constant nausea worse in the morning

I am hoping someone can offer some help.  I have been suffering from constant nausea which is worse in the mornings.  Some days it appears to get better as the day goes on, but never back to how I felt before this started.  just always a feeling of uneasiness.  it started on the last couple days of my vacation in Minnesota.  just woke up feeling nauseous.  the next day it was back again in the morning.  went away in the afternoon, but then back next morning and has been the same for the past 3 weeks.  needless to say i have lost weight (about 15 pounds) and am trying to eat when i can to keep weight on.  also noticing fatigue, which I am associating with the nausea and losing weight.  the last few days i have noticed that i have a burning in my chest area, and a lot of extra belching after eating, even 2-3 hours later, with gurgling.  i have had a CT scan of my head and chest, which were normal.  all of my blood work and levels were "normal", according to my doctor.  they did an EKG on my heart which was also normal.  my doctor referred me to a gastro, but they can't get me in for 6 weeks.  i can't continue like this for the next 6 weeks.  the only thing that the doctor noted was that i had a gallstone that showed up on the CT scan.  However, he didn't seem to think this was the cause of my problems.... I haven't had any sharp pains anywhere, just uncomfortableness in my middle.  I also haven't had any diahrea, per se.  if anything, i was almost constipated for a period of time and then the past day I had 4 loose movements.  Does anyone have any suggestions or having similar problems.  I am miserable.  Thanks for any help you can provide. 

Trivro
Welcome to HealingWell.  It sounds like you have had some work up but you do need the GI intervention.  I do not have any thing to suggest other then what your physicians have adviced.

So, I see your post is from several years ago, but on the off chance you or someone in a similar situation sees this, anything new to report? You've described my symptoms to a "T", except I am experiencing food going right through me at times (only in the mornings though).

I feel nauseous nearly all of the time, but it's always the worst in the morning through late afternoon. Sometimes by dinner, I feel well enough to eat a small meal and always get hopeful, like I'm getting better, only to go through the same thing all over again the next day.

I used to be a major food-y, and now I can only manage to eat about 1 small bite of food every 30 minutes throughout the day, and nothing tastes or sounds good anymore. I've only had my symptoms for about 3 weeks, but in those three weeks, I've lost 9 pounds and missed a lot of work, and know that I won't even be well enough tonight to take my little girl trick or treating. :(

Even though I don't feel the slightest bit better, I've had to return back to work, although occasionally have to find a spare office to lay down in because I'm exhausted and feel faint much of the time. It's also a psychological game of convincing myself that I'm not about to throw up, especially when I'm helping customers at work or attempting a conversation with my loved ones.

Every panel screening has shown everything to be in a normal range (blood, urine, stool). I do have hypothyroidism, but it's been under control for the last 8 months. On another wellness forum, someone suggested that I have Lyme's, but I've never been bitten by a tick to my knowledge.

Some of the symptoms of a sluggish gallbladder seem to fit, especially because I often feel worse after eating, although I've never experienced any abdominal pain or cramping during this illness.

Every facet of my life is being affected. My 5 year old wants her mom back, and my husband has essentially turned into a single dad, having to take care of everything on his own.

3 weeks may not seem like a long time, but in these three weeks, I feel like I've lost everything that makes me, me. It's like have a 24 hour flu bug that will not go away, and none of my many doctor's appointments has given me any new information.

Added line breaks for easier reading.

Post Edited By Moderator (dencha) : 10/31/2014 7:32:51 PM (GMT-6)

Hi Mommy2Ashlinn,

Welcome to the Healing Well GERD/Heartburn forum! You're definitely in the right place. This is where we share about various and sundry GI issues, and your story fits right in.

Have you been referred to a GI doctor yet? It sounds as if you could use a consultation. There are other GI related tests that you can have that might nail down what's going on.

If it's bile, which is certainly possible, since nausea is a main symptom, then acid reducers/PPIs will not help. There is one prescription that I find amazingly helpful (I have a reactive stomach, so I always keep it on hand), that is actually prescribed for bile issues; is Carafate suspension. It would help with bile or gastritis, as it coats the stomach/esophagus, and helps it to heal. It is a very benign drug, and might be a great place to start.

