Chronic Nausea

[LarryG62]

Here is a summary of my wife's problems:


My wife aged seventy, has had a persistent nausea  problem since about February 2008. She wakes up in the morning and feels fine...until she starts to move around. The nausea stays with her until she has some food and liquid in her stomach.  Many times, it subsides, but comes back when she moves around again.   All her tests EGD, Cat Scan, MRI, etc turn out normal.  Hida Scan showed her gall bladder to be very small and only 10% operative, so she had it removed about two months ago. Nausea subsided some for a few days, but it's back almost every day now, and once in a while she has complained of dizziness as well. She hasn't experienced any pain, and has not vomited or had diarreah.  No fever either.  Doesn't seem to be tied to food, meals, etc.
Doctors are stumped.  I hope someone will come up with a good idea of the cause of this.  Any help will be very much apprediated.
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She had the inner ear tests done in February, and they turned out normal.

A month or so ago, her doctor did the breath test and she tested positive for H Pylori bacteria. The first antibiotic he prescribed did away with the nausea about the day after she started taking it. About threee days after she finished the fourteen day treatment, the nausea returned.  Then he prescribed  a stronger regimen.  Nausea stopped after a day or so, then returned within four days and is still with her three weeks later. Now, it sometimes lasts all day.  She felt better this afternoon and took a shower. When she finished, she was hit with the nausea as she was putting on her clothes for church.  Really puzzling, and frustrating seeing her sick, and I can't get anything done about it.

She has since tested negative for H Pylori, and has been taken off Razadyne(24 mg ) for memory problems, put on Exelon (6mg patch), then  taken off it after two weeks and more nausea.  She has been off the Exelon patch for 72 hours, and still experiences nausea when she moves about.
Still puzzling and frustrating. doctors are stumped (still) and I am feeling worthless because I cannot help her kick the nausea or find the cause.
Really looking for help here.  Any will be gratefully accepted.
Thank you.

[LarryG62]

Thanks for your reply.  The dizziness hasn't manifested itself in a good while, and she has had no pain, and no vomiting.  Seems like the nausea subsides when she gets still, but comes on when she gets up and moves about.
She had an MRI last July, and her neurologist looked at it a few weeks ago with no suggestion of stroke, tumor etc.  Does that narrow the list of possibles?

[Dr J Singh]

Hello,

Without examination,it is very difficult to confirm a diagnosis,but the various possibilities for your wife’s symptoms of chronic nausea along with dizziness are acid base imbalance,Addison’s disease,Alpine syndrome,acute megakaryoblastic leukemia,basilar migraine,brain malignancies,chronic kidney disease,cyclic vomiting syndrome,diabetes,encephalitis,orthostatic intolerance,diabetes,supraventricular tachycardia and WPW syndrome.
To gain complete knowledge a bout these possibilities pls log on to:
http://symptoms.wrongdiagnosis.com/cosymptoms/dizziness/nausea/fatigue-all.htm

Pls discuss these possibilities with your wife’s doctors and check whether they have been ruled out or not.

Hope it helps.Take care and pls do keep me posted on how your wife is doing and in case of additional queries.