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What Causes Excessive Sweating, Nausea And Vomiting?

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Posted on Wed, 13 Sep 2017
Question: My 22 year old son regularly has excessive sweating, nausea and vomiting. We have taken him to aa gastroenterologist they did colonoscopy, upper stomach scope thing and a scan at the hospital and found nothing. What should we do next?
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
exclude other causes of vomiting

Detailed Answer:
Hello,

vomiting can be caused by various disorders. The gastrointestinal causes are just a part of them. If there are no gastrointestinal issues then you should check of the systems. First of all the duration of this symptom is important. If he vomits for a few days then a gastroenteritis (or another infection) is very likely. If he vomits for a long time then other causes are more likely.

- Nervous system causes: brain related issues have to be investigated particularly if other symptoms are present like headache for example. A brain MRI can diagnose many brain-related disorders.
- Ear causes: the middle ear contains structures that may cause vertigo (and vomiting). An ENT specialist can diagnose such issues although any doctor may identify significant clues like nystagmus.
- Metabolic disorders: lab tests may identify hyponatremia, acidosis, uremia, increased liver function tests, etc
- Toxic substances like alcohol or other drugs.
- Allergies.

So the first thing to do include the basic biochemical tests, complete blood count and inflammatory markers (like ESR and C-RP). If there's still no clue then further testing should be done. The priority of tests will be dictated by clinical clues. Please note that I've considered nausea and sweating as symptoms that accompany vomiting, not as the primary symptoms.

I hope you find my comments helpful!
Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (16 hours later)
Just talked with my son, he says the heavy sweating is what happens most often. Anytime his heart rate increases or he is outside. He says it comes on super fast, he gets weak and then the nausea comes on. I have seen it, he goes from normal to dripping with sweat very quickly.
doctor
Answered by Dr. Panagiotis Zografakis (3 minutes later)
Brief Answer:
arrhythmia?

Detailed Answer:
Thanks for the additional info!

A suddenly occurring high heart rate can be caused by arrhythmias and may present with various symptoms including the ones he's experiencing. Checking with a cardiologist will confirm or exclude it. The symptoms may include palpitations, faintness, nausea, sweating, blood pressure disorders, etc.

Checking for thyroid disease is essential is such cases.

Kind regards!
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3819 Questions

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What Causes Excessive Sweating, Nausea And Vomiting?

Brief Answer: exclude other causes of vomiting Detailed Answer: Hello, vomiting can be caused by various disorders. The gastrointestinal causes are just a part of them. If there are no gastrointestinal issues then you should check of the systems. First of all the duration of this symptom is important. If he vomits for a few days then a gastroenteritis (or another infection) is very likely. If he vomits for a long time then other causes are more likely. - Nervous system causes: brain related issues have to be investigated particularly if other symptoms are present like headache for example. A brain MRI can diagnose many brain-related disorders. - Ear causes: the middle ear contains structures that may cause vertigo (and vomiting). An ENT specialist can diagnose such issues although any doctor may identify significant clues like nystagmus. - Metabolic disorders: lab tests may identify hyponatremia, acidosis, uremia, increased liver function tests, etc - Toxic substances like alcohol or other drugs. - Allergies. So the first thing to do include the basic biochemical tests, complete blood count and inflammatory markers (like ESR and C-RP). If there's still no clue then further testing should be done. The priority of tests will be dictated by clinical clues. Please note that I've considered nausea and sweating as symptoms that accompany vomiting, not as the primary symptoms. I hope you find my comments helpful! Kind Regards!