Visit to a gastroenterologist suggested - Online Doctor Chats
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Practicing since : 2004
Answered : 1777 Questions
User : hello
Doctor : Hi
Doctor : How can I help you?
User : you are?
User : ok -- i have had these symptoms for many months -- i;ve had some tests and ct scan still no cure -- in the morning i wake up with congestion in the sinuses and a sick stomach casuing me loose bowel movemtns -- immediately afyer, i feel nauseous and dry heave for a few minutes -- clear mucus comes out -- i am also blowing my nose all day with thick mucus
User : not sure what it is? my stomach, my sinus?
Doctor : Since when are you having these symptoms/
User : months and months -- the worst part is the feeling i have to vomit -- no stoach contents just clearing my troat and the mucus
Doctor : Do you get early morning headaches?
User : no headache
Doctor : You reported congestion of the sinus - do you mean nasal congestion?
User : yes up high and a choking feeling in my throat
Doctor : Do these symptoms get worse with cold weather?
User : possibly nut not sure
Doctor : Have you seen an ENT surgeon?
User : the only thing they find is a deviated septum
Doctor : Ok
Doctor : Let me explain to you.
Doctor : Nasal congestion and stomach problems are 2 independent symptoms unrelated to each other.
Doctor : Nasal congestion can happen due to multiple reasons.
Doctor : From this far without a physical examination, i cannot point out the exact cause/diagnosis.
Doctor : The cause could be an allergic rhinitis/DNS or a possible sinus inflammation.
User : ive tried reflux meds they thought that was why i get mucus irritating my lungs it doesn;t cure me
Doctor : All these conditions are chronic conditions which can be treated either conservatively or surgically.
Doctor : Conservative management with medications is going to be only preventive,
Doctor : a curative treatment may be possible only by surgical means.
User : is that making me nauseous?
Doctor : You can discuss with your ENT surgeon who can throw light on this condition.
Doctor : He'l be the best person to decide if surgical treatment is possible.
User : so the loose bowels are not caused by this?
User : i akso get ths feeling immediately after eating
Doctor : Nausea, loose stools, abdominal discomfort are not related to the previous problem.
Doctor : Multiple conditions can be a cause of this.
User : ok so you don;t see a connection to reflux or stomach?
Doctor : Among the conditions the most common is Irritable bowel syndrome
Doctor : with added symptoms of indigestion and reflux.
User : ct scan confirmed i have sigmoid divertivulosis maybe that?
Doctor : Sigmoid diverticulosis can cause symptoms such as abdominal pains
Doctor : located to the lower part of the abdomen on the left.
Doctor : a occasionally these is diagnosed incidentally in asymptomatic patients.
Doctor : Hence it is difficult to predict if diverticulosis is causing any of your above symptoms.
Doctor : The chances however are insignificant.
User : how do i stay calm in the morning to avoid these retchnig rpisodes? i feel stressed over this
User : retching
User : im beginning to have a phobia about this since its gone on too long
Doctor : you will need dietary and lifestyle modifications along with medications.
Doctor : Antigastritis/antireflux medications such as prilosec OTC, Syp Mucaine gel can be used regularly.
User : is that Mucinex?
Doctor : Apart from this regular diet, good sleep is essential.
Doctor : Mucinex is a expectorant and not antacid.
Doctor : You may ask for antacid syrup or Syp Mucaine gel.
User : what is Syp Mucain gel?
Doctor : It is an antacid syrup.
User : ok so i can ask my doctor for that
Doctor : As the name suggest, it helps in neutralising gastric acids.
Doctor : You can use such syrups at night,
Doctor : they help in preventing reflux symptoms.
Doctor : If these medical treatment, dietary and lifestyle modifications
Doctor : fail to treat the symptoms
User : what about the mucus? anything for that?
Doctor : then you will need upper GI endoscopy
Doctor : and if the reports are significant, then surgery will be the last resort.
Doctor : Throat clearing could be part of the the reflux gastritis.
User : my nasal passages throat and ears feel stuffed
Doctor : Like I mentioned
Doctor : you could be suffering from an ENT problem
Doctor : as well as gastrointestinal problem.
User : and reflux too
Doctor : The symptoms that you have are related to these 2 systems
Doctor : which needs to be evaluated.
User : ok
Doctor : Exact treatment can be suggested only when the cause is found.
