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constantly feeling nausea

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I am constantly feeling nausea and at night when I lay down if I lay flat down I feel like I'm about to throw up it also feels like thick liquid is in my stomach and wants to come up but I don't like vomiting I really hate it ive also been haveing some on and off stomach pain and a lot of discomfort I don't use the bathroom really at,all not a lot the doctor told me to take 2 capfuls of miralax a day I've been using Walgreens brand but now haring the real brand and only 1 capful could this be causing it? the doctor said after 3 days of using it nausea should be gone but it came back.


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replied January 10th, 2012
Nausea Answer A30247
Hi, and thanks for your medical question on eHealth forum!

The symptoms could be exacerbation of the GERD or gastric reflux. It could also be hiatal hernia. Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications (under medical supervision) like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals for complete relief. Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment.

Life style changes that will help include: Drink cold milk. Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Avoid lying down for least 2 hours after food. Maybe these tips will help you.

If these tips do not help, then liver function test, pancreatic enzymes, and HIDA scan for gall bladder should be done. Food intolerance and inflammatory bowel conditions such as IBS, Crohn’s, celiac etc should be considered. Log in what you eat and see if there is a correlation between a certain food type and the symptoms.

You should consult a gastroenterologist (a specialist who looks after the diseases of our digestive system) or a physician for this if these tips reduce your symptoms. You may need upper GI endoscopy for confirmation and to know the degree of damage. Hope this helps. Take care!



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