Nausea from acid reflux

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meg1227
New Member


Date Joined Apr 2011
Total Posts : 7
   Posted 5/4/2011 2:43 PM (GMT -6)   
Is it possible to have acid reflux and not have burning.  I have been dealing with nausea for 10 months.  I had a cat scan and endoscopy and they were both normal.  I get nausea mostly in the morning.  If I drink OJ, coffee, tomato juice it gets really bad.  Chocolate also upsets my stomach.  I have mostly eliminated these trigger foods but I will still get nauseous.  I have tried prilosec and nexium and did not like the side effects.  I have been taking OTC prevacid for two weeks and it has seemed to help.  Any advice would be appreciated. Thanks

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 12135
   Posted 5/4/2011 4:21 PM (GMT -6)   
It's possible. Are you seeing a gastroentrologist?
Joy

dencha
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Date Joined Feb 2009
Total Posts : 6889
   Posted 5/4/2011 7:21 PM (GMT -6)   
Hi meg1227,
Welcome to Healing Well! I second Joy's question...have you seen a GI specialist? If you're suffering you should try to find the cause and a solution. There are many kinds of PPI's, and a GI doc will help you discover one that works for you.

Yes, nausea can be a problem associated with GERD, and yes you can have "silent GERD" without heartburn sensations. Your triggers are certainly typical of GERD.

I hope you feel better soon!
Denise

babygirl10150
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Date Joined Jul 2006
Total Posts : 636
   Posted 5/4/2011 10:51 PM (GMT -6)   
My main symptom is severe nausea. I don't get the burning most of the time but I get chest pressure, fullness, and bloating. The PPIs helped for a while but my GI prescribed reglan but it's not recommended to take longer than 3 months because of the side effects. He switched me to domperidone. It didn't really help until they doubled my dosage. It's not FDA approved in the states so insurance doesn't cover it and it can be expensive, over $1 a capsule. But I'm willing to pay for it if it helps. My nausea would come in waves all day. It got so bad I would have to sit in the bathroom waiting to get sick for hours after I ate even a bite. There are several nausea medications you can try if your dr will prescribe them.
Michelle

~Nissen redo again 12/13/10~
~Nissen redo 05/10/10~
~Nissen 12/14/09~
~Colostomy 07/30/06~

meg1227
New Member


Date Joined Apr 2011
Total Posts : 7
   Posted 5/5/2011 8:23 AM (GMT -6)   
Hi everyone,
Yes I did see a GI doctor. He performed the endscopy and proceeded to tell me there was nothing wrong with me and that it was all in my head.  I then went and saw a new GP and he put me on nexium because he thought it might be to much acid in my stomach.  I didnt like the side effects of nexium so I started to take otc prevacid.  I didn't know if I should go back and see him or go see a new GI doctor.  I do use anti nausea medications when it's bad.  I have tried reglan and had a horrible reaction to it.  How well does domperidone work?

babygirl10150
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Date Joined Jul 2006
Total Posts : 636
   Posted 5/5/2011 9:07 AM (GMT -6)   
That's what the drs are telling me too so I thought it was my anxiety acting up. They put me on prozac which was awful! Domperidone works the same as reglan, makes your digestive system contract faster but it doesn't work with your brain receptors so you don't get the side effects. I haven't had any side effects at all from it and I'm one to get the rare ones. You can order it from Canada for really cheap but I don't trust taking meds that I have to order.
Michelle

~Nissen redo again 12/13/10~
~Nissen redo 05/10/10~
~Nissen 12/14/09~
~Colostomy 07/30/06~

bittersweet603
Regular Member


Date Joined May 2006
Total Posts : 93
   Posted 5/5/2011 7:32 PM (GMT -6)   
what you're describing sounds more like a gastritis then GERD, if your egd was normal and you arent having reflux but nausea after acidic foods then it could be your stomach lining is irritated. I would ask the dr for carafate which coats your stomach, and also try zantac or an over the counter coating like pepto. Stay away from those foods and make sure you have something in your stomach when you wake up like crackers or toast.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3369
   Posted 5/6/2011 10:12 AM (GMT -6)   
Hi meg -
I didn't believe my gastro doc when he said take Nexium for nausea, but it works. I don't have reflux post-op, but sometimes I still do get nausea. I take Nexium for a few days and it goes away.
Alcie
 
