Q. What causes nausea and vomiting without any underlying condition?

Answered by Dr. Jagdish Singh and medically reviewed by Dr. Divya Banu M

 

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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.


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Dr. Jagdish Singh
DNB (GASTRO
Medical Gastroenterology

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.

 

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?

 

Dr. Jagdish Singh
DNB (GASTRO
Medical Gastroenterology

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.

 

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?

 

Dr. Jagdish Singh
DNB (GASTRO
Medical Gastroenterology

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.
 
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.
 

Dr. Jagdish Singh
DNB (GASTRO
Medical Gastroenterology

Hi,

Welcome back to icliniq.com.

Only positive finding of UTI 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.

 
 
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