Chronic nausea

[nooneya1234]

Someone please help.  My Daughter has been dealing with chronic nausea for the past four years.  She was 15 years of age when she came home from school sick, and since, she hasn't been the same.  Her nausea comes and goes at the drop of a hat, sometimes she is so ill that getting up from bed to use the toilet is extremely complicated.  She has had many diagnostics run which includes the following..upper GI, colonoscopy, ultasounds on both the gallbladder and kidneys, hitus exam, biopsies on both the stomach and colon.  The biopsies showed eosinophils at the age of 15 but recently the same procedure was run and no eosinophils were present this time.  The nausea is still present.  We are close to entering our 5th year of hell.  My question is,  could this be another issue all together?  Maybe a reproductive abnormality?  She didn't start her period until almost 16 years of age.  
Thank you,
Nancy

[pepito6]

I suffer from a form of dysautonomia (POTS) and nausea can be a symptom of this,  This is very common smong the young.  Does  She gets dizzy when she stands up?  Have her check her Blood pressure laying down, then sitting up, and standing up.  See if there is a big change in BP.  and heart rate.  If this is the case you should mention it t o her DR. and maybe get a tilt table test from an electrophisiologist (cardiologist) or a neuroloogist. She might be suffering from a form of dysautonommia.  Make sure that she is well hydrated also.
Good Luck !
Maritza

[CHRISTYDRAKE]

Sorry your daughter is feeling so bad.  My 15 year old son wakes up nauseated daily.  He had the stomach emptying test done and does have gastroparesis.  He also has dysautonomia.  Some people get dysautonomia after being sick.  The autonomic nervous system doesn't work correctly.

Does your daughter also experience dizziness?  My son never mentioned his dizziness until a doctor asked him because he thought dizziness was part of nausea.  They have since determined that my sons nausea is not GI related, but neurological.  He might be having silent migraines or that it is some part of the migraine process.

[wantonwonderer]

I'm so sorry to hear you daughter is having so many difficulties with nausea. I am a 25 year old woman who began having chronic nausea after a stomach virus last year. I have a few suggestions for you. I would def recommend the gastric emptying study. It is fairly painless (unless eating is very difficult for her). Gastroparesis (slow stomach emptying) can result after a viral infection. The treatment is dietary modification (low fat, low fiber, small meals) and medications such as Reglan. Bloating and early fullness after small meals are common with gastroparesis.

I find the potential allergy connection very interesting, considering her response to Singulair. Have you had extensive allergy testing performed? If not, you should surely do that, as her problem could be the result of an food (or even environmental) allergy. There is standard allergy testing, and also blood testing for IgE allergies, which are not widely accepted by mainstream medicine, but are thought to play a role in some health conditions.

Is your daughter better or worse after eating, or on an empty stomach? If she is worse on empty, acid may be playing a role. You have probably tried PPI drugs, as they seem to be standard fare for unexplained nausea cases. If not, you could always try Zantac, Pepcid, Prilosec, etc. If acid is the issue, these should result in noticeable improvement.

Finally, and I guess this is my most important point. The one thing that has helped me, and made a dramatic improvement in my quality of life is the antidepressant Remeron. Doctors are not sure why, but it helps in chronic unexplained nausea cases, as do tricyclic antidepressants. There are more neurons in the gut than in the brain. Sometimes the signals get crossed and the stomach tells the brain to feel like throwing up, when there is no real reason. I take 30 mg of Remeron at night before bed and it has given me my life back.

[patient915]

I am on Zofran for nausea, which kind of helps, but if something is working well then stick with that.  Good luck.

[nooneya1234]

Hello, Thanks for your response.  She has been on singular (which helped out a great deal when diagnosed with eosinophilic colitis 3 years ago)  papaya enzyme, probiotics, (Allign) cyproheptadine, as well as YAZ for menstrual disorders.  She was diagnosed with IBS 6 months ago.  As I read the forum, I have become aware that there are other tests that they can run, for example a motility exam. These are avenues that we will pursue in the days ahead.  We believe that the singular has proved to be the most promising drug at keeping her nausea under control, but there are days she is totally debilitated from this condition.  Again, I appreciate your response.

[patient915]

What medicines has she tried for nausea?