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swtpeach
Regular Member


Date Joined Sep 2007
Total Posts : 25
   Posted 9/3/2007 10:10 PM (GMT -7)   
Hello everyone~
I am a 35 yr old female who has recently been diagnosed with IBS. The thing is I am not that comfortable with the diagnosis. Here is a bit of background. I have dealth with nausea a good part of my life. I remember as a child complaining of stomach aches. My mother took me to the doctor who  ordered a upper GI x ray. Everything came back normal. I have had 2 more as an adult and again with normal results. I have had several doctors say I have a "nervous stomach".
 
Just recently I have pretty much gotten to the end of my rope and made an appt with my PCP. She and I both thought it was my gall bladder (also having a dull ache under my right rib cage) but after the sono and HIDA scan came back normal she referred me to a GI doctor.
 
I had a colonoscopy and upper EGD last week and both came back normal. Hence the IBS diagnosis.
He prescribed Paxil CR and after taking it for a few days and feeling worse (and reading about the side effects and how hard it is to get off this SSRI) I am on the fence with whether to continue. Has anyone taken this for IBS? Does it work? What about Wellbutrin? Also, does anyone else suffer from nausea and not so much the lower abdominal stuff? Thanks!

Erin

Canyonbabe711
Veteran Member


Date Joined Mar 2006
Total Posts : 1451
   Posted 9/3/2007 10:29 PM (GMT -7)   
My friend took it but it made her so sleepy that she had to go off it. It did work but she seems to be better now. Nausea is terrible. I had it on and off for a couple years. No idea why but it is not one of the more common things with IBS. I took ginger capsules for it and it worked very well. Now, it has gone away and I believe the Probiotics got everything back in order. Unfortunatly going thru and acid problem now but this is totally different. I didn't have the lower stuff either. IBS is usually what they diagnose when nothing else shows up. It is a functional problem, not really a physical one.

Sarita
Veteran Member


Date Joined Mar 2005
Total Posts : 2486
   Posted 9/3/2007 11:21 PM (GMT -7)   

It's really hard to say whether the Paxil (an SSRI) will have any effect on your nauesa.  Sometimes tricyclic antidepressants (like Elavil) and benzodiazapenes (like Ativan) are prescribed for chronic nausea, but I haven't heard of an SSRI being used.  Doesn't mean it's not worth a try, though...chronic nausea must be totally miserable.  I'd try anything if I had it.

I assume you've had routine bloodwork done?  Was anything at all abnormal on your bloodwork?  Have you had your liver and pancreatic enzymes checked?  One thing you might want to ask about is gastroparesis, which is delayed emptying of the stomach.  This can account for chronic nausea and can be detected with a gastric emptying study. 

In the meantime, you might try eating smaller, more frequent meals that are low in fiber and low in fat.  A few cups of ginger or peppermint tea each day might be worth a shot.  If it's really bugging you, ask your doc for a script for something like Reglan or Zofran for the times it's debilitating.

Good luck and let us know how you fare!

 


Co-moderator - IBS Forum


shelly1979
Regular Member


Date Joined May 2006
Total Posts : 164
   Posted 9/4/2007 4:41 AM (GMT -7)   
My Dr. put me on Wellbutrin and it made me feel crazy.  I got off of it very quickly.
shelly:)

gutastrophe
Regular Member


Date Joined Jul 2007
Total Posts : 319
   Posted 9/4/2007 8:58 AM (GMT -7)   
shelly1979 said...
My Dr. put me on Wellbutrin and it made me feel crazy.  I got off of it very quickly.
shelly:)
Same here!

swtpeach
Regular Member


Date Joined Sep 2007
Total Posts : 25
   Posted 9/4/2007 1:49 PM (GMT -7)   
Hi Sarita~
I have called my GI back to find out my other options on meds. I am simply not crazy about taking the Paxil. I did take Lexapro for mood swings in the past and still had the nausea. Funny thing is sometimes I can go weeks to months with no or very little nausea and at times I have it daily. Very frustrating.
 
As far as blood work, I have had plenty! Though I am not sure if liver or pancreatic enzymes were checked. Actually looking at the copies I see BUN and Biliribun so I assume so. The only thing off on my blood work was my white blood cell count. I was at 12.0, so slightly elevated. I do not feel poorly so I have no idea why the WBC was raised (my absolute neutrophils were 9072).
 
As far as the gastroparesis, I really don't have chronic (as in every day) nausea so I am not sure that is the problem. I also do not feel sick after eating or have early saitey. It is more like random nausea, more so being at night.
 
I am pretty much at my wits end. I am sick of feeling sick at my stomach and sooo ready to feel better. Maddening.

Canyonbabe711
Veteran Member


Date Joined Mar 2006
Total Posts : 1451
   Posted 9/4/2007 2:41 PM (GMT -7)   
I wouldn't be to concerned about the WBC as that could indicate even something like an allergy or inflammation and can certainly vary day to day. I hope you find a solution soon. I would try the ginger for nausea. It works fast and is cheap. Even ginger snaps work. Peppermint makes the stomach feel better but will cause acid reflux so be careful with that as the nausea could be from too much acid.
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