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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Nausea And Hot Flashes?

I have constant and chronic nausea for about a month or more. I am also very tired all the time and having hot flashes. I am in menopause and had a small ulcer last year. I have chronic migraines but having the nausea both with and without the migraines. It is worse in the morning and gets better through out the day but still there.
Mon, 21 Jul 2014
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Psychiatrist 's  Response
HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MGIC.
YOUR CLINICAL HISTORY IS VERY MUCH SUGGESTIVE OF POST MENOPAUSAL SYMPTOMS DUE TO ESTROGEN DEFICIENCY.THIS SYNDROME REQUIRES TREATMENT WITH "HORMONE REPLACEMNET THERAPY"IT CAN OFFER PROTECTION AGAINST THESE POSTMENOPAUSAL SYMPTOMS.OTHER DRUGS WHICH CAN BE USEFUL IS RALOXIFENE,DESVENLAFAXINE.IN POSTMENOPAUSAL STATE ADEQUATE CALCIUM AND VITAMIN D INTAKE IS NECESSARY.I PRESCRIBE CALCIMAX ISO 1 TAB /DAY.HRT CAN ALSO IMPROVE NAUSEA AND FATIGUE.MIGRANIOUS HEADACHES CAN BE TREATED WITH A SPECIAL GROUP OF DRUGS CALLED "TRIPTANS" EX SUMA TRIPTAN.AVOID CHOCHOLATE AND GLARE.GET TESTED FOR BONE MINERAL DENSITY ON YEARLY BASIS.TOPICAL VAGINAL CREAMS CAN BE HELPFUL.CONSULT EXPERT GYNAECOLOGIST FOR FURTHER HELP.
THANK YOU.
TAKE CARE.
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What Causes Chronic Nausea And Hot Flashes?

HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MGIC. YOUR CLINICAL HISTORY IS VERY MUCH SUGGESTIVE OF POST MENOPAUSAL SYMPTOMS DUE TO ESTROGEN DEFICIENCY.THIS SYNDROME REQUIRES TREATMENT WITH HORMONE REPLACEMNET THERAPY IT CAN OFFER PROTECTION AGAINST THESE POSTMENOPAUSAL SYMPTOMS.OTHER DRUGS WHICH CAN BE USEFUL IS RALOXIFENE,DESVENLAFAXINE.IN POSTMENOPAUSAL STATE ADEQUATE CALCIUM AND VITAMIN D INTAKE IS NECESSARY.I PRESCRIBE CALCIMAX ISO 1 TAB /DAY.HRT CAN ALSO IMPROVE NAUSEA AND FATIGUE.MIGRANIOUS HEADACHES CAN BE TREATED WITH A SPECIAL GROUP OF DRUGS CALLED TRIPTANS EX SUMA TRIPTAN.AVOID CHOCHOLATE AND GLARE.GET TESTED FOR BONE MINERAL DENSITY ON YEARLY BASIS.TOPICAL VAGINAL CREAMS CAN BE HELPFUL.CONSULT EXPERT GYNAECOLOGIST FOR FURTHER HELP. THANK YOU. TAKE CARE.