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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nausea Along With Abdominal Cramps And Fatigue?

I haven t been feeling well for about 3 weeks. I have nausea that I can not get rid of. Sometimes I have cramping in my belly. I am tired . I had a colonoscopy last year and they found an ulcer and I experienced some pain with that. The Gastro Dr. Said he thought it might be an ileus at first. I have been taking Pantaprozole but it is not helping and nothing I eat or drink seems to make any difference. No fever, no vomiting,
Tue, 29 May 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

We will try to help you in best way possible. First of all it's sad to know what you had been going through lately. Based on the history you have shared, though symptoms match with inflammatory bowel syndrome but it can alsobe related to ulcer as you mentioned and a repeat endoscopy may be needed. For other symptoms meanwhile motility agents like domperidone or itapride before meals can be used alongwith continued antacids like omperazole etc. A baseline blood work up alongwith TTG antibodies and stool for occult blood as well as stool antigen for H pylori may also be needed.

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

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What Causes Nausea Along With Abdominal Cramps And Fatigue?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. We will try to help you in best way possible. First of all it s sad to know what you had been going through lately. Based on the history you have shared, though symptoms match with inflammatory bowel syndrome but it can alsobe related to ulcer as you mentioned and a repeat endoscopy may be needed. For other symptoms meanwhile motility agents like domperidone or itapride before meals can be used alongwith continued antacids like omperazole etc. A baseline blood work up alongwith TTG antibodies and stool for occult blood as well as stool antigen for H pylori may also be needed. Hope I have answered your query. Let me know if I can assist you further.