Persistent nausea

Posted by floridalinda @floridalinda, Mar 11, 2024

I developed long covid after third episode of Covid in 2023. Longest lasting symptoms include shortness of breath , tachycardia and tremor. This past month I have developed persistent nausea with a “sick” feeling and feeling faint. Fatigue seems worse. Anyone with suggestions?
Linda

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The nausea was the reason I started searching for answers as to why I was still sick after having Covid. It lasted over a month 3 1/2 years ago. I have not been the same since. I had two Pfizer shots a month apart and within another month I had the virus. My specialist explained to me that the long Covid fried our nervous systems and our stomach and digestive trackes are part of that. What helps me is taking ONDANSETRON4 mg and I keep a bottle on me at all times. I take it and within 15 minutes the nausea symptoms go down and I’m able to function normally for a few hours. I also take naltrexone.
Now if they come up with something that works for the fatigue, the body inflammation, tremors went over exerted and short-term memory loss that would be great, right?!

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I was on promethazine for nausea. My bariatric NP was concerned about it and changed to Zofran which did not work for me. She now has put me back on a low dose promethazine and that helps. But I should warn you—I had taken one promethazine one morning, went to the dentist and was driving home. Went to sleep at the wheel, crossed a busy highway, luckily missing other cars and ended up totaling my car by hitting a tree. Luckily I was not hurt. But I would strongly recommend not driving while taking promethazine.

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Profile picture for tamara1978 @tamara1978

I need help I stay nauseous all day long about 5 days a week sometimes more. This has been going on for about 5 yrs now. I have been to my GI doctor and had all the testing for GI related issues but everything has came back normal. I was sent to a neurologist and had all kinds of blood tests and everything was either normal or negative. I have been on zofran odt for 3.5 yrs or more and so it don't really work anymore. I have also been on amitriptyline 25mg and it didn't help. I was prescribed patches you put behind your ear every 3 days but insurance didn't want to pay for them. I have been on promethazine and it is the only medicine that seems to work. My doctors now don't want to write it anymore so I am on my last refill. I am miserable and can not continue to be like this. Please someone help me.

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I, too, have recurrent multi-day episodes of nausea. Sometimes worse days than others. I heard a ve gastroparesis which is slow emptying of the stomach for which I take Reglan (metachopramide) and zofran which help. However, that doesn't explain the episodic nature of the symptoms. I recently met with a new gastroenterologist who has ordered a couple of test to see if we can find a cause. Results of one test show a high degree of inflammation. But that's just an indicator and not diagnostic. Next scheduled test is an MR Enterography for a detailed look at my small intestine and surrounding organs. To be continued.

I'm keeping a diary of foods I eat, exercise and levels of nausea to see if I might be able to identify a trigger food. So far high fat foods seem to be a problem--no more pizza or baby back ribs! I'm a double lung transplantee so I take many drugs which may complicate a diagnosis.

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I'm not sure where to even begin...I've had nausea for so long, and no idea what the cause may be. I've gone from 95 pounds to 84 pounds; currently at 87 pounds. I thought perhaps medications, but cannot point to one in particular. I've tried sinus decongestants, but that doesn't stop it either. No vomiting; just nausea and feeling "not well." I thought the Lisinopril might be the cause, but when I stopped it for only 2 days, my BP went too high. My doctor seems to just ignore the issue. I'm wondering what my gastroenterologist would say/do...?

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Profile picture for dorma @dorma

I'm not sure where to even begin...I've had nausea for so long, and no idea what the cause may be. I've gone from 95 pounds to 84 pounds; currently at 87 pounds. I thought perhaps medications, but cannot point to one in particular. I've tried sinus decongestants, but that doesn't stop it either. No vomiting; just nausea and feeling "not well." I thought the Lisinopril might be the cause, but when I stopped it for only 2 days, my BP went too high. My doctor seems to just ignore the issue. I'm wondering what my gastroenterologist would say/do...?

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Are you getting in touch with your gastroenterologist? Sorry your primary is not very responsive.

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you might ask your doctor for Carafate...used for cancer patients for Chemo related stomach issues.It works for me...I believe it cleared my nausea and stomach pain after using for around a month...and on and off before that.Gotta follow the directions though.Be serious about taking it as directed.

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Profile picture for dorma @dorma

I'm not sure where to even begin...I've had nausea for so long, and no idea what the cause may be. I've gone from 95 pounds to 84 pounds; currently at 87 pounds. I thought perhaps medications, but cannot point to one in particular. I've tried sinus decongestants, but that doesn't stop it either. No vomiting; just nausea and feeling "not well." I thought the Lisinopril might be the cause, but when I stopped it for only 2 days, my BP went too high. My doctor seems to just ignore the issue. I'm wondering what my gastroenterologist would say/do...?

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YOU need to tell them you want to try Carafate.He should know what it's for and what it does.At least he should go along with you on this.I had severe stomach problems for 4 years at least.And yes,I went from 165lbs to 130 in about 5 months from not being able to eat it was so ugly.

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Profile picture for doug8576 @doug8576

I, too, have recurrent multi-day episodes of nausea. Sometimes worse days than others. I heard a ve gastroparesis which is slow emptying of the stomach for which I take Reglan (metachopramide) and zofran which help. However, that doesn't explain the episodic nature of the symptoms. I recently met with a new gastroenterologist who has ordered a couple of test to see if we can find a cause. Results of one test show a high degree of inflammation. But that's just an indicator and not diagnostic. Next scheduled test is an MR Enterography for a detailed look at my small intestine and surrounding organs. To be continued.

I'm keeping a diary of foods I eat, exercise and levels of nausea to see if I might be able to identify a trigger food. So far high fat foods seem to be a problem--no more pizza or baby back ribs! I'm a double lung transplantee so I take many drugs which may complicate a diagnosis.

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Inflammation.YES.That's partly what this virus does..it damages the immune response and allows the response to go crazy.Hence the BIG pain and such.It overreacts to inputs from the CNS.Fight or flight responses(some).It doesn't shut down when it's supposed to normally.Dr Paul anderson Youtube explains these episodes and what's happening.Targeted supplements worked for me..(I say worked,but I still have a few instances of SUPER MILD nausea sometimes.It's virtually gone at this point.Targeted supplements for the cells an systems.Honestly,you should google him.He's amazing and the REAL DEAL.He doesn't just tell us what to take...but WHY we're taking it...which is really nice.I would try to avoid prescriptions.Sometimes I needed these,but only for a short time.

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Histamines are another big cause of pains and inflammations.I take certain vitamins to target histamines(allows the body to eject and pass histamines OUT).Maybe ask your DR for histamine amounts in YOUR body.

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Profile picture for h2998sc @h2998sc

you might ask your doctor for Carafate...used for cancer patients for Chemo related stomach issues.It works for me...I believe it cleared my nausea and stomach pain after using for around a month...and on and off before that.Gotta follow the directions though.Be serious about taking it as directed.

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Already on it. Have been on it for over a year and a half. No help. Thank you though for your suggestion I really appreciate it.

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