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Pauline, Doctor (MD)
Category: Health
Satisfied Customers: 8631
Experience:  Medical Doctor & Registered Pharmacist. Worked as Community pharmacist for 17 years.
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severe nausea on awakening which is eased by getting up

Resolved Question:

severe nausea on awakening which is eased by getting up
Submitted: 7 years ago.
Category: Health
Expert:  Pauline replied 7 years ago.

Hello, how long have you had the problem?

Have you had any tests?

What dose of omeprazole do you take? How long for?

Do you take any other medication?

Any other symptoms?

Customer: replied 7 years ago.
a few weeks,also numbness and tingling fingers and toes.Sometimes feeling of inbalance.No tests. 20mg for 5days now .blood pressure medication 5mg emconcor plus coaproval which I have taken for 2 years
Expert:  Pauline replied 7 years ago.

Does the world feel like it is moving around you?

Any problems with your gait?

Tell me about the pattern of numbness and tingling?


Have you had any viruses or other infections recently?

Customer: replied 7 years ago.
no spinning ,just inbalance.sometimes feel imbalance mostly when walking but notallthe viruses .sometimes n&t improves with exercise
Expert:  Pauline replied 7 years ago.

Thanks for the extra information. The first thing is to have a neurological examination to ensure that the numbness and tingling and imbalance problems are not related. Very rarely a post viral condition can cause a problem like this. It will also clarify if there is an underlying vestibular problem, that means whether there is a problem with the inner ear causing the imbalance and that in itself can cause nausea.


The fact that the nausea gets better once you are upright might be linked to a positional vertigo.


However it is entirely possible that the nausea is related to a reflux issue, and the omeprazole should help with that although it is still early days. I would suggest taking the omeprazole at bedtime and raising the head of the bed slightly to see if that improves matters.


Do avoid alcohol and try not to eat a heavy meal too late at night.


So make an appointment after the holiday weekend for a full examination.


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