HomeAnswersMedical GastroenterologynauseaWhy are there nausea nad vomiting episodes without a decline in health?

What causes nausea and vomiting without any underlying condition?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At June 19, 2019
Reviewed AtDecember 6, 2023

Patient's Query

Hello doctor,

My wife has nausea, vomting episodes that are not related to conditions, for example she can eat and feel nauseated or vomit after an hour or two or not feel anything. Then a few days later it can happen again. It comes and goes and is not stable, or triggered by certain conditions. It is totally random mostly. She gave birth to twins with a CS and was on Prontogest supplement for 7.5 months.

Answered by Dr. Jagdish Singh

Hi,

Welcome to icliniq.com.

She may have repeated biliary colics or recurrent attacks of gastritis or may have urinary tract infections. So, she needs urine routine test, liver function test for further comments.

Patient's Query

Thank you doctor,

Alright, they will come out shortly and I will send them, but the 6 mm thinckneess of the gallbladder wall, are we looking at a possible surgery for removal?

Answered by Dr. Jagdish Singh

Hi,

Welcome back to icliniq.com.

Yes, it suggests chronic cholecystitis. She should undergo surgery. If the pain is in abdomen in right upper quadrant associated with nausea and vomiting.

Patient's Query

Thank you doctor,

There is no pain at all, and the nausea, vomiting is not regular, it comes and goes, for example she did not throw up or feel nauseated for 48 hours now. Is surgery still needed?

Answered by Dr. Jagdish Singh
No at present but it should be planned because normal GB wall thickness is less then 3 mm. It suggests some inflammation is ongoing there for long time. So she should underwent surgery but it can be planned according to your convince.

Patient's Query

Here is the test results. Please update me about the opinion based on those and I would also like to know if the amalyse level is acceptable.
Answered by Dr. Jagdish Singh

Hi,

Welcome back to icliniq.com.

Only positive finding of UTI (urinary tract infection) is there. Yes, both amylase and lipase are normal. So, now our plan is to continue with antibiotics and should modify as per urine culture report once becomes available. Should plan laparoscopic cholecystectomy in future.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Jagdish Singh
Dr. Jagdish Singh

Medical Gastroenterology

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