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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Nausea

I ve had nausea for 4 days, which started on the day I got my period. My period was 2 weeks late. I m hungry but I m hesitant to eat as I don t want to throw up. It feels like there s a lump at the back of my throat, almost as if there s food stuck there. My stomach also feels a little uneasy. My BP and temperature are normal. Is this related to my late period or does this sound like a stomach bug?
Thu, 14 Nov 2019
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General & Family Physician,  's  Response
Hello,

In my opinion, the nausea is due to secondary cause. This means, there is need of proper investigation of the other pathologies, if any. First, there is need to investigate the lump in the throat. Then, if it is negative, then, we can go for abnormalities or symptoms of menstruation. May be both the conditions are present. So, before I declare anything, there is need to investigate.
The following tests to be done:

1. Endoscopy for proper exposure of the lump, if any.
2. Complete Blood Tests
3. Blood level of Estrogen and Progesterone on the Day 2 of your next menstrual cycle.
4. Thyroid Function Tests (T3, T4, TSH)

Meanwhile, you can also take the following medications:
1. For nausea, Ondansetron or Promethazine

I would also like to know:
1. Your menstrual history like how was the pattern of menstruation in the last few months.
2. Is there any pain other than bleeding days and during the bleeding days, how much is the pain?
3. How much bleeding occurs due to the bleeding days?

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dipan Samanta, General & Family Physician
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Suggest Treatment For Persistent Nausea

Hello, In my opinion, the nausea is due to secondary cause. This means, there is need of proper investigation of the other pathologies, if any. First, there is need to investigate the lump in the throat. Then, if it is negative, then, we can go for abnormalities or symptoms of menstruation. May be both the conditions are present. So, before I declare anything, there is need to investigate. The following tests to be done: 1. Endoscopy for proper exposure of the lump, if any. 2. Complete Blood Tests 3. Blood level of Estrogen and Progesterone on the Day 2 of your next menstrual cycle. 4. Thyroid Function Tests (T3, T4, TSH) Meanwhile, you can also take the following medications: 1. For nausea, Ondansetron or Promethazine I would also like to know: 1. Your menstrual history like how was the pattern of menstruation in the last few months. 2. Is there any pain other than bleeding days and during the bleeding days, how much is the pain? 3. How much bleeding occurs due to the bleeding days? Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dipan Samanta, General & Family Physician