Constant Nausea

[smetscher]

I have had constant nausea for 5 months.  I had my gall bladder removed three weeks ago since the infraction rate was low and the doctors thought this would solve the problem.  However I am just as nauseous after the surgery as I was before. I have been treated for acid reflux, checked for bacterial infections, etc with no solution.  I have had an endoscopy and am going for a gastric emptying scan next week.   I have tried three different kinds of nausea medicine and nothing seems to be working. Do you have any idea what can be the cause of the nausea or how I can treat it.

[melodeeejoy]

I just wanted to caution you about taking Reglan. It works wonderfully for most patients from what I hear, but if you have ever had trouble with anxiety or depression, do not take it! I had severe anxiety from the ages of 18-20, but had not had any symptoms for over 6 years until I was put on reglan. There's a lot of information floating around about reglan and from the sounds of things you should be very cautious about taking it for any extended period of time. Just a word of caution. I do hope you feel better soon.

[Matthew007]

ooo throwing up bile?  That might be reflux related then or stomach valve (not that i'm a doctor) but that is not normal..it's a good idea to get a gastric emptying test.

ERCP is where they test your pancrease by going in endoscopically and place a stent in your pancrease...inject die and watch it come out..also test the pressure and vavle called the *I think* oddi valve at the entrance of the doudeum.  It's invasive..risky..no doubt expensive *sigh* and I probably need it :(

You could try "reglan" that's supposed to be an anti-nausea and also makes your stomach contract and move food.  You could ask your doctor about trying that, or prilosec/tums or nexium or anything else to protect your stomach if you have relflux or bile.  Or possibly an anti-spasmodic to help calm your smooth muscles down.  But above all i'd follow what your GI wants of course.. but bile is super hard on the tummy I hear :S  Hope you get better!

[smetscher]

What is an ERCP? I have tried promethazine and it does not work, mints, ginger, everything.  Today I have begin to throw up what appears to bile and I have a burning feeling in my upper chest. I am going for a gastic emptying test on Wednesday but can anyone recommend something else? I have had a ton of blood work done as well and everything comes out normal.  

[Matthew007]

yeah i'm in the same boat, going to get an ERCP..you gotten yours yet madison?  I'm scared to death of the procedure but I have no doubt I need it done...dealing with 24/7 nausea and abominal pain here.

Smetcher: I've been using promethazine nausea pills or peppermint mints ...that seems to calm it down.  Sometimes anti-spasmotics (which calm smooth muscles) seem to help to..also avoiding caffine/spicy/fatty oily foods is also a good idea.. just avoid stress.  Also a blood test checking for your liver/pancrease enzyme levels would be a good idea or maybe MRCP.  

[madison130]

I've had the same problem, only I'm now 6 weeks post op.  My surgeon finally sent me to a biliary specialist, and they diagnosed me with Sphincter of Oddi Dysfunction..  I go back next week to discuss my options with that, so I don't really have any additional info to give you now.  But I'd def have them check you out for that!  Hope everything gets better!  Good luck!