 

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1520
   Posted 5/6/2011 10:34 AM (GMT -6)   
Nausea was one of my main symptoms and the one that made me try medication. Unfortunately omeprazole side effects include nausea so I couldn't tell if it was helping or not. Eventually the nausea settled down on ppis. I am now off them cos of severe side effects, so I get the nausea occasionally now that I'm only on Zantac. I have to eat often and foods like dry crackers help.

You could try keeping a food and symptom diary, especially if the nausea isn't daily - that would help pinpoint trigger foods. If your gastroscopy was normal and you weren't on antiacid medication then it's also possible the nausea is caused by something else - food intolerance or allergy or gall bladder disease are all possibilities. Some people experience nausea when their blood sugar is low too. Your nausea could be related to GERD, but equally it could have a separate cause or you could have something like a food intolerance triggering both the GERD and the nausea!

meg1227
New Member


Date Joined Apr 2011
Total Posts : 7
   Posted 5/9/2011 8:35 AM (GMT -6)   

Thanks for all the reponses. I really appreciate it.

Bittersweet- I thought I had gastritis.  I was surprised when my doctor said my scope was normal.  Although he told me before the procedure that he didn't expect to find anything.  Do you think my stomach linning could be irritated even though the scope was normal?

mudmagnetmum-  omeprazole also gave me nausea.  I have been on prevacid for 4 weeks and it seems to be helping.  I have been keeping a food dairy.  My main triggers are eating to much, caffeine, chocolate, any acidic drink, and dairy.  I also have a dry cough and have a hard time clearing my throat.  I have bad allergies but maybe this is connected. 

I just want a diagnosis.  I feel like I am in limbo not knowing what's causing my nausea, and wonder if it will ever go away.


mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1520
   Posted 5/9/2011 9:01 AM (GMT -6)   
Meg1227 - I have food allergies and I can't help but think my stomach problem is related. Though I've had my allergies a long time and not had GERD, I still wonder if there's a connection. I got tested for eosinophilic oesophagitis but that wasn't present - just signs of reflux.

DGL (chewable) helps me first thing in the morning - I chew one as soon as I get out of bed. My nausea is bad if anything wakes me during the night (kids....bladder.....) - my stomach expects food as soon as I'm awake, even if it's 3 am! I meant to try chewing the DGL in the night but haven't done yet. My nausea appears whenever the GERD isn't under good control.

Oh just remembered - the other thing that helped me was taking the Omeprazole at night! It's supposed to be taken shortly before breakfast but I always felt that meant it had worn off just at the point when I felt worst i.e. on waking. I took Omeprazole about an hour before bed and that did make a big difference. I'm now on Zantac instead because I couldn't cope with the severe skin reaction I had to all the ppis - but I did reach a point where my stomach was OK on it!!

If you're on Prevacid (Lansoprazole to us UK folk) you could try it at night, or ask for a small top up dose to take at night (e.g. 10 mg) - or ask if you can take Zantac (Ranitidine) late at night. If you can get it under control with antacids then that at least confirms it's part of a reflux type problem.

If you struggle with dairy, have you tried lactose reduced? Maybe worth an experiment with that. Also, if you're reluctant to try drugs, you could hunt down some digestive enzymes, but look for some without betaine hydrochloride because if you do have excess acid that will only make you feel worse!

