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Experiencing Nausea And Feeling Sick. What To Do?

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Posted on Tue, 2 Apr 2013
Question: hi my nan has experienced nausea for 5 years now about 3month of being sick then recovers for about 12-16 weeks and feels great then back to being sick for 3months the cycles are around 3months sick 4months really well.
she has every check up possible change her diet to perfect and know change she is now talking about dieting and can't handle the sickness any ideas what to do?
thanks
doctor
Answered by Dr. Mayank Bhargava (3 hours later)
Hi,
Thanks for posting your query.
Recurrent nausea may be due to gastro-intestinal problem or may be due systemic disease.
You should go for upper GI tract endoscopy to rule out any gastric and small intestinal pathology. If any disease is found then specific treatment should be taken for recovery. If endoscopy is normal, then you should go for blood investigations. You should also go for ultrasound imaging and CT? MRI scan abdomen if needed.
Other possibilities for systemic disease for which blood investigations are required.
Blood investigations are thyroid profile, serum electrolytes, renal function test, liver function test, blood sugar level, complete blood count.
Some patients have decreased gastro-intestinal movement and all blood investigations are within normal range, they should take prokinetics.
Few dietary changes are:
a) Avoid oily & spicy food
b) Avoid milk at evening times.
c) Keep difference of 3 hours between meals and sleep.
d) Avoid tomato, citrus fruits, coffee, chocolates, onion, garlic, tea
e) Prefer soft diet and yogurt.
d) Take small amount of frequent meals
Put your query if you have.
Best regards,
Dr. Mayank Bhargava
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Mayank Bhargava

Internal Medicine Specialist

Practicing since :2003

Answered : 1658 Questions

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Experiencing Nausea And Feeling Sick. What To Do?

Hi,
Thanks for posting your query.
Recurrent nausea may be due to gastro-intestinal problem or may be due systemic disease.
You should go for upper GI tract endoscopy to rule out any gastric and small intestinal pathology. If any disease is found then specific treatment should be taken for recovery. If endoscopy is normal, then you should go for blood investigations. You should also go for ultrasound imaging and CT? MRI scan abdomen if needed.
Other possibilities for systemic disease for which blood investigations are required.
Blood investigations are thyroid profile, serum electrolytes, renal function test, liver function test, blood sugar level, complete blood count.
Some patients have decreased gastro-intestinal movement and all blood investigations are within normal range, they should take prokinetics.
Few dietary changes are:
a) Avoid oily & spicy food
b) Avoid milk at evening times.
c) Keep difference of 3 hours between meals and sleep.
d) Avoid tomato, citrus fruits, coffee, chocolates, onion, garlic, tea
e) Prefer soft diet and yogurt.
d) Take small amount of frequent meals
Put your query if you have.
Best regards,
Dr. Mayank Bhargava