Extreme Nausea, Weakness. Blood Test Normal. Had Hiatal Hernia Repair & Gall Bladder Removed. Taken Anti-nausea Medication.

Posted on Sat, 12 May 2012

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 12 May 2012 Answered on

Tue, 10 Jul 2012 Last reviewed on

Question : I have been suffering from nausea for 6 months. 2 weeks ago I had a hiatal hernia repair and my gallbladder removed. I have now never felt worse. I have extreme nausea, weakness and heat in upper extremities. I have had bloodwork done...all seem normal. Can't sleep, anxious. Have tried every anti-nausea med to no avail. In the evening, around 5 or 6 I feel a little better but after a couple of hours sleep I wake up feeling horrible. Suicide may be my only answer.

Answered by Dr. Ketan Vagholkar (-5 hours later)

Hi,

Thanks for the query.

Don't worry. The severe nausea is most likely due to gas bloat syndrome. This is an aftermath of hiatus hernia surgery. It is a self remitting problem. You need to go slow on oral fluids. It would be preferable to have multiple small liquid feeds. A mild antacid like sucralfate will suffice. While sleeping at night ensure that the head end of the bed is elevated.

Another contributory cause for gastrointestinal disturbances is the post cholecystectomy state. During this phase dilute bile enters the intestine; as a result the digestive system becomes weak. This may also cause loose motions. Again this is a self remitting condition. You need to avoid oily foods. Only in a select few cases treatment is required.

As long as you do not have obstructive symptoms, you need not worry.

I hope my explanation helps in allaying your fears. Let me know if you have more concerns.

With regards

Above answer was peer-reviewed by : Dr. Prasad