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Nausea, Abdominal Discomfort, Constant Belching

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June 14th, 2008
I am a 42-year-old male. I am about 100 pounds overweight (and working on that).

I started experiencing nausea back in 12/07. It was assumed by myself and doctors that it was related to a long-term headache I was experiencing at the same time. The headache finally cleared up in April Shocked but the nausea did not. I started belching a lot too. This prompted me to see my doctor again.

He thought he felt an abdominal mass which he suspected to be a hernia and sent me for an abdominal CT scan. The CT scan (about two months ago) showed no hernia, all organs were normal, bowel was normal, no mass, no hernia. It did show a fatty liver and gallstones. The doctor thought the gallstones might be causing the nausea and recommended the gallbladder's removal.

I went to a gastroenterologist for a second opinion. He recommended an endoscopy and a HIDA scan and some blood work. The blood work and the HIDA scan were normal. The endoscopy showed esophagitis and minor gastritis. Nothing serious from the biopsies - no Barrett's, no ulcers, etc. I had been experiencing NO heartburn. He put me on Nexium, said the nausea and belching could be from reflux. And he recommended that I not have the gallbladder out. Then I saw the surgeon anyway, and he concurred with the gastroenterologist - no surgery at this time.

I've been on Nexium for seven weeks or so. I still experience nausea frequently daily (no vomiting) and now I have discomfort in the abdomen (about 2-3 inches above the navel in the center, sometimes mild pain, other times just noticeable discomfort) and I still belch like crazy.

No issues with stool, no vomiting, appetite is fine (strange with nausea, no?).

I'm sorry for the winding road my story is. It really happened this way - started out with the loooooong-term headache with nausea and ended up with abdominal discomfort and belching. The nausea is the one constant thing - I've wanted to vomit every day since before Christmas.

Thank you for any opinions.
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First Helper kacey222
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Dr. Nikola
replied June 16th, 2008
Doctor
Have you been checked for presence of Helicobacter pillory infection?
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Users who thank Dr. Nikola for this post: aaasdf 
aaasdf
replied June 16th, 2008
Dr. Nikola wrote:
Have you been checked for presence of Helicobacter pillory infection?


Hello there doctor...

That was checked when I had the endoscopy. It was not present. That was about two months ago.

Thank you for your response. Any other advice?
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Dr. Nikola
replied June 17th, 2008
Doctor
Have you lost any weight?
Beside noticing fatty liver on CT did you checked the liver enzymes in the blood: AST, ALT, alcal phosphatase, gamma-GT, direct and indirect bilirubin etc.? How is your sedimentation rate and CRP? Can you tell me precisely which blood tests you have made?
Do you experience nausea after the meal or nausea is not related with the meals?
Is the nausea followed by dizziness?
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Users who thank Dr. Nikola for this post: aaasdf 
aaasdf
replied June 19th, 2008
Dr. Nikola wrote:
Have you lost any weight?
Beside noticing fatty liver on CT did you checked the liver enzymes in the blood: AST, ALT, alcal phosphatase, gamma-GT, direct and indirect bilirubin etc.? How is your sedimentation rate and CRP? Can you tell me precisely which blood tests you have made?
Do you experience nausea after the meal or nausea is not related with the meals?
Is the nausea followed by dizziness?


I've lost a few pounds (intentionally).

Many things were checked with the blood work, but I don't remember liver enzymes being mentioned specifically. I will check that out and post again...

My nausea is not related to meals and there is no dizziness.

My gastroenterologist set me up just yesterday for a capsule endoscopy. That will be next week. He suspects possible inflammation (small intestine), and he also thinks it still may be related to abdominal wall weakness or hernia (though the CT scan two months ago did not show that).

Do you think I should be thinking in terms of a colonoscopy?

Thanks again.
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Dr. Nikola
replied June 23rd, 2008
Doctor
Capsule endoscopy is used to visualize the small intestines because that is the only way. Large intestines can be visualized with colonoscopy.
Prolonged nausea is generally due to chronic disease, metabolic reasons or has psychiatric issues.
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Users who thank Dr. Nikola for this post: aaasdf 
aaasdf
replied July 18th, 2008
Well, I had the capsule endoscopy, and an interesting thing happened... The capsule took about 8 hours worth of pictures inside my stomach. This led my doctor to diagnose "gastropariesis". My stomach just empties very, very slowly. I had a colonoscopy just as a precaution, and that came back clean - no polyps or inflammation. So the doctor has me on promethazine, and this seems to manage the nausea adequately.

