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I'm super nauseated and have gotten no relief. I can not…

Customer Question
I'm super nauseated and...

I'm super nauseated and have gotten no relief. I can not function this sickness overtakes me no matter how hard I try

Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?

No I haven't. and right not I'm take 100mg every night of amitriptyline for migraines. last time this happened was Christmas eve

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

Yes it was daily and all day long through sleeping and being awake for two months before I got a neurologist doctor who prescribed it. I've done tums the melting ones

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

Well I'm also on birth control

Submitted: 6 months ago.Category: Medical
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Answered in 6 hours by:
1/6/2018
Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 38,730
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Welcome to Just Answer.
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 6 months ago

I just came online and saw your question unanswered for long.

Were any investigations done for nausea?

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Customer reply replied 6 months ago
no
Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago

Thanks for the additional information. I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

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Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago

The causes of nausea are iatrogenic (doctor induced like medicines), toxic, or infectious causes; gastrointestinal disorders; and central nervous system or psychiatric conditions. Following are the main 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. 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 6 months ago

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