I feel nauseous – any one had these symptoms - looking for advice please.

[Heng]

As a couple of people mentioned regarding parasites.... doesn't hurt to deworm every year or two here (or anywhere warm/tropical).   5 days of otc Albendazole is one standard regimen and pretty much all pharmacies have it.

[Sheryl]

5 hours ago, bamboozled said:

For years, I had severe diarrhea immediately after eating anything at all. I went for check ups in this regard, had 2 colonoscopies, and had stool sample tests, at 3 different times in 3 different hospitals, Chiang Mai Ram, Rajevej in Chiang Mai and Bumrungrad in Bkk, and nothing was ever found. This included allergy tests at Bumrungrad, if I remember correctly. It was considered IBS, as well, but I wasn't really convinced of that. I tried various diets and what not on my own but nothing worked. At some point, I got a tenacious ear infection which kept coming back even after taking different antibiotics prescribed by the hospital. Finally, after coming back a third time, I was prescribed Ciprofloxacin. It got rid of the ear infection for good....and also cured my chronic diarrhea. Boy, I never fell in love with an ear infection like I fell in love with that one, let me tell you!

My point is not that you should take Ciprofloxacin, necessarily, but that even multiple tests and check-ups might not pinpoint the problem. My conclusion had been that the stool sample tests did not find the bacteria that was ailing me. But in writing this, I suppose I cannot conclude that it was a gut bacteria that was causing the problem. I can only say that when I took the Cipro, the diarrhea stopped. I don't recall what they tested for but these days you hear a lot about C. difficile popping up and I don't think that was something that was checked; I'm not sure Thailand 5 years ago had that on the radar. I believe Cipro is one antibiotic that is used to eradicate that bacteria and so, well, I sometimes think that was perhaps what was ailing me. Anyhow, that's my story and perhaps it can help you.

 

Cheers and good luck, Bam

He does not have diarrhea.

[Sheryl]

6 hours ago, Bill Poster said:

So me taking these new prescribed drugs as they are only designed to treat the symptoms of my current stomach issue are only going to possibly mask the real underlying issue . So when I return to see the doctor in two weeks time and my currents symptoms have disappeared and the doctor then does not prescribe and further drugs . I then return home and wait to see if the symptoms once again return.

 

If my symptoms do come back then I return to see the same doctor and request further investigation including the tests you outlined .

 

Am I on the right track

 

Thanks

 

 

 Since you live far away you might like to stop the meds 2-3 days before your appointment to see if the nausea returns (assuming the meds help to begin with) to avoid the need for an extra trip.

[ukrules]

Personally I would give the antacids a go for at least a few days to see if they make any difference.

[gk10012001]

You might want to get a pregnancy test

[internationalism]

5 hours ago, Heng said:

As a couple of people mentioned regarding parasites.... doesn't hurt to deworm every year or two here (or anywhere warm/tropical).   5 days of otc Albendazole is one standard regimen and pretty much all pharmacies have it.

more like 2x per year, but small doses and short, as it's a prophylactic, not a treatment and without diagnosis, symptoms, laboratory check. Especially, if in close contact with domesticated and wild animals.

There are many anti-parasitic available and good to use them in rotation, as each works on different parasite groups and in a different way.

This mentioned albendazole comes in 200mg (for kids) and 400mg pills. Just one pill is enough.

Similar to it, narrower spectrum of action is mebendazole 100 and 500mg

Niclosamide (that one is being researched for covid) and similar to it praziquantel.

Ivermectine (also research for covid).

 

  

[dj230]

17 hours ago, Bill Poster said:

Well Ive made the long trip to a large hospital and managed to see a doctor ( not a GI specialist but a general Doctor ) .

The Doctor could speak good English so I went over my current symptoms with him. He then asked me to lie on an examination table and proceeded with his hands to press down on areas of my stomach  . He asked me if I could feel any pain as he did the pressing , I told him that I had no sensation of any pain at all any where on my stomach area.

He then asked me to remove my shorts and underwear and he then proceeded to do a rectal examination with his gloved hand . Again he asked me if I felt any pain as he carried out the examination , I told him I could not feel any sensation of pain at all.

 

He then asked me to supply a feces sample . I supplied feces sample and it was sent directly to the hospitals in house laboratory for testing.

 

The feces sample took 45 minuets to undergo testing and the results were sent directly to the Doctor . I went back to see the same Doctor who then told me that feces sample test results came back as normal and no underlying issues were found .

