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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Severe Reccurent Nausea Due To Cardiomegaly?

my husband has had severe nausea for weeks with one episode 3 months ago where he nearly blacked out driving. ENT specialist says all clear, waiting to see a cardiologist in 2 days. Overnight admission to ER and cardiac monitoring says, no obvious arrythmia, but CXr cardiomegaly and mildy elevated creatinine 119 and eGFR 59. Could he have glomerularnephritis and is there a connection with this to cardiomegaly. He has absolutely no pain any where just the nausea, becomes pale, sweaty and can become bradcardic with it?
posted on Thu, 13 Mar 2014
Twitter Thu, 4 May 2017 Answered on
Twitter Fri, 5 May 2017 Last reviewed on
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Pulmonologist,  's  Response
Hello
Thanks for posting at HCM.
These symptoms of vomiting, blacking out, sweating can be cardiac related and hence must be evaluated. These maybe symptoms of vasovagal syncope. Since ENT doctor has cleared him, ENT cause is ruled out. Cardiac work up should be done by a 2 d echo. It will give information about the pumping function of the heart, any damage to the walls of the heart and any leak between the valves.
Also he must do a holter monitoringwhich records a 24 hr ECGwhile the patient goes around his normal acitivities. This will document any arrythmias if he is having which can lead to such episodes. The ECG may be normal in the ER but the ECG at the time of symptoms should be checked and hence the Holter should be done.
I suppose with the above tests, you will get an answer to his problems.
Wishing him good health
regards
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Is Severe Reccurent Nausea Due To Cardiomegaly?

Hello Thanks for posting at HCM. These symptoms of vomiting, blacking out, sweating can be cardiac related and hence must be evaluated. These maybe symptoms of vasovagal syncope. Since ENT doctor has cleared him, ENT cause is ruled out. Cardiac work up should be done by a 2 d echo. It will give information about the pumping function of the heart, any damage to the walls of the heart and any leak between the valves. Also he must do a holter monitoringwhich records a 24 hr ECGwhile the patient goes around his normal acitivities. This will document any arrythmias if he is having which can lead to such episodes. The ECG may be normal in the ER but the ECG at the time of symptoms should be checked and hence the Holter should be done. I suppose with the above tests, you will get an answer to his problems. Wishing him good health regards