Hello,

Thanks for posting your query.

Given your history of 2 back surgeries and now shaking of legs after coughing, any spinal cord pathology needs to be ruled out and you need to get a MRI spine done.

Moreover since you are having nausea, vomiting and unintentional weight loss, other causes like diabetes, liver and gastrointestinal causes and some forms of malignancy should also be ruled out. Hence you should consult a physician and get these causes ruled out.

Secondly chronic nausea and vomiting can cause loss of appetite and weight and can cause electrolyte imbalance which in turn can cause weakness, fainting as well as shaking of legs and fatigue.

Hence you should get your electrolyte levels checked. For now, drink plenty of water to detoxify the body. The BRAT diet (ie, bananas, rice, applesauce, toast) or soft easily digestible semisolid diet can also be taken. Also take an antacid or a H2 blocker like Rantac or a PPI inhibitor drug like Omeprazole after consulting your doctor.

Further, avoid eating any junk food or oily, spicy food. Take a healthy, balanced and nutritious diet consisting more of fruits, salads, soups and raw vegetables (after proper washing). Also increase the protein content in your diet instead of carbohydrates and fats. An advice from a dietitian will be helpful.

Try raising the head end of your bed by at least two blocks and take your meals 2 hrs prior to bedtime. Also avoid taking two or three heavy meals. Instead, take regular frequent small meals. Avoid taking tea or coffee prior to bedtime and concentrate more on a healthy diet.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you a good health.

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Hello,

Thanks for writing back.

If the fusion of the vertebra or side effects of the surgery are causing any neurological compression then they can cause the symptoms that you are going through. Only an MRI of the spine can actually help in finding the underlying cause.

An MRI of head is still required even if CT is normal for MRI is a much more sensitive test to pick up any minimal lesions of the brain. If you are having chronic nausea and vomiting since many years and now there is recent weight loss, so any neurological pathology or intracranial space occupying lesion pressing on the vomiting centre need to be ruled out as well.

Chronic nausea and vomiting may be due to chronic gastritis.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us.

I will be happy to answer your queries.

Wishing you a good health.

Regards,

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