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I am 64 year old and have been having daily nausea that last…

Customer Question
I am 64 year...

I am 64 year old and have been having daily nausea that last all day and is often accompanied by a headache.

Doctor's Assistant: Is the headache episodic or daily? And what about nausea?

The headache is apisodic but the nausea is at leat 12 hours every day

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

. I have tried zofran but with little relief

Submitted: 7 months ago.Category: Medical
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Answered in 2 hours by:
12/9/2017
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 38,731
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

Your nausea and headache need to be investigated. Following can be the causes;

A. Central nervous system

1) Migraine

2) Space occupying lesion in brain (Mass lesion)

3) Labyrinthitis

4) Ménière's disease

5) Pseudotumor cerebri

B. Gastrointestinal symptoms;

1) Gastroparesis

2) Irritable bowel syndrome

3) Non ulcer dyspepsia

4) Peptic ulcer disease

5) Cholecystitis/cholangitis (gall bladder problems)

6) Hepatitis (liver inflammation)

C. Hormonal

1) Thyroid disorders

2) Diabetes

3) Adrenal disorders

D. Psychiatry disorders

1) Anxiety

2) Depression

3) Conversion disorders

E. Infections.

Chronic nausea is usually a pathologic response to any of a variety of conditions. Gastrointestinal etiologies include obstruction, functional disorders, and organic diseases. Central nervous system etiologies are primarily related to conditions that increase intracranial pressure, and typically cause other neurologic signs.

Numerous metabolic abnormalities and psychiatric diagnoses also may cause nausea and headache. Evaluation should then turn to identifying the underlying cause and providing specific therapies. When the cause cannot be determined, empiric therapy with an anti vomiting (antiemetic) medication is appropriate. Initial diagnostic testing should generally be done by basic laboratory tests and plain radiography. Further testing, such as upper endoscopy or computed tomography of the abdomen, should be determined by clinical suspicion based on a complete history and physical examination.

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Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

Please contact Just Answer support which is round the clock service.

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