If it's acid, then PPIs and Ranitidine could help. If your stomach lining is inflamed, and you have gastritis, then getting acid under control, could help it to heal. Gastritis due to bile or acid can result in nausea among other symptoms. Carafate works for both...at least it could give you some comfort.

If acid is the issue, you will want to use acid reducers consistently for long enough to allow your stomach lining to heal. You will also have to figure out a way to get some food into your stomach and provide yourself with sustenance. There's one food that really has helped me when my stomach has been at its worst...egg custard. It is high in protein and nutrition, but is very soothing to the stomach. You could give it a try in the meantime.

I'm no doctor, and I certainly can't provide you with medical advice. Anything I write here is a result of my own personal experience as well as information I've learned from others here. Have you asked your doctor if it would make sense to give PPIs or Ranitidine (Zantac) a trial, and see if they help? I'm just throwing out some ideas.

Hopefully, you'll find some answers soon. Wish I could be more helpful!

Best wishes,
Denise

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GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

I would get checked for delayed gastric emptying. nausea, weight loss, excessive burping, GERD are symptoms. In worse cases are vomiting & dehydration



◾Nausea
◾Vomiting – severe projectile vomiting may indicate a complete obstruction
◾Abdominal distension
◾Bloating (feeling of fullness even after a small meal or few bites of food)
◾Early satiety
◾Heartburn (gastroesophageal reflux, acid reflux)
◾Excessive belching
◾Lack of appetite
◾Unintentional weight loss
◾Gastric pain – upper middle abdominal pain, left upper abdominal pain
◾Fluctuation in blood glucose levels – high and low blood sugar
◾Stomach cramps
◾Signs of vitamin deficiencies as a result of malabsorption
◾Offensive odor of the breath (halitosis) and burps (sulfur burps) as a result of bacterial overgrowth
◾Altered bowel movements may be noticed, particularly constipation
◾Dehydration, especially if there is constant vomiting

I think Denise has covered everything but I just wondered if you got tested for Helicobacter as that can cause nausea.

MMM

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GERD (4 years and counting)
Lifelong stuff: Food allergies/intolerance, eczema, asthma

Thank you for your amazing suggestions!!! I am beyond words appreciative. I have been tested for GI inflammation (lactoferrin stool testing), pregnancy, h Pylori, parasites, yeast overgrowth, GERD, and I'm pretty sure they've even been testing my sanity a bit. ;) All came back in normal ranges and prescription acid reducers did not help. After conducting a great deal of research, I feel it's either a sluggish gallbladder or gastroparesis (delayed stomach emptying, as some of you suggested). I finally got my doctor to put in for a GI referral, though that will likely be 4 - 6 weeks away. :( In the meantime, I am taking 1500mg of malic acid with warm water for a week, and will continue with a gallbladder flush this coming weekend after the malic acid has had a bit of a chance to soften any potential gallstones. I've also been taking a couple teaspoons of raw apple cider vinegar before every meal, which honestly takes the edge off of the symptoms, though the symptoms are never completely alleviated regardless of what I do. Ginger is supposed to help with delayed gastric emptying, so I am taking a lot of ginger, and have been making homemade bone broth since I know I'm fairly malnourished from all of this. On the days where I can't stomach food or liquids of any sort, I very slowly throughout the day sip on bone broth and that seems to help keep my energy up a bit. Anyway, I'll keep you posted. Thank you again!

I would be careful taking supplements like acid or ACV, if you have just run of the mill gastritis like problems (i.e. caused by acid) then a lot of these things will just make it worse. I've tried every supplement going and about 50% just made my stomach worse.

You could try DGL, it is one of the few things I have found helps with stomach problems without any potential problems.

What sort of things are you eating? I've found diet is the most common trigger for my problems and its taken me a long time to figure out that certain things set it off, especially foods that are supposed to be 'healthy' - doesn't mean they are nice on the stomach!