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Nauseas and stomach pain and feeling lightheaded. Went to ER…

Nauseas and stomach pain...

Nauseas and stomach pain and feeling lightheaded. Went to ER last night & they ran blood work urinalysis said everything normal sent me home this am. My primary provider & gastro both away.

Doctor's Assistant: How long have you been in pain? Are you experiencing any vomiting or nausea?

No vomiting yet but it feels like I could. They suspected diverticulitis 2 weeks ago but ctscan & bloodworm cbc shows no infection.

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

This has been going on for 2-3 weeks. The ER said they don't know what the cause is. Want me to see another GP tomorrow.

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Customer reply replied 4 months ago
I’ve had ctscan abdominal which showed nothing abnormal, CBC all within normal range - Hospital ER last night ran all kinds of blood work & urinalysis & EKG - nothing came up. Cramps left side of navel with nausea & heartburn.
Customer reply replied 4 months ago
Seems like my only choice is go back to the ER even though they sent me home and found nothing.
Customer reply replied 4 months ago
Feel like crap and don’t know what to do.
Customer reply replied 4 months ago
Any response coming?
Customer reply replied 4 months ago
It’s been over an hour. This is urgent so please answer.
Answered in 1 hour by:
3/29/2018
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 39,143
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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I am sorry that your question was unanswered for very long.

I just came online and saw it.

What is your age?

What did your upper GI endoscopy and colonoscopy show?

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Customer reply replied 4 months ago
72. I haven’t had one yet I’m trying to schedule. So far only ctscan,CBC, abdominal X-ray - all of which showed nothing. I know I need both upper and lower. My last colonoscopy was in 2010 and clean, my upper endoscopy was clean in 2013.

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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Your symptoms can be due to;

1) Non functioning or poorly functioning gall bladder (if not already removed); An HIDA scan is done for it.

2) Small intestine diverticulosis. Antibiotics, liquid diet and Probiotics would help.

3) Bacterial overgrowth syndrome. The diagnosis can be achieved by;

a) Hydrogen breath test

b) Bile acid breath test

c) Xylose breath test

d) Stool test.

You may also get a colonoscopy and upper GI endoscopy for the evaluation, as we had discussed and you mentioned too.

Small intestinal diverticulosis / diverticulitis though not common may also be the possibility. Subacute intestinal obstruction, irritable bowel syndrome may also be looked in to the possibilities.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Treatment is by rifaximin which eradicates bowel overgrowth syndrome.

Probiotics too may help.

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Customer reply replied 4 months ago
Thank you

You are very welcome.

Wishing you a speedy recovery.

" I sincerely hope that I have helped you, and that I have earned my 5 star rating today! Please remember to rate my service by selecting the 5 stars at the top of the screen ( rating me now does not close your question). We can continue here until you are satisfied, simply use the reply box and let me know. Thank you!”.

Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 39,143
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified
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Customer reply replied 4 months ago
Thank you. I agree with your comments. My problem is that my primary care provider left on vacation and I’m trying to get in to see his cover doctor so maybe I can get a referral to another gastro Doctor. My gastro Doctor is back Friday & he’s booked solid. The hospital basically said they’ve run all blood tests which came back normal so they discharged me this AM.

The key to diagnosis is further work up in your case.

I can understand that your problem is significant and urgent. This needs an early resolution.

Wishing you all the very best in life.

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