Personally I would try the drug route in the short term, just to see if it works, so that you know what you're dealing with, and then you can experiment with other stuff later after you've had a break from feeling yukky!

scrapster50
New Member


Date Joined May 2011
Total Posts : 7
   Posted 5/9/2011 3:51 PM (GMT -6)   
meg1227- after 5 years of extreme suffering my doctor diagnosed me with gastroparesis and gastritis. I am currently taking Tecta for the gastritis and Domperidone for the paresis (2 tablets 1/2 before meals 4x daily). I have had all the same symptoms as you. I still have setbacks as I have to be very careful what I eat. I cut out gluten, milk, sugars, etc. I have had to drastically change my diet. If you have any questions please feel free to ask. Take care.

efplaya85
New Member


Date Joined Jun 2011
Total Posts : 10
   Posted 6/8/2011 12:06 PM (GMT -6)   
scrapster50 - Is there a cause for your gastroparesis? Have they checked auto immune diseases, thyroid the works?

You may want to check Median arcuate ligament syndrome which is uncommon but does cause gastroparesis and most doctors overlook that. A simple CT scan or a doppler ultrasound of the celiac artery can diagnose it.

lilitiger2
Regular Member


Date Joined Mar 2010
Total Posts : 89
   Posted 6/9/2011 7:17 AM (GMT -6)   
Hi, Just a quick note on nausea, which I have on and off myself. I do have GERD, which the egd confirmed, but didn't really explain the nausea. Doc here in Montana could not have been less interested but when I went back east and saw a new doc, he did a stomach emptying test (a very easy test) which revealed gastroparesis. Major diet change, although I cheat sometimes. The hardest thing is no veggies...no fiber really. You could also have your gallbladder checked (a hida scan). I didn't have mine checked although I am suspicious of it, as I know I do not want it removed regardless of the tests. I have many family members who have and it has not solved any problems, but has made several worse. But the diet change (no fiber, no fats) has helped enormously with the nausea and the Gerd, actually, which only making the gerd diet changes really didn't. No caffeine either...:(

meg1227
New Member


Date Joined Apr 2011
Total Posts : 7
   Posted 6/9/2011 8:18 AM (GMT -6)   

Thanks for the info lilitiger2.

Did you have any other symptoms of gastroparesis besides nausea? Do you take any medicine for it? I haven't had the hida scan yet either for the same reason as you.  I don't want to end up worse off.


lilitiger2
Regular Member


Date Joined Mar 2010
Total Posts : 89
   Posted 6/9/2011 7:06 PM (GMT -6)   
Hi Meg, oh yeah, had lots of discomfort after eating, easily filled, lots of nausea (and all the GERD stuff, and chest pains). I recently tried spinach salad (figured, "What the hell? how bad could it be!" yeah, well, won't be doing THAT again! Misery. I do not take meds (have taken prilosec and prevacid for the GERD). I do not eat veggiesor fruits (sometimes drink a veggie smoothy or have canned spinach in little doses, do have carrots sometimes, but really no spinach, lettuce, broccoil, etc), i do not (if I am being smart) eat big meals, no GERD stuff (tomatoes, caffeine, soda, soy) and very few fats (almost guaranteed, if in liquid form or mayo, to cause intense nausea). I eat raisin bran and cereal (really not supposed to but I like it and so far, no problems), lots of protein bars, egg whites, crackers, cheese, rice, yogurt...It has worked, to the point that I can at least participate in my life (was pretty incapacitated), totally recommend the stomach emptying test....agree about the hida! :)

efplaya85
New Member


Date Joined Jun 2011
Total Posts : 10
   Posted 6/9/2011 10:24 PM (GMT -6)   
what were your gastric emptying times if I may ask?

when i took the test mine was 50% empty in 2 hrs and some doctors thought that was slow, some thought it was normal. When I took it again and I did a 4 hr test I had 92% emptying in 3 hrs. But for both tests they gave me different foods. For the first test they did oatmeal for the second one they did egg beaters with toast and jam.

I had three HIDA scans so far and all of them showed different results. First one was below normal 24% second one was really high 94% and third one 34% which was borderlined. So the test can be complete BS but I feel if your fraction is really low like 3% then something is not right with the GB.

