Get your Health question answered in 3 easy steps

169 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes persistent nausea and pain in left side of sternum?

Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3614 Questions

default
Posted on Tue, 12 Aug 2014 in Liver and Gall Bladder
Question: after blood tests, colonoscopy, endoscopy and upper abdominal cat scan, I am still suffering constant nausea and sometimes pain to the left of my sternum but more to the left just at the rib. I can't take nausea meds because one raised my blood pressure sky high which is normally 117/76. it went as high as 153/88. another pill caused more nausea and terrible vision problems. the doctors I've been to are at a lose. My SED test came back in normal range. I understand that pancreatic problems can go undetected regardless of all the tests. and I experience a fullness in my stomach even when i'm hungry. bloating every night as well. sometimes I look like I am pregnant by the end of the night. I have even changed what I eat to find out if diet is my problem. not.
most of the time I feel relief when I eat something. many nights without sleep because of the constant nausea. this nausea started after a cat scan with contrast 5 months ago. only 2 or three days without nausea in a week's time since. And sometimes the discomfort seems to radiate right through to my back.
doctor
Answered by Dr. Shafi Ullah Khan 3 hours later
Brief Answer:
Need management

Detailed Answer:
Thank you for asking
Chronic nausea has multiple etiologies and they need to be narrowed down by a complete history examination work up and a complete correlation clinically to connect the dots.

Chronic nausea and vomiting are not uncommon in the general population and a careful history and examination are required to eliminate common medical ailments. Small bowel bacterial overgrowth, gastric bile reflux or acid reflux are frequent benign causes of nausea, vomiting and retching after cancer treatment.Metabolic causes such as hyperglycaemia, hypercalcaemia, renal impairment, and Addison's disease need to be excluded. Gastroparesis and slow upper GI transit can exacerbate symptoms. Oesophageal motility disorders such as diffuse oesophageal spasm or ineffective motility can develop. Oesophageal strictures are another important cause.
From your calculated history it seems like a gastric discomfort most likely a reflux and ibs issues and gastroparesis causing this nausea and that XXXXXXX you took might have played a role as a trigger. Bloating and flatulence and pain hypochondriac referring to back all point to gastrointestinal issues I mentioned as a likely cause.such dyes can also induce pancreatic infection and pain radiating back might keep that as a differential and that needs a complete liver and pancreatic profile for surety.
Diet and lifestyle modifications and use of antacids like proton pump inhibitors for the relief of reflux or gastric discomfort ks mandatory.
Seek a gastroenterologist for further guidance.
To me the best odds are reflux and acidic discomfort and pancreatitis. Needs a complete clinical correlation to confirm.
I hope it helps. Take good care of yourself and don't forget to close the discussion please.
May the odds be ever in your favour.
Regards XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Procedures
Medical Topics

Recent questions on  Gastroesophageal reflux disease

doctor1 MD

Hi, during the past two years there are periods were i get heart palpitations, my left arm starts to hurt and numb and this goes up through the left hand side of my neck as well.. my chest starts to feel heavy, as well as my head. It lasts for about 3-5 minutes, and sometimes the pain in my arm lingers a bit.. it's happened about 5 times in the past 2 years, i think all times it has been after i've eaten something.. i'm not sure if it's serious, or if its just something like acid reflux? would be great to get an opinion...

doctor1 MD

Hi

I have had for two months now stomach upper pain wind and acid reflux although the reflux has been there for much longer. Also at the same time i have noticed penis sores under the hood. The last sexual partner was two months prior no symptoms before this time?



Thanks

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here... i have a small hiatal hernia and i also had my gallbladder removed two months ago i have never had so much acid reflux as i do now no medication seems to be helping me at all i tried them all. i also have naussa and and somtimes a stomach ache and diarrhea four days a week i had mrs cat scans they found nothin wrong with me can i have some other type of infection help what can i do now. sandy

doctor1 MD

Hi. I am a 35 years old female. I don't exercise at all, i smoke but very actively working as a sales rep that sees clients at different places. I recently lost 40 pounds dieting alone within a year. Late this year, i experienced acid reflux too. After that, i began having palpitations, breathlessness (occassional and short) and nausea. The nausea one time took me a week getting over. I had ekg done, 78bpm is the result. I had blood tests and urinalysis done, cleared. I am a panicky person and a worrier too. What is wrong with me?

doctor1 MD

I had and was treated for strep. It has been a month, and I still have a lingering cough . Why is the cough hanging on? Have you had similar inquiries from other people?

doctor1 MD

Pain on left upper side of chest, out of breath, sweating in cold room, extremely fatigued and acid reflux .

doctor1 MD

HI, I seem to have a chest cold - in the morning a lot of mucus some yellow and Greene. then during the day a lot of dry cough . Now at night feel tight chest but can't cough anything out, but feel like something is there. so now the cough is dry....