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What Causes Back Pain And Nausea?

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Posted on Tue, 30 Sep 2014
Question: Ruq and back pain with nausea off and for 6 mos. Sometimes nausea is debilitating and cannot eat. CT scan neg, gastric emptying study neg. SIBO. Pos. was treated but symptoms remain. EGD showed GERD and was treated with no improvement in symptoms. H pylori, celiac neg. gallbladder removed yrs ago. What else would you recommend?
doctor
Answered by Dr. Nishad BN (4 hours later)
Brief Answer:
Gastroesophageal reflux

Detailed Answer:
Hi
Thank you for asking health caremagic forum.
I have gone through your query. Your nausea and back pain is most likely due to Gastroesophageal reflux. I usually give long term treatment for my patients. I give combination of proton pump inhibitors like rabeperazole and anti emetic domperidone as sustained release preparation for long term like 1 month to 2 months .Those who not improve with this duration i continue with same treatment.
Antireflux surgery is advised in those who are not getting relief of symptoms and worsening. But the surgery is not so effective in everyone. For some proton pump therapy is needed to continue further.
Lifestyle modification can be helpful for you. Avoid heavy meals. Keep an upright posture till food is digested.Don't lie down before 3 hours folfollowing food intake. Try to avoid fatty foods pickles alcohol and chocolate. Hope this may help you.
Let me know if you have any follow up or further queries. I am happy to help you.
Thanks
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Nishad BN (10 hours later)
I had taken omeprazole for some time and did not help. Can reflux be so bad that it is debilitating? Could there be another disease process going on? Like cancer? On days that I am nauseated I can do nothing, eat very little. I feel there is something more serious going on that docs cannot find. Should I get another CT scan? Thanks for your answer.
doctor
Answered by Dr. Nishad BN (12 minutes later)
Brief Answer:
Gastroesophageal reflux and associated problems.

Detailed Answer:
Hi
Thank you for your follow up query.

Long term Gastroesophageal reflux can cause Barret esophagus and ulcers which in some cases go into cancers. It can be ruled out by doing fibrogastroduodenoscopy and biopsies if necessary.

Presence of ulcers can cause various clinical presentation like backpain nausea and abdominal discomfort and pain. In such case pain associated with hunger and early morning pain or night pain is characteristic. In such case i advise sucralfate syrup or tablet before food intake.

In long standing ulcers like in location of duodenum a pancreatitis can be suspected also which also gives a belt like radiating pain to back. In such case an ultrasound examination of abdomen can rule out.

Hope this may help you. Let me know if you have any follow up or further queries.
I am happy to help you.
Thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5477 Questions

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What Causes Back Pain And Nausea?

Brief Answer: Gastroesophageal reflux Detailed Answer: Hi Thank you for asking health caremagic forum. I have gone through your query. Your nausea and back pain is most likely due to Gastroesophageal reflux. I usually give long term treatment for my patients. I give combination of proton pump inhibitors like rabeperazole and anti emetic domperidone as sustained release preparation for long term like 1 month to 2 months .Those who not improve with this duration i continue with same treatment. Antireflux surgery is advised in those who are not getting relief of symptoms and worsening. But the surgery is not so effective in everyone. For some proton pump therapy is needed to continue further. Lifestyle modification can be helpful for you. Avoid heavy meals. Keep an upright posture till food is digested.Don't lie down before 3 hours folfollowing food intake. Try to avoid fatty foods pickles alcohol and chocolate. Hope this may help you. Let me know if you have any follow up or further queries. I am happy to help you. Thanks