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What does nausea with stomach bloating and back pain indicate? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:I have nausea. Bloated stomach back pain and metallic taste in mouth . What might it be?
User:Hi. Thanks for responding
Doctor:Can you specify how long have you been suffering with these digestive issues?
User:Back pain about a month. Digestive about a week
User:One week ago today. Spent night throwing up
User:Today. Bloating was really bad. Cramps
Doctor:And the metallic taste?
User:Had urine test done which came out ok
User:At least a month
Doctor:Do you have the taste constantly or only with eat?
User:Pretty constantly
User:Brief relief after brushing
Doctor:How is your bowel movement? - Do you have loose stools?
User:It's been good
User:Had a good movement this morning
Doctor:May I know your age?
User:Back pain tends to be up and down the spine but worse at base
User:53. Slightly overweight. 6'2. 210
User:Have lost about 40 pounds in last year
User:Run 4 miles a day but not lately
User:Because of type 2 diabetes get blood work every 6 Months and everything has been fine
Doctor:How did the symptoms develop - was it abruptly or did it follow an infective symptoms such as fever, runny nose, congested nostril, throat irritation?
User:I first noticed back pain. Colleague had similar symptoms which was diagnosed as virus. It as just gotten progressively worse. Pretty constant back pain
Doctor:Are you there?
User:Then last week the nausea kicked in
Doctor:Have you been to a doctor?
User:Yes. Running tests. Looked at gallbladder on Tuesday
User:Just freaked out tonight. Was feeling better. Took a nap
User:Woke up with nausea. Stiff back
Doctor:Let me brief you.
User:Ok. Thanks
Doctor:The symptoms that you described have been very non specific; further there has been a long gap between back ache and abdominal bloating.
Doctor:It makes me difficult to relate both these complaints.
User:That makes sense
Doctor:However it could be possible that the metallic taste, abdominal bloating and nausea are related.
User:Ulcer? Gerd?
Doctor:The most common condition that would cause these are gastritis or GERD.
Doctor:Yes, you interpreted them well.
User:The bloating is in the lower stomach.
Doctor:As you are being evaluated and your doctor is not concerned yet,
User:They are very concerned I think
User:But perplexed
Doctor:GERD symptoms are highly spread across the whole abdomen.
User:Started me on omeprazole
User:Been taking for 3 days
Doctor:It is common to experience lower abdominal bloating, intestinal cramps and lower intestinal symptoms with GERD.
User:And waking up trying to catch breath?
Doctor:If there is a confusion amongst doctors, I would order for an ultrasound examination and upper GI endoscopy.
Doctor:It should help us arrive at some possible conclusion.
User:And treat the back separately?
Doctor:The back ache needs to be looked seperately.
Doctor:It may be related to muscular aches or may be you are not having enough sleep to rest the strained muscles.
User:That's very possible
User:Hard to sleep
Doctor:I would suggest you to continue omeprazole. Add semithicone containing antacids such as Gelusil MPS
Doctor:Try resting well.
Doctor:Do not hit the bed immediately after a dinner.
User:Tonight I had small bowl of gluten free cereal and a few hours later the nausea returned
User:I may have layd down too soon.
Doctor:And sleep with 2-3 pillows just to keep your head and upper body elevated.
User:Can even drinking water add to the bloating?
Doctor:Yes, it can make you bloated.
Doctor:But doesn't mean you should give up drinking water.
User:I do belch all the time
Doctor:I recommend my patients to plan the dinner atleast an hour or two before bed time.
Doctor:Take your medicines omeprazole + the antacid an hour before the dinner.
User:Can gerd impact the back?
Doctor:Walk around to aid digestion
Doctor:and sleep with upper body reclined position.
User:Last week when I threw up. It seemed my back felt better after throwing up
Doctor:Back complaints are very, very rare with GERD. I would definitely look for other possibilities before attributing as associated complaints.
User:My only concern with back is muscle relaxers have not helped much
Doctor:I would suggest you to take up issues one at a time.
Doctor:Most commonly what we see is when patients present with multiple symptoms
Doctor:the most recent ones improve first.
Doctor:The back pain may or may not be related.
Doctor:Old symptoms recover later.
User:Good to know. So address gerd first
Doctor:You should look at treating the GERD with best efforts.
Doctor:Try getting good sleep.
User:Small meals.
Doctor:Back issues should improve.
Doctor:Let your doctors carry on the test to exclude other cause of back pain.
Doctor:I think the chat time has expired.
Doctor:I hope you got my message. Wish you good health...
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