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Visit to a gastroenterologist suggested - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1700 Questions
User :   hello
Doctor :   Hi
Doctor :   How can I help you?
User :   you are?
User :   ok -- i have had these symptoms for many months -- i;ve had some tests and ct scan still no cure -- in the morning i wake up with congestion in the sinuses and a sick stomach casuing me loose bowel movemtns -- immediately afyer, i feel nauseous and dry heave for a few minutes -- clear mucus comes out -- i am also blowing my nose all day with thick mucus
User :   not sure what it is? my stomach, my sinus?
Doctor :   Since when are you having these symptoms/
User :   months and months -- the worst part is the feeling i have to vomit -- no stoach contents just clearing my troat and the mucus
Doctor :   Do you get early morning headaches?
User :   no headache
Doctor :   You reported congestion of the sinus - do you mean nasal congestion?
User :   yes up high and a choking feeling in my throat
Doctor :   Do these symptoms get worse with cold weather?
User :   possibly nut not sure
Doctor :   Have you seen an ENT surgeon?
User :   the only thing they find is a deviated septum
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Nasal congestion and stomach problems are 2 independent symptoms unrelated to each other.
Doctor :   Nasal congestion can happen due to multiple reasons.
Doctor :   From this far without a physical examination, i cannot point out the exact cause/diagnosis.
Doctor :   The cause could be an allergic rhinitis/DNS or a possible sinus inflammation.
User :   ive tried reflux meds they thought that was why i get mucus irritating my lungs it doesn;t cure me
Doctor :   All these conditions are chronic conditions which can be treated either conservatively or surgically.
Doctor :   Conservative management with medications is going to be only preventive,
Doctor :   a curative treatment may be possible only by surgical means.
User :   is that making me nauseous?
Doctor :   You can discuss with your ENT surgeon who can throw light on this condition.
Doctor :   He'l be the best person to decide if surgical treatment is possible.
User :   so the loose bowels are not caused by this?
User :   i akso get ths feeling immediately after eating
Doctor :   Nausea, loose stools, abdominal discomfort are not related to the previous problem.
Doctor :   Multiple conditions can be a cause of this.
User :   ok so you don;t see a connection to reflux or stomach?
Doctor :   Among the conditions the most common is Irritable bowel syndrome
Doctor :   with added symptoms of indigestion and reflux.
User :   ct scan confirmed i have sigmoid divertivulosis maybe that?
Doctor :   Sigmoid diverticulosis can cause symptoms such as abdominal pains
Doctor :   located to the lower part of the abdomen on the left.
Doctor :   a occasionally these is diagnosed incidentally in asymptomatic patients.
Doctor :   Hence it is difficult to predict if diverticulosis is causing any of your above symptoms.
Doctor :   The chances however are insignificant.
User :   how do i stay calm in the morning to avoid these retchnig rpisodes? i feel stressed over this
User :   retching
User :   im beginning to have a phobia about this since its gone on too long
Doctor :   you will need dietary and lifestyle modifications along with medications.
Doctor :   Antigastritis/antireflux medications such as prilosec OTC, Syp Mucaine gel can be used regularly.
User :   is that Mucinex?
Doctor :   Apart from this regular diet, good sleep is essential.
Doctor :   Mucinex is a expectorant and not antacid.
Doctor :   You may ask for antacid syrup or Syp Mucaine gel.
User :   what is Syp Mucain gel?
Doctor :   It is an antacid syrup.
User :   ok so i can ask my doctor for that
Doctor :   As the name suggest, it helps in neutralising gastric acids.
Doctor :   You can use such syrups at night,
Doctor :   they help in preventing reflux symptoms.
Doctor :   If these medical treatment, dietary and lifestyle modifications
Doctor :   fail to treat the symptoms
User :   what about the mucus? anything for that?
Doctor :   then you will need upper GI endoscopy
Doctor :   and if the reports are significant, then surgery will be the last resort.
Doctor :   Throat clearing could be part of the the reflux gastritis.
User :   my nasal passages throat and ears feel stuffed
Doctor :   Like I mentioned
Doctor :   you could be suffering from an ENT problem
Doctor :   as well as gastrointestinal problem.
User :   and reflux too
Doctor :   The symptoms that you have are related to these 2 systems
Doctor :   which needs to be evaluated.
User :   ok
Doctor :   Exact treatment can be suggested only when the cause is found.
User :   thank you
Doctor :   Hence I suggest that you consider consulting ENT surgeon as well as a gastroenterologist.
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