 

The doctor on reading out the normal feces sample test results , said that my current symptoms may be due to something called - Irritable bowel syndrome (IBS) . 

 

The doctor then prescribe the flowing drugs . ( a 2 weeks supply )

 

A. Metoclopramide ( 10mg ) 

B. Simethicone ( 80mg )

C. Omeprazole ( 20mg )

 

The doctor then made an appointment for me to go back and see him again in 2 weeks time.

 

I asked the Doctor , when I go back to see him in 2 weeks time and should I still have the same symptoms after taking the prescribed drugs for a 2 week period , what would be the doctors next recommendation . The Doctor then told me that his future recommendation would be for me to have an endoscopy ( camera down my throat ).

 

I have had a quick internet look at the drugs the Doctor prescribed me, and at first glance those prescribed drugs seem to only be used for relieving the discomfort of my symptoms .

 

I have a gut ( excuse the pun ) feeling that I will be returning back to see the Doctor in 2 wees time and I will be telling him that my symptoms are still the same .

 

The cost of consultation with the Doctor , the laboratory testing and prescribed drugs came to a total of 539 Baht .

 

 

Thanks 

 

 

I'm surprised he didn't do any bloodwork, I have been to the hospital literally 100's of times over the past decade for multiple issues, some GI, and in Canada the usual ER hospital visit for GI symptoms, unless they're minor are bloodwork and then imaging of some sort, be it ultrasound/ct/MRI. Maybe he thought the issues were minor.

 

Edited July 28, 2021 by dj230

[Bill Poster]

1 hour ago, dj230 said:

I'm surprised he didn't do any bloodwork, I have been to the hospital literally 100's of times over the past decade for multiple issues, some GI, and in Canada the usual ER hospital visit for GI symptoms, unless they're minor are bloodwork and then imaging of some sort, be it ultrasound/ct/MRI. Maybe he thought the issues were minor.

 

I to was surprised that the Doctor did not want me to have a blood test done , I’m going to take Sheryl’s advice and stop the prescribed drugs 3 days before my next Doctors appointment , assuming that the drugs have removed my symptoms , if the drugs have not removed my symptoms then on my next Doctors appointment I’m going to hear what the doctors next recommendation will be . Originally the Doctor did say the if the drugs don’t seem to have the desired effect and remove my symptoms , then he would be advising an endoscopy ( camera down my throat ). 

 

Should on my next Doctors appointment my symptoms have not gone away , then I am going to ask the doctor about the following test procedures 

A. An endoscopy
B. Basic lab work (metabolic panel)
C. Blood test
D. An ultrasound test.

 

The other scenario that comes to mind is that I go back to see the doctor in two weeks time and by then my current symptoms have gone away , then the Doctor prescribes the same drugs again and advises me to take them for a longer period , in my mind these prescribed drugs may only be masking the root cause of my symptoms and not curing it . 

 

Alternatively when I go back to see the doctor in two weeks time and by then my current symptoms have gone away . The Doctor does not issue any further drugs and I return home . A few days after returning back home my same symptoms then reoccur the same as before , which then means going back to the same Doctor to start all over once again

Thanks.

 

 

[Heng]

4 hours ago, internationalism said:

more like 2x per year, but small doses and short, as it's a prophylactic, not a treatment and without diagnosis, symptoms, laboratory check. Especially, if in close contact with domesticated and wild animals.

There are many anti-parasitic available and good to use them in rotation, as each works on different parasite groups and in a different way.

This mentioned albendazole comes in 200mg (for kids) and 400mg pills. Just one pill is enough.

Similar to it, narrower spectrum of action is mebendazole 100 and 500mg

Niclosamide (that one is being researched for covid) and similar to it praziquantel.

Ivermectine (also research for covid).

 

  

Yeah for myself I do it yearly.    Most folks never deworm at all, so was making a conservative suggestion.  ????

 

Also, for the OP, if you're over 50 (again, being conservative... a lot of med folks say 45 is a good start point) and have never had a colonoscopy, might be a good reason to have one and do that baseline check for the future.   

Edited July 28, 2021 by Heng

[LongTimeLurker]

15 hours ago, IraqRon said:

stop the coffee in the morning.

I need it to get the heart pumping.

 

But I'm down to only one cup a day since I finished work.

[Screaming]

Yes, I ate at the Taco Bell a few days ago and I felt the same.

[tlandtday]

I generally keep some ciprofloxacin around and pop one if I suspect a case of food poisoning but try to get it in the early stages unless it is more sever than you will need more cipro and a week or more of cipro can temp weaken your muscles resulting in a possible tear if you are active.

