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Feeling fatigue, nausea, headaches and lump in throat. MRI, CT scan and x-ray normal. Any ideas?

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General & Family Physician
Practicing since : 2010
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I have had fatigue, nausea, headaches for months. In the past 2 months I can add to the list a constant full feeling, chest pressure/pain, feeling of lump in throat. Having a Gastric Emptying test Tuesday. Have ahd MRI's of brain/neck, CT's of abdomin, chest xrays, echocardiogram.......still no answers, just miserable
Posted Sun, 10 Feb 2013 in General Health
Answered by Dr. Kulbir Singh 2 hours later
Hello and thanks for posting the Query
GERD itself explain all your symptoms. In my personal opinion you have to take precautions for GERD and reduce your anxiety or stress as much as possible. Stress is another cause for the symptoms.
Gastric emptying test gives you the answer of you other queries. Certain precautions you have to take are:
1. Avoid food that irritates your stomach.
2. Avoid alcohol, caffeine, aspirin, nonsteroidal anti-inflammatory medications.
3. Eat small meals more frequently.
4. Avoid lying flat immediately following a meal. Walk or sit straight at least 30-45 minutes after every meals
5. Elevate the head of your bed.
6. Sleep on your left side.
7. Weight loss if you are overweight
8. Take antacids after meals and at bedtime:
9. Take a stomach acid-blocker like Ranitidine , Take a proton pump inhibitor medicine like Omeprazole
10. Take your medications as directed, Don't skip doses of your medication. This makes them less effective. Don't stop taking your medication just because you feel better.
11. Do regular exercise atleast 5 days per week.

Feel free to consult your doctor at any stage if your feel symptoms are worsen and medication not helping you.

Write back for any follow up query.

Best Wishes and get well soon.
Dr. Kulbir Singh
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