Question: Hello Dr. Saha, this is Rosemarie Raia again, I spoke to you last month. I have been having the problem with the nausea and dizziness. The dizziness has subsided but the nausea persists. I am not taking the omeprazole because a lot of its side effects are dizziness, irregular heartbeat, and other things. I have developed a very dry mouth and went to the dentist. He referred me to a dental surgeon. I recently found out from a dental surgeon that my salivary glands are not making saliva. She wants me to get a ear nose and throat evaluation for the lack of saliva. Could that cause the nausea? My family doctor, who is in the office one day a week, keeps pushing the upper endoscopy the thought of which scares me to death. The GI doctor also keeps suggesting it. As you know I had the upper GI barium swallow which showed a few tertiary esophageal contractions and mild esophageal spasm, small hiatal hernia, trace to mild esophageal reflux and a mildly thickened gastric mucosal fold pattern. Could any of these cause the nausea when I eat? I have not tried the Metamucil and am not taking the omeprazole because I was afraid it was causing the dizziness. I have not had it since I stopped taking it. I am still in distress and I need your help. After I rated you, they closed our session so I am asking for your help again. Please answer as soon as possible. Thank you.

Doctor, in your original reply you said that our gastrointestinal tract has a forward movement. If this
movement gets hampered, food and digestive juices would stagnate,stomach acid reflux into the food pipe and bowel habits would not be proper. How does the food get hampered? You also said you felt I had gastritis or gastroesophageal reflux which the Upper GI barrium swallow confirmed. Also, if i take the Metamucil, should I take it every day or just when constipated? I asked earlier about a problem I am having with dry mouth and the dental surgeon said my salivary glands were not producing saliva. Would that have anything to do with using fluticasone for nasal drip and using a cpap machine for sleep apnea?

I just need the courage to make the appointment. I had it set and then cancelled it. I need to get over my fear. Thank you again. If you have any suggestions about how I can calm down and get through this, I would appreciate it.

My neurologist wants to put me on Cymbalta. What do you think about that compared to the medicine you suggested fluxodine? Are they both antidepressants? I am now taking zanax .25 mg. half in am an half in pm.
If this test is to be scheduled soon I will need something. Can I take the xanax at the same time as the cymbalta or fluxodine? How long does it take to start working. Please answer as soon as you can.

What dod you think of Ativan for me?

Dr. Saha, in the beginning of our first discussion in August, you said that you did not think the upper endoscopy would show anything. Why are you now saying to do it? Please answer as soon as possible.

Dr. Saha, I am feeling very weak and nervous. I did not take the half of a .25 xanax today because on the side effects it says danger of suicide. Now I am afraid to take it. I also am afraid to take the omeprazole because it has side effects of dizziness, upset stomach, weight loss, not hungry, weakness muscle cramps etc, all of which I have. I have lost 13 pounds since July because of the nausea and not eating much because I am not hungry. I need some help soon. Please answer soon. Is there an antianxiety medicine that does not have the suicidal warning?

I dont want to take that test but I am not getting better. What should I do for the hiatal hernia? What should I eat or not eat. Why am I not hungry?

I had hot prune juice a few days ago and had a diaherra that night. Would not that have made all feces come out? If the movement was hampered,
and the food and digestive juices stagnate would I still have the nausea?

Dr. Saha, if I take the Metamucil and eat the fiber foods you suggested, how long would it take before my nausea goes away. I am very weak from not eating much. I take the Zofran for the nausea but it does not take the fullness away from me and I still cannot eat much. The nausea is not as bad as it was but I have a feeling of fullness like as if I already ate a meal but did not. I do drink water. I ask for a answer soon because I am getting pressured from my family to get the endoscopy and I am tired of being sick. This has been going on since July 10.

Dr., if this was Schatzki's ring, would that show up on a barium swallow upper g. i .
I told my g. i. doctor that I was afraid of the omeprazole. She told me to take a Zantac, 300 mg. in the morning and one at night. isn't that too much. She also told me to take Miralax because I told her I was concerned about the choking hazard on the Metamucil. The Miralax which I bought tonight says not to take for more than 7 days. If I had cancer would it have showed up on the upper g.i.? What does the Omeprazole do and what does the Zantac do? How do I know if I am making enough stomach acid? or too much? Thank you again for your answer.

Dr. You did not address the question of the Schatzki's ring.