What about hyperthyroidism? Underweight and anxious.
My three guesses would be: acidity (reflux, etc), an allergy to the plate (seems odd that these symptoms started after surgery) or anxiety.
Whatever the cause I think it needs addressing. If anxiety, take him to a psychiatrist and have him try psychotherapy.
I don't think allowing this to continue is very acceptable.
Minimum he should be seen by his doctor.
Thanks so much for taking the time to reply to my post. I would like to add that he has daily normal bowel movements. He does not have abdominal pain. He plays soccer without dizziness. his celiac test was negative, along with other blood work. He has not been to a GI doc yet. That would be my next step, but I feel like his stress level has a lot to do with it. I think putting him thorugh a bunch of GI tests would just add to his stress and most likely be negative. Hypothyroidism-i would think he would be overweight? He is 5"11 and 130lbs....thin....So you say intense emotion can stimulate the vagus nerve and cause nausea? Sorry for the barrage of questions. But I have been spinning my wheels for a while....He drinks more than he eats and he claims cold food are less bothersome to his nausea than hot. But spicey foods have no effect. He also has a history of consuming sushi alot. mostly cooked seafood but at times in the past he has eaten raw fish. wouldn't he have diarrhea with parasite/giardia? Just thought I'd give you some additional info.. I really appreciate your input. What is your profession?
Thanks so much for taking the time to reply to my post. I would like to add that he has daily normal bowel movements. He does not have abdominal pain. He plays soccer without dizziness. his celiac test was negative, along with other blood work. He has not been to a GI doc yet. That would be my next step, but I feel like his stress level has a lot to do with it. I think putting him thorugh a bunch of GI tests would just add to his stress and most likely be negative. Hypothyroidism-i would think he would be overweight? He is 5"11 and 130lbs....thin....So you say intense emotion can stimulate the vagus nerve and cause nausea? Sorry for the barrage of questions. But I have been spinning my wheels for a while....He drinks more than he eats and he claims cold food are less bothersome to his nausea than hot. But spicey foods have no effect. He also has a history of consuming sushi alot. mostly cooked seafood but at times in the past he has eaten raw fish. wouldn't he have diarrhea with parasite/giardia? Just thought I'd give you some additional info.. I really appreciate your input. What is your profession?
Hi
Welcome to the MedHelp forum!
Commonest cause of chronic nausea is acidity. Let your son take omeprazole (empty stomach in morning)and antacid gel and see if it helps. Liver and kidney dysfunction is another cause. Hence kidney and liver function tests should be done. Other causes are diabetes and hypothyroidism. Electrolyte imbalance too can cause nausea. IBS, gluten or lactose intolerance, parasites in gut too can be the cause. A stool test should be done for worms, giardiasis etc. Also if nothing is found then food challenge test to detect food intolerance should be done.
It can also be an allergic reaction to the metal of the orthopedic prosthesis. Spinal nerve compression in cervical spine, and orthostatic hypotension could be the other causes. It could also be a vasovagal syncope or a vasovagal attack. The complex group of symptoms is mediated by the vagus nerve. This nerve is irritated by prolonged standing, standing up suddenly, stress, pain, hunger, dehydration, intense emotion etc. A tilt table test, holter monitor, echocardiogram etc are done for confirmed diagnosis. Do discuss this with your son’s doctor.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!