i am suffering from this decease since 1997…….this started like this……..initially i suffered from a strong nausea feeling for some days continously…….and started to vomit what ever i used to eat……this was during my graduation days…….i use to remain very tensed due to this……after so many gastro tests the doctors could not stop the vomiting…….they refered me to psychiatricts…….and i was diagnosed as suffering from depression & anxiety………..with medication slowly things started getting better……….but this process is still going on…….now i have started reducing the doses of medicines………but every morning when i get up….a strong nausiatic feeling prevails…….like something inside my stomach is not happy with me………though i don’t vomit these days……the sensation remains till mid day….night i feel better……..can you advise me for my case…….i know the details i have mentioned above are not enough……….if you are willing to help me with my problem, i will discuss with you in detail………..i am fed up with this syndrome, that i am suffering since last 10 years………is it psychological……….or i was wrongly diagonsed all these days…….will this syndrome going to stop after i stop taking medicines……..please help me…………..i feel my diagnosis is not going in a proper direction………..because doctors were in all these days trying to reduce my medicine doses only……..

Dr. Joshua’s Answer:

As you have been suffering from this almost ten years and it’s not getting progressively worse, it seems this is more of a “functional” problem, i.e. cannot really pinpoint a physical cause. Apparently you were examined thoroughly and it was determined that the symptoms were related to psychiatric illness. It seems this was indeed the cause as the treatment did help.

Usually with such a complaint, initially a thorough history, physical examination and some laboratory tests are needed, and these will then determine the need for further investigations or suggest a cause in themselves and consequently a treatment plan would be outlined. Sometimes, gastroscopy is needed if gastritis or ulcer are suspected. I trust all of this has been done in your case.

It would be helpful to know which medications you are taking. Some medications can cause nausea, as can some foods, drinking, and smoking. Also, if you have had an ulcer or gastritis, these conditions can reappear after years, and start causing symptoms again. Reflux esophagitis is also a possibility. Try to elevate the head-end of your bed by a few inches by placing a couple of books or some other material under the legs. This may help if it’s a reflux problem and presents in the mornings. Also, a two-week course of a proton pump inhibitor may be of benefit. Talk to your doctor about these. Also, I recommend that you do not reduce your medicines on your own - consult the prescribing doctor first.

Good luck!

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