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 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.
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?
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?
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.
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.
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.
but the nausea did
not. I started belching a lot too. This
prompted me to see my doctor again.