Thanks again for the replies... God bless from the USA.
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Users who thank aaasdf for this post: Dr. Nikola 
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Dr. Nikola
replied July 21st, 2008
Doctor
I am glad that doctors found what really causes your digestive symptoms and that the therapy works.
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Bocro
replied August 18th, 2008
Nausea, Abdominal Discomfort, Constant Belching
Further to your problem.
I too have had a long bout of Gastro discomfort, constant bloating & Nausea.
It started in September 2000 & lasted about 3 months & then abruptly stopped for about 1 1/2 years before starting again. This time it lasted 3 years until November 2005 & then stopped again. It started again 3 months ago & is currently in high gear, I wake up with morning sickness (I am male). I have add upper & lower xrays, sigmoidoscopy, CT scan, ultrasounds, H-Pylori treatment, high level antibiotics,3 Endoscopies, colonoscopy & many blood tests without any conclusive diagnosis. The last time it stopped abruptly 2 1/2 years ago it was synonomous with my Colonoscopy. (I wonder if the pre op cleansing cleaned something out that reoccurs)
Any help would be appreciated.
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dina40
replied March 20th, 2009
very nausea, and weak for 2yrs
Hello my mom needs help,Im trying to help her,she 61yrs old she has had alot of testing done,her symptons are intense itching inside her stomach than it travels to her armpit,back ,chest, also weak dizzy all the time around the clock she cant get out of bed.I took her for accupucture, allergists, cat scan alot of them mri,bone scan cirrulation, toxin,she is always being rushed to the hospital atleast every 3 wks,now pills pain killers,xanax,welbrution,ambien,effoxer, nexium,as of right now she is in the hospital for almost 10 days and still the same,no change,please any one out there that can help me?My dad and I would be so thank ful. Thank you. Dina
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Stone85
replied December 26th, 2009
I can not believe I have found this thread.

I have had the very same exact symptoms as aaasdf for about four months now.

I am a 24 year old female currently living overseas...about a year and a half into my new life I had two very violent vomiting episodes -- vomiting bile, because I had not eaten anything prior to the incidents. Both times required being rushed to the ER.

Following these incidents, I have had persistent nausea, stomach discomfort, frequent belching, etc. Since September 2009, these symptoms have just become a part of my life. In my visits to the ER and to doctors afterwards, I have had ct scans, x-rays, ultra sounds, blood work, endoscopies -- all showing normal healthy organs, with just a little reflux. The doctors have been pretty stumped as to what exactly is causing it. I am also currently investigating any disorders of the reproductive organs, but I know that originally any irregularities should have been already discovered during my ER visits and tests. So -- I dont expect the results from those tests to be revealing.

My doctors have put me on anti acids and levson sl -- which is some kind of regulatory of spastic muscles/organs. So far, this medicine has not really made much of an impact. I think I am close to being diagnosed with gastroparesis myself. Is there any hope or lasting treatment for it? I am tired of living my life around nausea.

Also -- do you experience days where you feel practically normal, usually about 6-7 and then suddenly nauseas for a few days, and the cycle repeats? This has been my experience, and I was wondering if I shared it.

Thanks again! It's good to know I am not the only one out there!
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Brandtsquestion
replied January 16th, 2010
Hernia repair complications. CT scan
I am a male who is 54 years old. I had hernia repair surgery for a umbilical hernia. I still have pain in my abdomen area. About two weeks after surgery I bent over to pick a slipper and felt a tread pop or snap inside my body where the hernia was pushed in.
Since surgery I am nauseated every day, some days are worse than others. I have no energy and mild to severe pain at the upper and lower part of my naval area. My surgery was traditional open repair.
My stools are not consistent and passing gas is rare. I am also bloated. Some stools have been black and tar like. I just do not feel well. I now have a small hard pencil eraser like lump where the lump was. It moves in and out.
Just had a CT scan which hopefully, will find something out. Not sure if any other tests can be done. This experience is wearing me down and is very depressing.
Anyone else had this problem?

David
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kacey222
replied December 1st, 2010
Experienced User
to aaasdf: i'm glad you did not get your gallbladder out. if you can find a naturopath that has a bio-resonnance tester that would be good - it will tell you all the things our normal tests don't show. where are you that you go the 'capsule endoscopy'?
to dina: get your mom off scripts if you can
to all: i recommend a para cleanse, then bowel, liver & kidney flush. do cleansing internally with vinegar & orally by anything you can get at a health food store - liquids are the best when having intestinal problems. do lots of colonics. it takes a lot of time to get rid of bacterial or viral problems so be patient. I guess I'm a bit late on this but I've been going through excruciating pain for 4 years and just now getting to be somewhat normal & pain free.
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rosette
replied October 16th, 2011
im 37 years old female and i notice this bleching about 5 years ago and i been having severe belching. i tried taking nexium and prilosec but it doesnt really help, i also stop drinking coffee to think that i only drink it once a day. I tried everything you can think of but it still the same. I also tried maalox, zantac, pecid ac, probiotics but it didn't work. I went to the dr. and i did endoscopy and ultrasound but the result is normal. The only symptoms i have is belching. can someone help me how to stop this belching...thank u
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