
Continuous Nausea, Belching, Headaches, Dull Stomach Ache, Pain Under Breast Bone Area. Gallbladder Ulcers?

Thanks for contacting XXXXXXX with your quiery.
You seem to have a few things going at this time.
First , you mention that the symptoms started after you
had chicken nuggets and fries , followed by tomato sauce.
These certainly can cause your stomach to produce more acid
and also cause slowing of the stomach emptying due to fat content.
This could give you full feeling , nausea or even vomiting.
Reflux from GERD can get aggravated by the foods you mention.
You also mention about your gallbladder. HIDA scan results are
not indicative of severe dysfunction. But you did not mention
whether you had stones on sonogram or even gravel (Sand like).
If you have these ,you may need to have your gallbladder removed.
Typical gallstone attack includes sudden onset of severe upper
abdominal pain located in the right upper quadrant, nausea, vomiting
and pain may radiate to the shoulder or upper back. You may also
have fever, chills, and yellow jaundice depending on the severity
of inflammation.
You mentioned that you were treated for some infection and endoscopy
showed no H.Pylori.
You mention superficial ulcers , I assume in the stomach lining.
You are on Prilosec and Zantac. Make sure that you take your PPI
about 60-90 mins. before your main meal. Some people may need
twice a day dosage for symtom relief.
As for diet , avoid excess caffeine, alcohol, tobacco, fatty,greasy or
fried foods, tomato based products, dairy like cheeses, whole milk etc.
Since you have diverticulosis, you should be on a high fiber diet or
take fiber supplements daily with plenty of fluids.
Regular excercise regimen like walking is good.
I am glad that the CT -scan of your head was normal.
If you are experiencing headaches since you started Prilosec , it may
be from one of the side effects that is mentioned. If unrelated , could
be cluster headache or tension related. MRI has been scheduled which
is good.
For ulcers in the stomach to completely heal , you need to be on
medication for 6-8 weeks . If your symtoms persist after that time,
your doctor might decide to do re-endoscopy to look in again.
If you have diabetes, then gastric emptying may be delayed and
it causes a condition called "Gastroparesis".
I hope that I have been able to help you understand what might
be going on.
I wish you the very best.

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