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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Nausea, Taking Prevacid. Had Gall Bladder Removed. Belching

I have been suffering with nausea for years, literally years. Have been put on prevacid and others with no or very little help. I had my gall bladder removed in 2007 (polyps found on ultra-sound) and it didn t help with my stomach. I am currently taking twice a day prevacid 30mg. I am a 55 year old woman, don t smoke, and rarely drink. Sometimes when I get nauseous I sneeze . I belch ALL THE TIME!. Yesterday my stomach was so bad I actually was over the toilet, but only burping, loudly! I had to lay down I was so sick. I have had colonoscopy s and scopes of my stomach. First time showed gerd... and I haven t felt good since. I am taking tamoxifen for breast cancer . Any other ideas for me? I am so sick of feeling sick.
Mon, 17 Sep 2012
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Internal Medicine Specialist 's  Response
hi kat.layden:
first of all for how long have you been taking tamoxifen? if it is a new medication, it is known to cause nausea and vomiting. If you have been taking this medication for a long time then I don't think it is the culprit.
Other options include what is called "small intestinal bacterial overgrowth", which can lead to increase gas production by this bacterial overgrowth and give you these symptoms, particularly burping, bloating and ultimately nausea and vomiting. Delayed gastric emptying is another alternative, which is commonly seen in diabetics, but can also be seen without any other medical problems. It is diagnosed by a radiologic study called "gastric emptying study". You should be evaluated by a gastroenterologist for further recommendations.
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Nausea, Taking Prevacid. Had Gall Bladder Removed. Belching

hi kat.layden: first of all for how long have you been taking tamoxifen? if it is a new medication, it is known to cause nausea and vomiting. If you have been taking this medication for a long time then I don t think it is the culprit. Other options include what is called small intestinal bacterial overgrowth , which can lead to increase gas production by this bacterial overgrowth and give you these symptoms, particularly burping, bloating and ultimately nausea and vomiting. Delayed gastric emptying is another alternative, which is commonly seen in diabetics, but can also be seen without any other medical problems. It is diagnosed by a radiologic study called gastric emptying study . You should be evaluated by a gastroenterologist for further recommendations.