Feeling out of it. Nauseous in the morning?

[tony201045]

I am a 46 year old male.  I have for the last few months felt very nauseous in the morning to the point now where I can hardly hold my breakfast down.  Lately its been very hard to concentrate.  I constantly feel foggy and out of it.  Very irritable, loss of appetite, weight and motivation.  Just feel icky.

[tony201045]

I don't have insurance so I was hoping there was something I could try without going to get expensive tests to weed that out first.  Is there something over the counter I could try for the reflux?

[Christopher R Watters, MD]

You need an upper endoscopy. There are multiple possibilities such as gastric ulcer, alkaline reflux gastritis, stomach cancer to name a few. The combination of pain and weight loss needs to be investigated.