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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nausea And Weight Loss With HIDA Ultrasound?

I had a HIDA scan which they had me drink Ensure. The scan showed normal filling and 68% emptying however they did say that it was slow draining to the small bowel. I know this can be a nomal variant in some but I have been quite sick and have lost over 30lbs without trying. I had a clear ultrasound Symptoms are: -Nausea -weight loss -Initial onset was sudden accompanied by a fever of 101 which would come on every day for a week around 3pm -Initial onset produced 2 white stools and now they havent been the same since. Light in color, foul, undigested and floating, when I eat fat containing meal such as pork. -Dry cough -constant heartburn with clean diet -indigestion -loss of appetite -intermittent fullness and pain under right rib and at the xphiod I would appreciate your advise and insight!
Fri, 26 Jun 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,

All this symptoms (delayed gastric emptying) could be because of acute gastritis which could be of helicobacter pylori infection or acute gastroenteritis in which nausea, fever or indigestion can be seen.

As you had already undergone HID scan and possibly all other routine investigations but there could be requirement of upper gastrointestinal endoscopy to see the interior of the stomach.

You should be given antibiotics (quinolones with antiprotozoals), antipyretics,antacids(pantoprazole or rabeprazole) with prebiotics and prebiotics to restore stomach flora and motility.

Consult gastroenterologist for complete treatment.
Regards,
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What Causes Nausea And Weight Loss With HIDA Ultrasound?

Hi, Welcome to health care magic, All this symptoms (delayed gastric emptying) could be because of acute gastritis which could be of helicobacter pylori infection or acute gastroenteritis in which nausea, fever or indigestion can be seen. As you had already undergone HID scan and possibly all other routine investigations but there could be requirement of upper gastrointestinal endoscopy to see the interior of the stomach. You should be given antibiotics (quinolones with antiprotozoals), antipyretics,antacids(pantoprazole or rabeprazole) with prebiotics and prebiotics to restore stomach flora and motility. Consult gastroenterologist for complete treatment. Regards,