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What Causes Persistent Nausea After Eating A Meal?

Posted on Tue, 19 Sep 2017

Question: Twice in the last 2 weeks I have experienced strong nausea about an hour after eating. There has also been moderate pain high in the upper abdomen. Last night the pain was exceptional and I vomited twice. I have experienced periodic distended stomach. I have no appendix and no gall bladder and I have had a nissen fundiplication for GERD. The only common factor has been I ate a square of very dark chocolate before.
What is going on? The only thing trhat helped was 3 beads of arsenicum album 2.0 under the tongue.

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
GERD/ Gastritis, PPIs, metoclopramide

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on your history and description , its most likely to be an acute episode/ exacerbation of GERD / gastritis, probably incited by the chocolate consumption.

PPIs like lansoprazole instead of the H2 blocker famotidine with pro kinetic combination of metoclopramide, simethicone and bromelein can be advised for 2 weeks.

If the vomiting episodes persist then review of nissen fundoplication, an upper GI endoscopy and / or a CT abdomen (preceded by an ultrasound abdomen /pelvis as its a less invasive investigation) can be done to look for other causes.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

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Dr. M.S. Khalil

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