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Gastroenterology (Expert Forum)
Chronic Nausea
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
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Chronic Nausea
by bamagairl, Dec 06, 2004 12:00AM
I am a 31 yesr old accountant who has been dealing with strange episodes of nausea for about a year. It started out as occasional bouts of nausea, kind of like motion sickness, it would come and go in waves about once a week. Then it got worse, coming in waves about once a day then progressed into horrible nausea that woke me up in the middle of the night about once a week and I would dry heave all night until the sun came up. Then it got to be nausea all day long with vomiting every night all night. Sometimes I would shake really bad and get chills with no fever, my bp and heart rate would go up really high and I would have a bowel movement. Finally I went to a gasto Dr. I had an egd, it was normal (they thought I had an ulcer). Then I had a test where I swallowed some chalky stuff, it was normal. Finally I had a gastric emptying test and it was borderline normal. I had un ultrasound on my gallbladder checking for gallstones & it was normal. A surgeon thought it was my gall bladder anyway-(it was distended), so I had it removed. The nausea got a little better, but I still had episodes of nightime nausea, tachycardia with shaking and bowel movements. I recently found out that I have too much methylhistamine in my body and I take claritin 10 mg 2x a day along with zantac 75 2x a day. At first this helped, now all of the sudden I am starting all over again with the nausea. It started now with early morning nausea, now it's coming in waves all day long. I haven't had any vomiting yet, but it sure feels like I'm going to. My question is, does this make any since & are there any other blood tests or diagnostic tests I can ask my doctor to do that hasn't been done yet? I had an ultrasound done to check for any blocked gallstones and some blood work to check for liver enzymes, all normal. This nausea is ruining my life. Please help!!!!!
Doctor's Answer
by Kevin Pho, MD, Dec 08, 2004 12:00AM
, Dec 08, 2004 12:00AM
You have had a pretty thorough GI evaluation for nausea. The only other test I could think of would be an esophageal motility study, which can look for motility disorders that can lead to nausea.
Another consideration would be a non-GI cause. This can be with any central nervous system disorder, which can also lead to nausea. A brain MRI would be a reasonable first step to ensure this isn't the case.
You may want to consider a neurology referral if the GI workup has been non-revealing.
Followup with your personal physician is essential.
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.
Medical Weblog:
kevinmd_b
Another consideration would be a non-GI cause. This can be with any central nervous system disorder, which can also lead to nausea. A brain MRI would be a reasonable first step to ensure this isn't the case.
You may want to consider a neurology referral if the GI workup has been non-revealing.
Followup with your personal physician is essential.
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.
Medical Weblog:
kevinmd_b
I'd just like to say that I read your message and can identify except my nausea has been intermittent for about 10 years.
Sometimes I'll be fine for months and then I'll have a 6 week bout of nausea from sun-up to sunset.
I've had a catscan, an MRI ,an endoscopy, a colonoscopy, blood tests galore, a diet change . All tests came back normal and no treatment seems to help. It gets quite depressing to wake up and think-"I still feel sick!!!"
I have thought at various stages that it's stress but it will even happen on holiday or weekends that I'm not working.
I really hope there's an answer out there.
doc86
I've had similar symptoms to what you've described and what I found interesting was your reference to "shaking." I get that, too.
Can you describe it, where it starts, does it move around, where on the body, etc.? Not one physician I've met can give me an explanation of what it is or what's causing it. Did yours?
Thanks, Brad
Doc86 is my nickname I'm not a medical doctor-sorry you were confused
Hang in there! My Last attack was while dodging bullets (literally) in downtown Baghdad. Had one while working in Sarajevo at the height of the war in a blown out hotel room (*** bumker). The one I had in Somalia had my mates debating whether I would prefer to suffer on-site or in a western country (they loaded me into a cargo plane with a note attached for the doctors at the far end)
If it wasn't so miserable it would be funny.....
Docs here are still trying to diagnose me.
All GI tests show normal except hi white cell count during attack and generalized inflamation.
quick fix during attack seems to be 2 bags saline I.V. and compazine, all of which I now carry in my field kit.
Some life we have huh......
God Bless!!!
Bamagairl