Internist Questions nausea

What could be causing my nausea after eating?

Lately, every time I eat something I get severe nausea right after. What could be causing this?

6 Answers

It could be acid reflux or gastritis
Your symptoms may be indicative of excessive acid production in your stomach. Try to eat smaller meals. Avoid long delays between meals. If your symptoms are not improving, you can try over the counter medication like Zantac or Pepcid for 2 weeks to see if your symptoms get better. If your symptoms persist, then please see a medical provider.
It could be gastritis versus ulcer. Also consider gall bladder disease. It could be also due to medications if you are taking any
The possibilities include the following:

1) Stomach problems like gastritis, gastric ulcer (with or without H. Pylorii infection); gastric emptying problems, gastric outlet syndrome (where the stomach can't empty due to an intrinsic obstruction or an abdominal MASS impinging on the stomach or bowel).

2) Duodenal problems: Peptic ulcer (H. Pylorii infection), obstruction (from something intrinsic to the bowel -- like scarring, inflammation, or tumor; or something outside the bowel --like an enlarged liver, pancreatic dz, abdominal tumor, etc.)

3) Gall bladder problems: Usually meaning gallstones, or chronic biliary disease

4) Pancereatic dz: Like chronic pancreatitis, pancreatic cancer, pancreatic pseudocyst, etc.

5) Liver dz: Hepatitis/cirrhosis, fatty liver, tumor

6) Kidney dz: People with significant renal insufficiency may be nauseated.

7) Small bowel problems: Like Crohn's Dz or tumor

8) Metabolic problems: Hypercalcemia, hypokalemia, adrenal insufficiency, etc.

8) Medications: ANY drug could potentially cause nausea!!
Nausea after esting could be caused by many factors. One should consider is gastritis, if you are diabetic could be slowing of food digestion, also food intolerance. My advice would be to see your doctor to go thorough on the history and make sure is not a life threatening condition
This could be several things, but most likely either acid reflux (GERD or gastroesophageal reflux disease) or gallstones. Acid reflux usually occurs about an hour after eating, but can be sooner and is often associated with spicy foods, alcohol, tomatoes, and carbonated beverages. Gallstones are often exacerbated by fatty foods and symptoms can occur much sooner, 15 minutes or less.

You could try changing your diet and/or trying over-the-counter H2 blockers like Pepcid or proton pump inhibitors like Prilosec. Serious conditions like an ulcer or even stomach or esophagus cancer can also cause similar symptoms, so you may need to see a doctor for testing. Gallstones can only be cured with surgery. Your doctor will refer you if testing shows that.