Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Constant Nausea?
Question: So tired of experiencing nausea. What can i do to try and get it to stop? It worse from the time i wake up until close to dinner time. I get no relief even if i can eat a light meal. I am willing to try anything. Its been happening almost everyday for nearly a month. Tried ginger ale a few times but doesnt stop it,
Brief Answer:
need to determine the cause then treat
Detailed Answer:
HI, thanks for using healthcare magic
Persistent nausea can be difficult to tolerate.
It would be important to find the cause to see if it can be treated directly.
Causes include: (1) GERD- reflux is a common cause
(2)gall bladder disease
(3)infections such as hepatitis, urinary tract infections
(4)gastroparesis- the bowel is moving /contracting very slowly or erratically
(5) side effect of medication- both lithium and cymbalta can cause nausea
(6)high calcium
(7)mass in the abdomen
(8)vertigo
(9)kidney or liver disease
If you have a history of reflux then you can treat this and see if this helps. Treatment is with reflux medication and lifestyle changes (avoiding spicy/acidic/fatty foods)
If you do not have reflux then blood tests for liver, kidney, calcium, infections.
Imaging may be needed if indicated.
Medications such as peptobismol or dramamine would help with the nausea.
I hope this helps, feel free to ask any other questions
need to determine the cause then treat
Detailed Answer:
HI, thanks for using healthcare magic
Persistent nausea can be difficult to tolerate.
It would be important to find the cause to see if it can be treated directly.
Causes include: (1) GERD- reflux is a common cause
(2)gall bladder disease
(3)infections such as hepatitis, urinary tract infections
(4)gastroparesis- the bowel is moving /contracting very slowly or erratically
(5) side effect of medication- both lithium and cymbalta can cause nausea
(6)high calcium
(7)mass in the abdomen
(8)vertigo
(9)kidney or liver disease
If you have a history of reflux then you can treat this and see if this helps. Treatment is with reflux medication and lifestyle changes (avoiding spicy/acidic/fatty foods)
If you do not have reflux then blood tests for liver, kidney, calcium, infections.
Imaging may be needed if indicated.
Medications such as peptobismol or dramamine would help with the nausea.
I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Had recent blood work Glucose 103 mg/dL 65 - 99 mg/dL
Urea Nitrogen 17 mg/dL 6 - 24 mg/dL
Creatinine 0.65 mg/dL 0.57 - 1.00 mg/dL
eGFR, Non-AA 104 mL/min/1.73 >59 mL/min/1.73
eGFR, AA 120 mL/min/1.73 >59 mL/min/1.73
BUN/CREATININE RATIO 26 9 - 23
Sodium 141 mmol/L 134 - 144 mmol/L
Potassium 4.5 mmol/L 3.5 - 5.2 mmol/L
Chloride 103 mmol/L 97 - 108 mmol/L
Carbon Dioxide 20 mmol/L 18 - 29 mmol/L
Calcium 9.2 mg/dL 8.7 - 10.2 mg/dL
Protein, Total 6.8 g/dL 6.0 - 8.5 g/dL
Albumin 4.2 g/dL 3.5 - 5.5 g/dL
Globulin, Total 2.6 g/dL 1.5 - 4.5 g/dL
A/G RATIO 1.6 1.1 - 2.5
Bilirubin, Total 0.3 mg/dL 0.0 - 1.2 mg/dL
Alkaline Phosphatase 83 IU/L 39 - 117 IU/L
AST 10 IU/L 0 - 40 IU/L
ALT 6 IU/L 0 - 32 IU/L
General Information
Collected:
08/08/2016 8:28 AM
Urea Nitrogen 17 mg/dL 6 - 24 mg/dL
Creatinine 0.65 mg/dL 0.57 - 1.00 mg/dL
eGFR, Non-AA 104 mL/min/1.73 >59 mL/min/1.73
eGFR, AA 120 mL/min/1.73 >59 mL/min/1.73
BUN/CREATININE RATIO 26 9 - 23
Sodium 141 mmol/L 134 - 144 mmol/L
Potassium 4.5 mmol/L 3.5 - 5.2 mmol/L
Chloride 103 mmol/L 97 - 108 mmol/L
Carbon Dioxide 20 mmol/L 18 - 29 mmol/L
Calcium 9.2 mg/dL 8.7 - 10.2 mg/dL
Protein, Total 6.8 g/dL 6.0 - 8.5 g/dL
Albumin 4.2 g/dL 3.5 - 5.5 g/dL
Globulin, Total 2.6 g/dL 1.5 - 4.5 g/dL
A/G RATIO 1.6 1.1 - 2.5
Bilirubin, Total 0.3 mg/dL 0.0 - 1.2 mg/dL
Alkaline Phosphatase 83 IU/L 39 - 117 IU/L
AST 10 IU/L 0 - 40 IU/L
ALT 6 IU/L 0 - 32 IU/L
General Information
Collected:
08/08/2016 8:28 AM
Brief Answer:
only significant finding is increased glucose
Detailed Answer:
HI
MOst of these are within normal range, the main abnormality would be increased glucose which is outside of the stated range.
If this is a fasting reading, it would mean that you would be prediabetic (not diabetic but at risk of becoming diabetic) according to XXXXXXX diabetic association
Based on the above, the kidneys and liver also appear to be working well and the calcium is normal.
The only test that can be considered is a complete/full blood count and ESR to look for infection or inflammation.
You can consider using a trial of reflux medication for at least 10 days to see if this helps. eg pepcid or zantac
Alternatively, you can consider imaging
Please feel free to ask anything else
only significant finding is increased glucose
Detailed Answer:
HI
MOst of these are within normal range, the main abnormality would be increased glucose which is outside of the stated range.
If this is a fasting reading, it would mean that you would be prediabetic (not diabetic but at risk of becoming diabetic) according to XXXXXXX diabetic association
Based on the above, the kidneys and liver also appear to be working well and the calcium is normal.
The only test that can be considered is a complete/full blood count and ESR to look for infection or inflammation.
You can consider using a trial of reflux medication for at least 10 days to see if this helps. eg pepcid or zantac
Alternatively, you can consider imaging
Please feel free to ask anything else
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
