Hey Lena!
Well, without a detailed clinical evaluation it would be difficult to determine the cause of your symptoms. The symptoms may or may not be related to GI issues. Nausea is a very non-specific symptoms and aide GI issues, could also result from systemic infections, stress/ anxiety, hormonal/ endocrine imbalances, metabolic issues, micronutrient deficiencies, medication side effect etc. Possible causes that may need to be considered include GI causes such as infections/ inflammation, motility issues, GU infections, inflammations, stress/ anxiety, medication side effect, hormonal/ endocrine issues, causes related to the respiratory tract/ cardiovascular system, autonomic disturbances etc. I would suggest considering an initial evaluation by an internist and depending on the cause(s) diagnosed/ suspected, it can be managed accordingly or specialist(s) care may be sought.
Hope this is helpful.
Take care!
Hello Doctor,
Thank you for your response. I have ruled out anxiety (I have been on lexapro almost 4 months now) and not improved the nausea. However, mood wise i am good despite of everything.
I have had a blood culture done, would that rule out a systemic infection?
I've seen an endocrinologist who says my only issue is a borderline overactive thyroid in the past which has now returned to normal. I've done a diabetes test which came back negative. infact my sugar was only 4.3 after a GTT, 2 hrs after having the glucose drink.
In terms of micronutrients, ive also had that screened. I used to have low vitamin D but since taking daily supplements my levels have been very good. All my other vitamins were good.
My heart has been checked, including a heart ultrasound. I have some tachycardia and bradycardia during a 24 hr holter monitor test - but was told it was nothing to worry about.
As for autonomic and respiratory tract illnesses, what would you suggest are possibilities?
Thank you very much! Lena