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Suggest Treatment For Severe Nausea, Gagging And Chest Pain
Question: Hello,
My name is XXXX. I am a white 60 yr old female. This problem has been going on for several months. I have been seen by ENT, orthopedic dr. Pain management dr. Gastric. Psychiatrist. And family physician. Severe Nausea. Severe gagging. Some vomiting. In the last 3 weeks I have had 2 spells where I have vomit and gagged so much that it has left me with chest pains. Hurts to breathe. Activity make pain worse.
To make a long story short. In December gastro dr run light down. Test did not show any reason to have these symptoms. This dr thought Cymbalta was causing this. Stopped taking Cymbalta and no better. MRI of brain was done to see if brain tumor was the cause. Negative. I was tested positive for MRSA of sinuses In Dec. culture and X-ray now does not show this infection. I am at the end of my rope. I don't know where or what to do. Can u offer any hope?
Thank you
XXXX
My name is XXXX. I am a white 60 yr old female. This problem has been going on for several months. I have been seen by ENT, orthopedic dr. Pain management dr. Gastric. Psychiatrist. And family physician. Severe Nausea. Severe gagging. Some vomiting. In the last 3 weeks I have had 2 spells where I have vomit and gagged so much that it has left me with chest pains. Hurts to breathe. Activity make pain worse.
To make a long story short. In December gastro dr run light down. Test did not show any reason to have these symptoms. This dr thought Cymbalta was causing this. Stopped taking Cymbalta and no better. MRI of brain was done to see if brain tumor was the cause. Negative. I was tested positive for MRSA of sinuses In Dec. culture and X-ray now does not show this infection. I am at the end of my rope. I don't know where or what to do. Can u offer any hope?
Thank you
XXXX
Brief Answer:
Cannot say in your particular situation
Detailed Answer:
but this defines "functional illness". It is a disorder of either the motility or the sensation of nausea. Practically any substance can have alearned response to trigger nausea. BUT those are episodic not constant. There often/frequently can be constant triggers of nausea/vomiting due to VERTIGO. Nearly always the person knows they have vertigo. Migraine/seizure/inner ear conditions can cause this and nerve sedatives (dilantin, valium, gabapentin) are some of the possible dampers down of this condition.
The motility disorders cause motion of the gut to be abnormal starting with reflux being the most common by a wide margin. Swallowing something that can be followed on x-ray generally shows motion abnormalities if they are there. Then, motility drugs (metoclopramide... ok... it's pretty much motility DRUG) can be helpful. It also helps the sensation of nausea, so, it's a drug the might be tried even when the cuase is unknown.
Cannot say in your particular situation
Detailed Answer:
but this defines "functional illness". It is a disorder of either the motility or the sensation of nausea. Practically any substance can have alearned response to trigger nausea. BUT those are episodic not constant. There often/frequently can be constant triggers of nausea/vomiting due to VERTIGO. Nearly always the person knows they have vertigo. Migraine/seizure/inner ear conditions can cause this and nerve sedatives (dilantin, valium, gabapentin) are some of the possible dampers down of this condition.
The motility disorders cause motion of the gut to be abnormal starting with reflux being the most common by a wide margin. Swallowing something that can be followed on x-ray generally shows motion abnormalities if they are there. Then, motility drugs (metoclopramide... ok... it's pretty much motility DRUG) can be helpful. It also helps the sensation of nausea, so, it's a drug the might be tried even when the cuase is unknown.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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