Brief Answer:
Treatment plan for Morning nausea and gas in abdomen / Under Evaluation

Detailed Answer:
Brief Ans-Treatment for Morning nausea and gas in abdomen / Under Evaluation

Hi Dear !! Thanks for your query to HCM.

Read and reviewed your query and feel concerned about your health issues.
I understood your health concerns as follows-
I am really concerned for your health concerns of morning nausea and gas in abdomen whole day.
Though more information from your side would be helpful in giving exact reply about the cause of the morning nausea and gas in abdomen over last few years ,besides the gall stones detected on investigations done, My primary Impression on facts of your query is as follows-

My Impression-
Based on the information submitted in your query,
-My prima facie impression is as follows-
Based on history of these complaints for last few years, besides having gall stones other causes need to be investigated to rule out -Cancer ampulla of Vater / or / Cancer head of pancreas / and or for the cccult blood in stools.
The reason for this is that, you have these complaints for last few years.The recent fatty/greasy meal revealed only gall stones.

Do's Suggested- in context to your health concern-
I am worried if tests for above Cancers which develop silently, needs to be ruled out considering your age.
For this you may need to do CT/MRI with Contrast Pancreas studies.
For this I would suggest you to consult GI -Surgeon ,who would do all the needful tests as discussed above and would rule out their possibilities.

Do discuss and confirm with your doctors on these lines.
I am hopeful that your doctors might have done these tests on you .If not please get these tests done and plan further care on that line.

Regarding your worry about the other causes, I have already discussed what and how to care for other causes which could cause morning nausea.

But About your question,as to whether the gall stones you have could cause such morning complaints?My reply is as follows-

My Impression-
The greasy diet has brought your notice to the accompanied silent gall stones.
But you have history of few years of morning sickness. The possibility of these complaints over last few years could be from the existing gall stones, which were never diagnosed, as the extensive tests done were probably not directed to rule out the gall stone and other causes of this morning nausea.

Non-Surgical Ways for dissolving these Gall Stones-
But as your gall stones are not causing acute pain,these could be dealt with stone dissolving medicines like Chenodiol / Ursodiol.
Taking Cider Vinegar 15 ml with lime juice could dissolve gall stones over few weeks could also help to dissolve these gall stones.
Be on low fat/ high protein/ and high carb diet during this period.
Painkillers for any gall stone passing may be needed.
So keep your family doctor/Surgeon informed during this non-surgical treatment

Hope this reply would help you to plan further treatment in your intriguing case of yours,with help of expert doctors there in your place.

Welcome with more query in this regard.

If you feel satisfied with this reply, Your few pleasing excellent remarks to rate this reply would boost morale of incoming patients to My Virtual Clinic at HCM.

Wishing you fast recovery in time to come!!
Do keep Me informed for any help needed from Me, till this problem is resolved to your satisfaction.

Good Day !!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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