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Having vomiting, night sweats and insomnia. ERG & Colonoscopy showed severe acidic reflex. Gall bladder removed. Suggest

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Gastroenterologist, Surgical
Practicing since : 1986
Answered : 38 Questions
Vomiting every 3-4 days. Vomiting only happens while sleeping and always between 4&5AM. (Prescription anti nausea Meds have done nothing to improve situation)
Night sweats, past month (bed is soaked).
Insomnia (prescription sleep medications do not work).
ERG & Colonoscopy (past month) show no obstructions, but "severe" acid reflux. (Been on at least 7 different prescription Meds for reflux in past 3 months, but nothing works)
Gallbladder removed 18 Month's ago (necrotic when removed).
Toncillectomy as a child.
Apnea as infant.
Male, 25 yrs old.
6 different doctors in past 3 months, but no answers.
Any insight would be extremely helpful.

Posted Mon, 22 Jul 2013 in Abdominal Pain
Answered by Dr. Radhakrishna Patta 6 hours later

Many thanks for the mail. I have gone through the details and could assimilate the details.

Nausea and vomiting early in the morning is very likely due to GERD (gastro-esophageal reflux disease)

Night sweats suggest a possible REM sleep, in other words improper sleep with bad-dreams where the mind tells the system that you are awake and hence increased acid production resulting in nausea and vomiting as well.

Insomnia can be due to many reasons. The commonest being anxiety and depression. Its quite often mind related at the age of 25 and this further can lead on to night sweats and nausea and vomiting.

tonsillectomy and apnea do not necessarily contribute to the above symptoms.

Your symptoms suggest a moderately severe form of GERD with some anxiety and stress.

You will require an upper GI endoscopy, manometry and Ph studies of the food pipe.

In addition to regular reflux and anti-anxiety medications for a reasonable period should help

Life-style changes play a very important role in terms of proper timely diet, avoidance of smoking and alcohol, proper exercise, yoga, meditation etc..

At times, a surgery in the form of fundoplication may be required as a permanent form of cure.

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