Cause of nausea? Gastritis?

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Sunny13
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Date Joined Feb 2014
Total Posts : 1118
   Posted 8/24/2014 3:24 PM (GMT -6)   
Hi Everyone,

First off, so sorry to hear about Kitt. She and her family are in my thoughts and prayers.


I was dx with gastritis in January 2014. On PPI's for a few months, then I stopped them. Doc was ok w/ it. Have major problems with chronic constipation, bowel incontinence, and lower GI stuff, and nausea has been along for the ride for a long time now. But usually it's there sometimes w/ eating or when the constipation got really bad. Last few weeks, the nausea has been there 24/7, worse after I eat (makes no difference what I eat or amount i eat). GI doc said to increase Zofran 8mg to twice daily. Had to actually stop a sleep med to do so because it could have caused a fatal heart problem (due to interaction between the two). GI doc hasn't looked into the cause of the nausea. I just had a week of testing at Mayo clinic for mostly colon related stuff, and that is the main concern right now.

I am wondering if it's possible for the gastritis to have kicked up again and for that to be causing this awful nausea. Any thoughts? Do I just ask my doc if I can restart the PPI? Not sure how to approach this. Any advice would be appreciated.


Thanks.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 8/24/2014 4:02 PM (GMT -6)   
Hi Sunny13,

Thanks for the good wishes regarding Kitt. We are very sad about it, and you are kind to acknowledge that fact. Our thoughts and prayers are with Kitt and her family as well.

I have been diagnosed with a reactive stomach. It is often set off, and generally its a combination of reasons over time. At first I thought it was chronic gastritis, but the GI doc said his money was on reactive stomach as the diagnosis, so there it is.

Gallbladder can be the culprit, as bile is very irritating. That's something to keep in mind. My situation is always either caused by taking a medication like an antibiotic, or getting too frisky with my eating. My stomach is sensitive, and most of the time its fine, but when it goes, it's off and running, and takes a long time to get better.

There are a couple of things that help me. First, PPIs...even Zantac is better than nothing. If your stomach lining is irritated, you want to keep acid away if you can. I always take PPI an hour before breakfast and dinner when my stomach flares. Also don't eat anything that is rough, like raw veggies or poporn, etc. When your stomach mashes foods, rough things can irritate the stomach lining further.

Another thing that really helps for me is Carafate suspension. It coats the stomach lining, and unlike Maalox or those types of antacids that coat and relieve, the Carafate lasts up to six hours. I have often found it to relieve pain immediately.

That said, I don't have accompanying nausea all the time when I'm having a flare. It's not the main symptom, and only pops up occasionally.

I have found that when I do have a bit of nausea, Zantac can really help get rid of it, which makes me think it's stomach irritation that is the culprit when I have nausea.

Good luck! Nausea is no fun at all, I know, and 24/7 is way too much! I hope you can get it into control ASAP! If it were me, I'd try the PPI, if you don't have any other medical conditions that would contraindicate taking it again.

Best wishes,
Denise

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

Sunny13
Veteran Member


Date Joined Feb 2014
Total Posts : 1118
   Posted 8/24/2014 6:50 PM (GMT -6)   
Thanks for the quick response. I think I will send a message to my GI and just ask him about whether re-starting the PPI would/could be at all harmful. I am on lots of meds and have lots of medical problems, but I'm thinking nothing huge has changed since I was last on the PPI meds, so maybe it will be ok. Guess it's better to make sure though, before just going ahead and doing it.

Thanks for all the advice/reminders. I generally don't eat any stuff like raw veggies or popcorn to begin with, but I'm sure there are some "rough" foods in my diet right now that I may need to watch for. I've also been noticing that I have more heartburn than usual. Thinking that's another reason to go back on PPI's.

However, it's my understanding that PPI's aren't good long term. But I think that may be something to look into another day. It has also been suggested to me to try some "candied ginger". Ever try it?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 8/24/2014 7:27 PM (GMT -6)   
Hi Sunny13,

No, I've never tried it, but I have heard that it can be effective. I don't think it would hurt to try some. I don't know the consistency, so if it's fibrous/rough after chewing, just swallow the juice and deposit the remaining fiber in a paper napkin. Let me know if it helps!

Actually, while there are lots of negative online conversations regarding PPIs, many people have been on them for years without a problem. GI docs prescribe them long term regularly now. When they first came out there were concerns, but as they've been used for 20+ years, the concerns have decreased. There are some people who can't tolerate them for some reason, but most people don't have any adverse effects.

There is the likelihood rebound when they're stopped after long term use. If you don't suffer from GERD it probably wouldn't be a problem. Once I had my fudoplication surgery/wrap, I no longer had symptoms of rebound that were horrible before my surgery.

Good luck with it all. Discuss your concerns with your GI doc, for sure.
Hope you get feeling better soon!
Best wishes,
Denise

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

Sunny13
Veteran Member


Date Joined Feb 2014
Total Posts : 1118
   Posted 8/25/2014 7:00 AM (GMT -6)   
Well, it's not even 7am, and I already received a response from my GI docs office for a message I sent last night some time. They say to go ahead and restart the PPI for now, see if that helps at all. Fingers crossed. Toes crossed. Something's gotta give. Do still plan on picking up some of the candied ginger tomorrow. Kind of paranoid that the taste or texture will make me gag, or just feel worse. But I guess I won't know until I try it.

Had a very frustrating and just plain down day yesterday, but feeling more hopeful today. Of course, not too hard to do when you've only been up an hour!! Still pretty overwhelmed about a bunch of different medical decisions and things that are up in the air (test results, docs recommendations, etc) but just gotta focus on what I do have control over today. Which is arranging what feels like tons of medical records from I think 3 or 4 different places to 3 other places. Can't they all just get together and share the same medical records system so they can just look up what each other has done?

If I had my way, i would get a big conference room, multiple copies of all my records, access to any and all medical info needed, and then take all of my docs/specialists (I think we're for sure into double digits now) and stick them in the room. Lock the doors. They can come out when they have talked and can play nicely together and come up with a presentation to show me what they propose to do to make me feel better. Wishful thinking. Oh well, at least things have improved a teeny tiny bit along those lines....a few of my docs actually have realized they can communicate with each other, not just thru me. Yes, i am a bit bitter about all that. But come on now, what's easier and more effective? A doc calling/emailing/texting another doc, or me trying to remember what each one said and then trying to relay info between them? I'm lucky there hasn't been some horrible mix-up or unintended surgery or treatment done to me yet!! Enough venting on my part. Sorry.

My cat FINALLY just discovered his brand new cat bed, that he actually fits in. He's been borrowing a friend's cat's bed that is for a cat a bit less than half his size. Silly guy. He almost sat in it for 7 seconds this time. Improvement!! Gonna be a good day!!

Circus Dog
Regular Member


Date Joined Aug 2014
Total Posts : 356
   Posted 8/31/2014 6:52 AM (GMT -6)   
Go ahead and vent. The doctors are supposed to be working for us patients. I feel the same way that they are not communicating with each other and we are supposed to keep track of everything. When I go to a doctor I take a notebook with me and write down everything that she tells me to do. Then I have the info right in front of me when i see the next doctor. it is very helpful. it is also good because you can review it when you get home and are more relaxed. My docs don't like to be e-mailed. They only like to talk when they are getting paid.
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