User : thank you
Doctor : Hence I suggest that you consider consulting ENT surgeon as well as a gastroenterologist.
Doctor : Hi
Doctor : How can I help you?
User : you are?
User : ok -- i have had these symptoms for many months -- i;ve had some tests and ct scan still no cure -- in the morning i wake up with congestion in the sinuses and a sick stomach casuing me loose bowel movemtns -- immediately afyer, i feel nauseous and dry heave for a few minutes -- clear mucus comes out -- i am also blowing my nose all day with thick mucus
User : not sure what it is? my stomach, my sinus?
Doctor : Since when are you having these symptoms/
User : months and months -- the worst part is the feeling i have to vomit -- no stoach contents just clearing my troat and the mucus
Doctor : Do you get early morning headaches?
User : no headache
Doctor : You reported congestion of the sinus - do you mean nasal congestion?
User : yes up high and a choking feeling in my throat
Doctor : Do these symptoms get worse with cold weather?
User : possibly nut not sure
Doctor : Have you seen an ENT surgeon?
User : the only thing they find is a deviated septum
Doctor : Ok
Doctor : Let me explain to you.
Doctor : Nasal congestion and stomach problems are 2 independent symptoms unrelated to each other.
Doctor : Nasal congestion can happen due to multiple reasons.
Doctor : From this far without a physical examination, i cannot point out the exact cause/diagnosis.
Doctor : The cause could be an allergic rhinitis/DNS or a possible sinus inflammation.
User : ive tried reflux meds they thought that was why i get mucus irritating my lungs it doesn;t cure me
Doctor : All these conditions are chronic conditions which can be treated either conservatively or surgically.
Doctor : Conservative management with medications is going to be only preventive,
Doctor : a curative treatment may be possible only by surgical means.
User : is that making me nauseous?
Doctor : You can discuss with your ENT surgeon who can throw light on this condition.
Doctor : He'l be the best person to decide if surgical treatment is possible.
User : so the loose bowels are not caused by this?
User : i akso get ths feeling immediately after eating
Doctor : Nausea, loose stools, abdominal discomfort are not related to the previous problem.
Doctor : Multiple conditions can be a cause of this.
User : ok so you don;t see a connection to reflux or stomach?
Doctor : Among the conditions the most common is Irritable bowel syndrome
Doctor : with added symptoms of indigestion and reflux.
User : ct scan confirmed i have sigmoid divertivulosis maybe that?
Doctor : Sigmoid diverticulosis can cause symptoms such as abdominal pains
Doctor : located to the lower part of the abdomen on the left.
Doctor : a occasionally these is diagnosed incidentally in asymptomatic patients.
Doctor : Hence it is difficult to predict if diverticulosis is causing any of your above symptoms.
Doctor : The chances however are insignificant.
User : how do i stay calm in the morning to avoid these retchnig rpisodes? i feel stressed over this
User : retching
User : im beginning to have a phobia about this since its gone on too long
Doctor : you will need dietary and lifestyle modifications along with medications.
Doctor : Antigastritis/antireflux medications such as prilosec OTC, Syp Mucaine gel can be used regularly.
User : is that Mucinex?
Doctor : Apart from this regular diet, good sleep is essential.
Doctor : Mucinex is a expectorant and not antacid.
Doctor : You may ask for antacid syrup or Syp Mucaine gel.
User : what is Syp Mucain gel?
Doctor : It is an antacid syrup.
User : ok so i can ask my doctor for that
Doctor : As the name suggest, it helps in neutralising gastric acids.
Doctor : You can use such syrups at night,
Doctor : they help in preventing reflux symptoms.
Doctor : If these medical treatment, dietary and lifestyle modifications
Doctor : fail to treat the symptoms
User : what about the mucus? anything for that?
Doctor : then you will need upper GI endoscopy
Doctor : and if the reports are significant, then surgery will be the last resort.
Doctor : Throat clearing could be part of the the reflux gastritis.
User : my nasal passages throat and ears feel stuffed
Doctor : Like I mentioned
Doctor : you could be suffering from an ENT problem
Doctor : as well as gastrointestinal problem.
User : and reflux too
Doctor : The symptoms that you have are related to these 2 systems
Doctor : which needs to be evaluated.
User : ok
Doctor : Exact treatment can be suggested only when the cause is found.
User : thank you
Doctor : Hence I suggest that you consider consulting ENT surgeon as well as a gastroenterologist.
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