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Gastroenterology (Expert Forum)
Stomach upset and overall bad feeling
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Stomach upset and overall bad feeling
by hoppingrosey, Nov 06, 2009 08:56AM
First, it really started close to the time I had my gallbaldder out, alhough I cannot say it has been constant all of that time since then. Basically, I could describe the symptoms as a “raw, hungry, slight nausea” feeling most of the time. Sometimes eating will relieve it, but sometimes eating will make it worse or make no change.
In layperson’s terms, it really feels like I drank way too much beer the night before and my stomach is agitated, raw, hungry, but yet a bit nauseated at the same time. Kind of like a medium to sometimes strong hangover feeling.
My stomach was scoped last summer and everything was fine. So, the Doctors put me on Klonopin 2mg (2x/day) for anxiety when it was really bad around last February (so bad all I could do was lay on the couch because the nausea part was so bad). The Klonopin helped to some degree.
I am also on Nexium 40mg. I tried it 2 times a day, but that really does not seem to make a difference, so I take it once a day.
So, overall my stomach has not gotten any better and sometimes develops into an achy hangover type pain (sometimes leading to a bloated feeling but not as much since I don’t eat as much as I used to) and upset/nausea feeling. I guess if I had to sum it up if someone was holding a gun to my head and needed an explanation, I would say that I am almost ALWAYS “aware” of my stomach area and that it feels like I have a hangover because of the symptoms of an irritated/hungry/nausea feeling that sometimes on a scale of 1-10 is occassionally only about a 1-2, usually around 5-6, and sometimes up to a 10.
In addition to the daily issues, I have a tough time sleeping sometimes because I wake up with stomach pains in the night. I normally take a little Mylanta and that helps enough to help me go back to sleep.
I think that bile is leaking back into my stomach causing all of this? What can I do?
In layperson’s terms, it really feels like I drank way too much beer the night before and my stomach is agitated, raw, hungry, but yet a bit nauseated at the same time. Kind of like a medium to sometimes strong hangover feeling.
My stomach was scoped last summer and everything was fine. So, the Doctors put me on Klonopin 2mg (2x/day) for anxiety when it was really bad around last February (so bad all I could do was lay on the couch because the nausea part was so bad). The Klonopin helped to some degree.
I am also on Nexium 40mg. I tried it 2 times a day, but that really does not seem to make a difference, so I take it once a day.
So, overall my stomach has not gotten any better and sometimes develops into an achy hangover type pain (sometimes leading to a bloated feeling but not as much since I don’t eat as much as I used to) and upset/nausea feeling. I guess if I had to sum it up if someone was holding a gun to my head and needed an explanation, I would say that I am almost ALWAYS “aware” of my stomach area and that it feels like I have a hangover because of the symptoms of an irritated/hungry/nausea feeling that sometimes on a scale of 1-10 is occassionally only about a 1-2, usually around 5-6, and sometimes up to a 10.
In addition to the daily issues, I have a tough time sleeping sometimes because I wake up with stomach pains in the night. I normally take a little Mylanta and that helps enough to help me go back to sleep.
I think that bile is leaking back into my stomach causing all of this? What can I do?
Doctor's Answer
by Kevin Pho, MD, Nov 06, 2009 06:57PM
, Nov 06, 2009 06:57PM
I would consider an upper endoscopy at this time to further evaluate the upper digestive tract for various causes of dyspepsia, including an ulcer, inflammation of the esophagus or stomach, or GERD.
I agree with the Nexium. If the upper endoscopy remains negative, a 24-hr pH study can be done to exclude GERD, or a gastric emptying scan can be done to look for gastroparesis.
These options can be discussed with your personal physician.
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 Pho, M.D.
KevinMD.com
Twitter.com/KevinMD
Facebook.com/KevinMDblog
I agree with the Nexium. If the upper endoscopy remains negative, a 24-hr pH study can be done to exclude GERD, or a gastric emptying scan can be done to look for gastroparesis.
These options can be discussed with your personal physician.
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 Pho, M.D.
KevinMD.com
Twitter.com/KevinMD
Facebook.com/KevinMDblog
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With all of those tests done I still have what I would basically describe as a “raw, hungry, slight nausea” feeling most of the time. I have heard of people without a gallbladder sometimes have these symptoms because the bile from the liver can go into the lower part of your stomach instead of your small intestines. It is my belief that this is my problem but I do not know what to do to remedy the situation?