, it will tell you if that's a problem. Then the doctor should also order some other tests to rule out an underlying conditon causing the delayed stomach emptying. Unfortunately, about 30-40% have what is called "idiopathic" gastroparesis, in which case they are unable to determine what caused the condition. I take a medication called domperidone, which I have to order from outside the US, because it is not sold here. It has helped enormously. Don't let the doctor give you a song and dance about it not being FDA approved either. This drug has been marketed all over the world by a major drug company and is perfectly safe and legal to obtain. It's just not available here.
As for the nausea, ask about a medication called Zofran. Expensive, but effective, and is non sedating. No reason they should expect you to suffer.