Post Edited (efplaya85) : 6/9/2011 9:46:35 PM (GMT-6)


lilitiger2
Regular Member


Date Joined Mar 2010
Total Posts : 89
   Posted 6/10/2011 10:17 AM (GMT -6)   
efplaya85, actually I don't know my times for the emptying. I was told it was "pretty slow" but didn't get the numbers. I have found that generally following gastroparesis diet guidelines are very helpful and I have gotten relief. Well, mostly, still nauseous sometimes but NOTHING like I was or like I get when I eat fruits, veggies, etc. AND, my whole lifeI have avoided those and thought "I just don't like them" but now I know why. I don't know that the tests are "BS" but I had to find a doc who I trusted to a) give me tests that make sense and b) can explain them to me. Many docs now do not rush to take out the GB even when the numbers are low. On the emptying, I had eggs. MY GB probably is impairedin some way no pains at all in that area but fats (mayo, oils) are guaranteed to make me very uncomfortable. But am sticking with diet changes as long as I can (and enjoying my life enough) before I would ever consider having it removed. I dont have any stones.

wigglypig
New Member


Date Joined Dec 2012
Total Posts : 1
   Posted 12/3/2012 1:28 PM (GMT -6)   
On so many of the chat boards in this site recommend Domperidome and they mention it's only available in Canada. Well look up the side effects! The FDA has put a warning on this drug because of the serious side effects. It's better to look for a different drug for nauseousness and other stomach symptoms. My girlfriend took it for less than 1 week and thought she was going to have a heart attack (one of the major side-effects) so she stopped taking it. Now she has to go back to the specialist and ask for a different drug. She just had her gallbladder out 6 weeks ago and still experiences nauseousness and can't eat a lot of normal foods. She has lost almost 25 pounds which really concerns me.

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1520
   Posted 12/3/2012 2:53 PM (GMT -6)   
I had nausea with my GERD as you can see from my earlier posts above. Although I still have other symptoms, my nausea has been hugely helped with acupuncture. It took a while to kick in but I haven't had my morning nausea for 3 months now.

MMM
New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma

Subie2
New Member


Date Joined Sep 2013
Total Posts : 3
   Posted 9/29/2013 7:28 PM (GMT -6)   
My first symptoms in June 2013 were a burning "on fire" throat in the middle of the night. No amount of ice water would cool it. Now I am nearly 4 months into nausea which has been very discouraging and also my major symptom.

My tests started with a hydrogen breath test, barium swallow to test my gallbladder, an endoscope that showed no H-pylori or Celiacs, only inflammation in the stomach. I also had a stricture in the upper esophagus which the gastro doctor stretched (and tore). 2 weeks later I had a Colonoscopy as well as a Pap Smear to rule out anything else, all was negative.

That was 4 weeks ago. I have been on Omeprazole once a day and Zantac morning and night. The nausea is worse than ever. I have never really had acid reflux back up, just this awful feeling like my throat is swelling at the same time I get the nausea.

I have cut out caffeine, alcohol, fried foods and fats, butter, chocolate, tomatoes and sauce, creamy sauces, desserts etc. etc. I have also lost about 20 lbs. Recently my throat has been sore, my nasal passages burning with dripping nostrils.

Unlike some of you I wake up feeling great....usually at night the nausea starts up. I tried taking apple cider vinegar and aloe vera juice during the nausea.....it doubles the nausea in intensity which makes me think it may not be gerd?? Those things are supposed to help symptoms! Ginger tea with manuka honey helps me somewhat, makes me burp a little.

I never had a follow up after all the testing but I'm going to see the PA in a couple weeks. My daughters wedding is coming up in 4 weeks and the thought of being sick at her wedding is more than I can bear. My GP gave me Xanax to get me over the depression this is causing, but I know that will only mask the problems. I am one who tries to help others, I have never really been sick. This is the weirdest thing I have ever heard of. Thanks anyone who took the time to read this long post!
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