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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Treatment For Gastric Problem With Nausea

Build-up of air in the bowel has me worried. It started with some nausea. But the last to weeks 4or 5 hours after eating breakfast nausea begins. Sometime the accumulation of gas is so strong that I vomit. Expelling a lot of air through my mouth. I take Ranitidine ,Lozartan Pot., Metoprolol in the morning 30 min. apart. Could medication be the culprit? It makes me listless and because nausea goes awey when I stretch out I nap alot Food is not eaten till 5 or 6 pm. No appetite. Glimepiride Januvia Ataravastatin Amlopidine is taken while eating and after. The Nausea is minimal
Tue, 15 Nov 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history of built up of air in bowel, started with some nausea but now nausea begins 4-5 hours after breakfast, accumulation of gas can lead to vomiting with lots of air from mouth. Takes Ranitidine ,Lozartan Pot., Metoprolol in the morning 30 min apart, also take Glimepiride Januvia Ataravastatin Amlopidine is taken while eating and after. wants to know whether medicines cause this problem.
As per the history you have provided, this looks to be aerophagia and the commonest cause is anxiety and/or stress.
I would advise you the following:
Continue your medicines individually and see if any of these is causing the problems.
Try to identify the foods and beverages that instigate or enhance your problems and stop them altogether.
Stop aerated drinks, nuts, outside food.
Take a PPI like Omeprazole,
Domperidone to cover up nausea and vomiting as acts as prokinetic.
Antacids every three hours.
If no relief, get an upper GI Endoscopy and an opinion of a Gastroenterologist ...
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Need Treatment For Gastric Problem With Nausea

Hi. Thanks for your query. Noted the history of built up of air in bowel, started with some nausea but now nausea begins 4-5 hours after breakfast, accumulation of gas can lead to vomiting with lots of air from mouth. Takes Ranitidine ,Lozartan Pot., Metoprolol in the morning 30 min apart, also take Glimepiride Januvia Ataravastatin Amlopidine is taken while eating and after. wants to know whether medicines cause this problem. As per the history you have provided, this looks to be aerophagia and the commonest cause is anxiety and/or stress. I would advise you the following: Continue your medicines individually and see if any of these is causing the problems. Try to identify the foods and beverages that instigate or enhance your problems and stop them altogether. Stop aerated drinks, nuts, outside food. Take a PPI like Omeprazole, Domperidone to cover up nausea and vomiting as acts as prokinetic. Antacids every three hours. If no relief, get an upper GI Endoscopy and an opinion of a Gastroenterologist ...