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Chronic Nausea


I posted this message on June 7: http://www.medhelp.org/posts/show/539152?camp=27
Since: Nausea intensified. Hospitalized for dehydration and weight loss for 5 days. Given Reglan, Ativan. Tests: Upper Endoscopy, Colonoscopy, Gastric Emptying Scan, Swallowed "camera pill" stool samples and blood tests - all o.k.- Diagnosis of possible motility problems, possible virus or IBS. Since discharge in mid-June. Was given a 7-week cycle of Flagyl (Treated empirically) Ended on July 10.

Diarrhea, excessive gas and bloating have subsided. Still suffering chronic nausea for 34 days. Nausea ranges in intensity from queasiness to full-fledged nausea. Food does not seem to hurt or help. Worst in morning into early afternoon, less intense in evenings. Not dizzy. Motion does not affect.

Dr. who is a friend of the family suggested I try 14 day cycle of Omeprazole. I am on the 5th day of 20mg/day with no changes. Although I do not sense acid reflux, I did run across this source in regard to GERD and chronic Nausea: http://www.annals.org/cgi/content/full/126/9/704

Appointment w/ my GI Dr on July 16. She had mentioned possible stomach migraines. But, the 34 day duration of nausea, my past symptoms and what I've read about stomach migraines makes me think it is not the trouble.

*Concerns: Chronic Nausea (previous symptoms subsided) Duration: Various intensities of nausea for 34 days.
*Background: 32yo, 6'2" (19lbs) muscular, fit. Exercise four times per week.
*Family History: No history of stomach problems or IBS.
*Diet: given by Dr: White rice, White bread, Yogurt, Egg Whites, Ensure, baked chicken, turkey

Questions:

A) My doctor is resistant to testing gall bladder because I do not have any pain. I have read that gall stones can cause nausea without pain. Should I press a gallbladder ultrasound?

B) At this point, I do not know what to discuss with my doctor. Can you recommend some talking points that I can discuss with her?

Feeling desperate.




3 Responses
233190 tn?1278549801
MEDICAL PROFESSIONAL
To answer your questions:
1) Indeed, gallbladder issues can lead to nausea.  An ultrasound is reasonable, but the yield is low given the non-revealing CT scan.

2) I cannot think of further testing that hasn't already been done.  You can look outside the GI system for a potential cause.  There are a few neurologic conditions that can lead to persistent nausea.  A head CT or MRI can be done if this avenue is pursued.

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.
www.kevinmd.com
Avatar universal
Also, I've had a CT Scan w/ contrast of lower abdomen.
Avatar universal
Have your drs discussed the use of prokinetics and antiemetics?

drugs used to increase the motility of the gut are..

maxalon (metaclopramide/reglan)
erythromicin
domperidon


drugs used for nausea..

maxalon
domperidon
phenergan
stemetil

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