What Causes Persistent Nausea When Diagnosed With IBS?

Brief Answer:
You are suffering from Irritable bowel syndrome.

Detailed Answer:
Hello Dear patient,
Thanks for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.
Most likely you are suffering from irritable bowel syndrome.
Firstly small briefing for Irritable bowel syndrome and why every patient is a unique case when we deal with IBS.
In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect.As in your case despite of all possible tests nothing was found to be wrong.

Recent studies by French scientists have indicated that the most important mechanisms include visceral sensitivity, abnormal gut motility and autonomous nervous system dysfunction. The interactions between these three mechanisms make bowel's function susceptible to many exogenous and endogenous factors like gastrointestinal flora, feeding and psychosocial factors.

Further data indicate that according to the above mechanisms, the influence of genetic factors and polymorphisms of human DNA in the development of IBS is equally important.

So in lay mans language till date we are not sure whats the exact cause of this problem.So the million dollar question is how to repair a system when you don't know which part of it is faulty(Some says it can be brain other says it can be hormone anxiety age etc etc).

Some patients have symptoms of unformed stools some have bloating and some may have severe constipation. Some patients have occasional symptoms whereas others may have symptoms for a long period of time.So as seen above every patient is different.Intensity of symptoms in every patient is different as so is the response to medicines and life style change.A patient may respond good to one medication while other patient is totally unresponsive to the same.

Our goal-
Every drug is not effective in every patient so we have to try different therapies till we find the drug which suits best our patient.All the below mentioned drugs slows down motility of intestines hence will decrease both frequency of spasms hence relieves pain caused due to spasmodic contraction of intestines.


Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.

Mebeverine is an antispasmodic medicine and is very useful in IBS and is well tolerated by patient with minimal side effects. Mebeverine works on certain muscles in the wall of your intestines,


Ask your Gastroenterologist to start you initially on clidinium bromide and mebeverine combination initially for 21 days.

Acid produced in stomach may cause the teat to grow more therefore healing agent like sucralfate should be taken 1 gram four times a day for 3 months.

To control nausea use an over the counter safe drug zofran 4 mg as an when required.

And as the spasms in intestines would omprove nausea would go away.

Hope i was helpful.

Thanks!

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Brief Answer:
Follow up answer.

Detailed Answer:
Hi glad to hear back from you dear patient.
I have some confusions...As of now you have written that you have pain in your stomach and not in abdomen but my dear patient stomach is in abdomen.I think you are referring to pain below breast bone? i am correct? As pain in stomach is usually felt in quadrant termed as epigastrium( just below the breast bone). So to give you a better professional advice i would like to have excat idea of location of pain.

See if pain is confined to upper abdomen only and is relieved on taking omeprazole it can be due to gastritis also.
Also plean mention whether your pain is relieved when you are on proton pump inhibitors(omeprazole etc)?

Is the pain related to food?

Does pain responds to antacids?

Waiting

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Brief Answer:
Most likely gastritis pain.

Detailed Answer:
Hi again,
Ask your gastroenterologist to Prescribe you esomeprazole, Esomeprazole can be used in dosage as high as 40 mg once daily ,Ask him to add Domepridome 30mg slow release once daily, and report me how you feel in 5 days if you respond to these medications its most likely something related to gastritis.

Thanks.

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Brief Answer:
Follow up.

Detailed Answer:
Hello again my dear,

Both the medicines suggested can also be prescribed by a general physician so in case if you don't want to wait till the 20th you can get a prescription from your GP.

Better to go for an endoscopy in which a camera is inserted into the esophagus to see the condition of the mucosa. Most likely by scan, you mean endoscopy only!

Feel free to contact me for any queries that you may have regarding.

Both IBS and Gastritis are the diagnosis of exclusion and scans usually are not the gold standard for them.

Please let me how you feel in 5 days!
Wish you best of luck my dear!
Regards

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