nausea all the time

[propanenc]

44 year old male.got sick feb 1,04 with a nausea stomach and diarrhea,loss of appetite.no fever just the above ,was put on brat diet for a month was told by doc i had gastric.IN feb  had a cbc blood test  and stool done both  negative.IN march i was still feeling the same with,a loss of 10lbs and my weight was stable then,in march i had the following test done hiv,cbc,upper endoscopy,ultra sound abdominal,still notthing.IN april i had h pylori test  ,amylase,comp.metdbolic and latcose test ,test show i was latcose intolerance.WAS put on latcose diet.IN may i had a colonoscopy test done and more cbc test done still notthing,and i still feel the same,IN june i took  other hiv test for life insurance and more cbc and test are negative,i have loss more weight 10lbs.ALSO i had a stool sample taken in june still negative along with a urin test.I have seen a internal medicine doc who put me on sucralfate in march and zoloft in july.he feels i suffer from nervous stomach and irritable bowel syndrome,I also seen two digestive doc and one put me on hyoscyamine.THE ZOLOFT has given me a appetite and i try to eat twice a day.I notice in the morning is when i feel nausea an as day goes on i feel better or if im doing something i'm  feeling better and its like that every day.pleas help.

[Kevin Pho, MD]

The hyocyamine is normally used to treat irritable bowel syndrome, and it looks like this is what your doctors are suspecting.  Upper endoscopy and ultrasound were noted to be not-revealing.

There are several more specialized diagnoses that you may consider.  This would include gastroparesis as well as esophageal motility disorders.  Tests to consider would be a gastric emptying scan (looking for gastroparesis) as well as a 24-hr pH study with esophageal motility studies (which would look for both GERD and esophageal motility disorders).  

If these tests are negative, then treatment for irritable bowel disease should be optimized.  I would discuss these aforementioned tests with your personal physician or obtain another GI evaluation.

Followup with your personal physician is essential.

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, M.D.
Medical Weblog:
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