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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Frequent Nausea. Prescribed Metaclopramide, No Relief. Blood Tests Normal. Due To Gall Stones?

I have been feeling nauseous on a pretty well daily basis for about three months. I m never actually sick however. I ve had blood tests - all OK. I ve had a gastroscopy which showed nothing but a small flat polyp which was removed at the same time. I m due a follow-up on this at an out-patients clinic later this month. I m also due an ultrasound scan as my GP thinks it might be gallstones, however I have no pain in my digestive system. I m prescribed Metaclopramide but this does not really have much impact. It s really getting me down now.
Wed, 9 Jan 2013
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Gastroenterologist,  's  Response
Hello, brucea1,
Persistent nausea could be a result of inflammation of the stomach
lining. You mention that the doctor found a small polyp and removed it.
Usually, these are called Hyperplastic polyps or inflammatory polyps.
In other words this happens from inflammation of the lining of the
stomach and we call it "Chronic Gastritis". Metaclopramide or Reglan
is a drug that improves contractions of the stomach and helps emptying
of gastric contents into the intestine and it for control of nausea. It does
have potential side effects such as shakiness of the hands, almost like
Parkinson like symptoms in some, especially with higher doses.
If you are not on any PPI like Omeprazole, Lansoprazole, Rabeprazole or
Esomeprazole, these are available over the counter in drug stores. Try
taking one of these once or twice a day about an hour to an hour and a half
before meals. This should help.
I am glad that you are scheduled for an ultrasound exam to rule out gallstones.
I wish you well.
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Frequent Nausea. Prescribed Metaclopramide, No Relief. Blood Tests Normal. Due To Gall Stones?

Hello, brucea1, Persistent nausea could be a result of inflammation of the stomach lining. You mention that the doctor found a small polyp and removed it. Usually, these are called Hyperplastic polyps or inflammatory polyps. In other words this happens from inflammation of the lining of the stomach and we call it Chronic Gastritis . Metaclopramide or Reglan is a drug that improves contractions of the stomach and helps emptying of gastric contents into the intestine and it for control of nausea. It does have potential side effects such as shakiness of the hands, almost like Parkinson like symptoms in some, especially with higher doses. If you are not on any PPI like Omeprazole, Lansoprazole, Rabeprazole or Esomeprazole, these are available over the counter in drug stores. Try taking one of these once or twice a day about an hour to an hour and a half before meals. This should help. I am glad that you are scheduled for an ultrasound exam to rule out gallstones. I wish you well.