[Nojohndoe]

Possibly mild giardiaisis ? what is your water supply?

[Bill Poster]

 

I thought I would post an update on my ongoing situation .

 

After taking the prescribed antibiotic drugs for a possible stomach parasite / bacteria,  my symptoms remained the same and did not improve. I then had another second stool test which like the first one came up all negative. 

 

My symptoms then changed so the doctor sent me to see a gastroenterologist . The gastroenterologist listened to my new symptoms and the fact that the prescribed antibiotic had no effect on my stomach problem . Then the gastroenterologist made a comment that my medical issue may be due to colon cancer and recommended I have the flowing two tests shown below in 9 days time.

 

 1. Colonoscopy.

 2.  Endoscopy. ( flexible tube camera down your throat and into your esophagus ).

 

I have now also had the following tests done .
 
A. Chest X-ray.

B. Blood test .

C. Heart rate monitor. ( heart rate graph ).

My current symptoms are now ……….

 

Regular watery soft feces ( stool ) small round lumps .

Feces a light brown colour , no signs of any blood.

Some times I feel a bit nauseous but never vomit .

Occasional slight itching sensation around my rectum area.

No weight loss.

No loss of apatite.

Feel a bit more tired .

No family history of colon issues.

Some times I have stomach ache.

Regular daily flatulence.

I have to stay in hospital for one night and undergo a Covid test ( hospital policy ) then the next day 

the two tests ( Colonoscopy and Endoscopy ) will be carried out .

 

As soon as the gastroenterologist said the words , you may have colon cancer , my mind went crazy. The more I google ‘’ colon cancer ‘’ the more I’m becoming convinced that the gastroenterologist may be correct in his assumption that I do have colon cancer .

 

So now I have to wait until I get the new tests done , but I’m now very stressed out . ????

 

 

.

 

[BritManToo]

51 minutes ago, Bill Poster said:

Occasional slight itching sensation around my rectum area.

Classic sign of worms ............ did they give you worm pills?

(antibiotics don't cure worms)

Edited August 20, 2021 by BritManToo

[Bill Poster]

1 hour ago, BritManToo said:

Classic sign of worms ............ did they give you worm pills?

(antibiotics don't cure worms)

I had originally thought of some sort of worm problem , but after seeing both stool tests show negative I dismissed worms , but the symptoms of having ‘’ worms ‘’ do indeed look similar to my symptoms.  The drugs I was given as far as I know did not include any specific thing for worms. 

 

Thanks .

[Bill Poster]

Just read this ......

 

What is the test for stomach worms?

 

 

Endoscopy is used to find parasites that cause diarrhea, loose or watery stools, cramping, flatulence (gas) and other abdominal illness. This test is used when stool exams do not reveal the cause of your diarrhea.

 

May be thats the reason the gastroenterologist has recommended a Endoscopy test for me. 

 

 

Thanks .

[BritManToo]

1 minute ago, Bill Poster said:

What is the test for stomach worms?

Don't think there's any need for a test.

Itchy bum = swallow worm tablet = problem gone.

About 50bht from any pharmacy.

Bit surprised they didn't give you worm tablets right at the start.

Edited August 20, 2021 by BritManToo

[Sheryl]

What blood tests were done?

 

Nausea can have a wide range of causes. Not usually colon cancer, though.

[Bill Poster]

44 minutes ago, Sheryl said:

What blood tests were done?

 

Nausea can have a wide range of causes. Not usually colon cancer, though.

The blood test results will be part of the final assessment on the same day after the Colonoscopy and Endoscopy have been carried out . So currently I have not been told the results of the blood test.

 

Last night I had a meal ( I still have have a good apatite ) . after that meal there were no signs of any thing being wrong. This morning soon after getting out of bed I had to dash to the toilet and had a bout of watery soup like diarrhoea ( no signs of blood ) or other symptoms .

 

That bout of watery soup like diarrhoea, reminds me of long past stomach problems I had relating to a parasite / bacteria issue .

 

 

Thanks .

 

 

[Seeall]

Sorry for reviving this thread. 
In such cases, the best course of action would be to consult with a healthcare provider who can give you personal advice after an assessment. It's important not to self-diagnose, especially when symptoms persist for an extended period.

[orang37]

Has anyone here used or had any experience with this kind of healing crystals for nausea? It's believed to have healing properties that could help alleviate the sensation of nausea.

[steven100]

OP ....   has your sickness improved or are you feeling the same as before ?