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What Causes Nausea With Stomach Bloating And Stomach Cramps?

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Posted on Mon, 12 May 2014
Question: Hi, I am a 58 year old woman, but is normally fit and healthy (somewhat overweight) but I usually go to the gym and walk a lot. I have been feeling increasingly nauseous lately (for the past couple of months), have not vomited (I had lapband surgery four years ago) but I do have bloating and explosive bowels sometimes. This comes and goes, but I feel just 'unwell' and a bit tired. I decided to try a gluten free diet 4 days ago, but my symptoms are still the same. (Perhaps completely unrelated, I also have a very sore shoulder (suddenly) after falling two weeks ago and landing heavily on my hands. This became much more sore four days ago after I was chopping kindling, but I think it is a little better today. I had an xray yesterday and am having an ultrasound scan next Tuesday, and my doctor gave me codeine 60mg to have with paracetamol and ibuprofen - advising me to have it sparingly because of constipation etc. The last codeine tab I took was last night at about 8pm (it is now 11.40 the next morning). ) This nausea comes and goes, along with mild stomach cramps but I have no appetite in between. I think, on reflection that the nausea and lethargy have got a bit worse over the past month or so. I have also been quite flat, or depressed over this time, which is quite unlike me normally. Do you know what could be causing this? I am also on BP meds - accupril, metropolol and furosemide. Thanks!
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Answered by Dr. Dr. Prasad J (7 hours later)
Brief Answer: You should consider evaluating... Detailed Answer: Hi, I went through your details with diligence. The described symptoms are typical features of indigestion. As this surgery was almost 4 years before the symptoms appeared, I wouldn't obviously relate it to the surgery. But it does make sense to change to small volume, less greasy and frequent meals instead of regular 3-4 meals a day. While you do the necessary dietary changes, I would also evaluate for other causes, specifically the following: 1. Since you listed furosemide, diuretic induced hyponatremia strikes me first. Low sodium can cause lethargy, nausea, reduced appetite and so on. And as the symptoms are getting worse rapidly over a month, I will first get your electrolytes checked. 2. An inflamed stomach wall / ulcers secondary to gastric banding and stressful factors also very well explain the symptoms. So if ultrasound scan is normal, discuss about upper GI endoscopy with your doctor. You can as well add proton pump inhibitors now (prilosec OTC) especially as you will be starting ibuprofen. 3. Your doctor should look at gall bladder, liver and position of band while performing. Gall bladder dysfunctions secondary to stones and rarely band slip can lead to similar indigestion complaints. 4. Soreness of shoulder is most likely related to the fall. Adequate rest and minimal physical activity will help you recover. 5. Lastly, I would also include testing hormones especially the thyroid hormones. If you haven't discussed about the aforementioned conditions with the doctors, please do it. Let me know if you need clarifications. Regards
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Prasad J

General & Family Physician

Practicing since :2005

Answered : 3707 Questions

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What Causes Nausea With Stomach Bloating And Stomach Cramps?

Brief Answer: You should consider evaluating... Detailed Answer: Hi, I went through your details with diligence. The described symptoms are typical features of indigestion. As this surgery was almost 4 years before the symptoms appeared, I wouldn't obviously relate it to the surgery. But it does make sense to change to small volume, less greasy and frequent meals instead of regular 3-4 meals a day. While you do the necessary dietary changes, I would also evaluate for other causes, specifically the following: 1. Since you listed furosemide, diuretic induced hyponatremia strikes me first. Low sodium can cause lethargy, nausea, reduced appetite and so on. And as the symptoms are getting worse rapidly over a month, I will first get your electrolytes checked. 2. An inflamed stomach wall / ulcers secondary to gastric banding and stressful factors also very well explain the symptoms. So if ultrasound scan is normal, discuss about upper GI endoscopy with your doctor. You can as well add proton pump inhibitors now (prilosec OTC) especially as you will be starting ibuprofen. 3. Your doctor should look at gall bladder, liver and position of band while performing. Gall bladder dysfunctions secondary to stones and rarely band slip can lead to similar indigestion complaints. 4. Soreness of shoulder is most likely related to the fall. Adequate rest and minimal physical activity will help you recover. 5. Lastly, I would also include testing hormones especially the thyroid hormones. If you haven't discussed about the aforementioned conditions with the doctors, please do it. Let me know if you need clarifications. Regards