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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Nausea And Loss Of Appetite

Respected Sir, I was feeling like nausea and loss of appetite from past 10 days so i did bilirubin check up on 21st august from which the report showed tat my bilirubin level is 1.2 on border range as normal range range from 0.1 - 1.2, from tat day i m completely on sugar cane n fruit juices n some time eating bottle gourd curry wit rice.now its almost 13days since i have done my test but i m still feeling the same n life is getting very harsh due to restriction on food, so i pls beg you to suggest me some medicine so i can recover asap n pls also let me know wen i start my normal diet. Thanking you Zamirali Babu
Wed, 21 Jun 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
Nausea for two weeks with bilirubin of 1.2 that is on borderline can not be explained by near normal liver functions.
There may be another reasons and the changed diet itself can cause nausea as it is always something new that one tries like Bottle gourd juice and so on.
There may be gastritis or any problem with intestine, the nausea being a reflex phenomenon.
I would advise you the following in such a situation:
Get other blood tests like CBC, kidney and thyroid function, repeat Liver function tests.
Consult your Doctor for clinical evaluation, examination and investigations to get a probable cause so that further investigations like Upper GI Endoscopy, ultrasonography of abdomen can be done to get you the prescription based management.
You may need a PPI like Omeprazole, Domperidone and antacid as per your weight.
If the liver functions are normal restart your old usual diet and stop all the special diet.
If there is any stress and anxiety, you have to control these and get treated if required.
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Suggest Treatment For Severe Nausea And Loss Of Appetite

Hi. Thanks for your query. Noted the history and understood your concerns. Nausea for two weeks with bilirubin of 1.2 that is on borderline can not be explained by near normal liver functions. There may be another reasons and the changed diet itself can cause nausea as it is always something new that one tries like Bottle gourd juice and so on. There may be gastritis or any problem with intestine, the nausea being a reflex phenomenon. I would advise you the following in such a situation: Get other blood tests like CBC, kidney and thyroid function, repeat Liver function tests. Consult your Doctor for clinical evaluation, examination and investigations to get a probable cause so that further investigations like Upper GI Endoscopy, ultrasonography of abdomen can be done to get you the prescription based management. You may need a PPI like Omeprazole, Domperidone and antacid as per your weight. If the liver functions are normal restart your old usual diet and stop all the special diet. If there is any stress and anxiety, you have to control these and get treated if required.