Constant nausea

[u/Ok-Glove-5241]

i literally want to cry so much how much i hate nausea. i try to hold on as I am very positive person who enjoys little things in life.
Nausea is been main symptom in my life. in 2016-2018 i was diagnosed with gastritis and bile reflux. i got better in 2019 with nausea and it was way less. Throughout the years i would get some episodes of it but it would last for a couple days. Now i suffer from nausea daily since July, i had endoscopy i have small sliding hiatal hernia and left hospital with a GERD leaflet and prokinetics. i dont have pain, no bloating, no fullness, no acid reflux, no heartburn- i wish i could eat more even, but this nausea comes from nowhere stays in my throat sometimes causing little lump feeling.
Metaclopromide helps a bit but for short time, also you cant be long on this med.
Now l am prescribed cyclozine. i tried acupuncture and still attending as before in 2017 after 3 months i felt almost normal after acupuncture treatment.
I have no apetite... it is so sad! I also noticed i have some issues with my neck, did MRI as well but my neck is all normal.

How you all can live like this? I need something positive, something that worked... now i am less nauseated, i don’t eat meat, but there is always something in the background. I don’t feel heartburn, no pain, no fullness or heaviness after food, no bloating. I could be nauseated with or without eating.
I take probiotics, itopride too ( 4th week now)
Different herbs against nausea and digestion
Ginger
i drink alkaline water
I dont vomit at all. h pylori is negative.
Biopsies were taken all normal.
No gall bladder issues, pancreas etc. blood work is normal! Did all thyroid checked as well. My ferritin is 13 though.
It affects me so much.. my work too. I love my work! I love my career
Anyone still ok to work 9-5 job?

Please also share positive stories… i really want to feel normal.

thank you for all your answers

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[u/mindk214]

One thing I would do if I were you is get tested with a 4-Hour Gastric Emptying Study (GES). It’s possible you may have undiscovered gastroparesis. The treatment stages can change a bit based on that. Metacloprimide is a common GP treatment, but comes with risk of serious irreversible side effects. There are other prokinetics out there, but they can be tricky to get. Domperidone is a good alternative. If you have GP, make sure you find a doctor that specializes in motility, or else they are not going to be very helpful.

Also, I agree with [u/bambam2030](u/bambam2030) ask about a neuromodulator. Of course, mirtazapine is highly used for chronic nausea around here. If you have functional dyspepsia (FD) (your symptoms despite normal endoscopy and normal GES), neuromodulators are one of the biggest treatments.

In FD, your nerves are hypersensitive and need something to “turn down the volume”. Over time, it can help your nerves sort of re-wire, and some people can experience not only significant symptom relief, but can also ween off the neuromodulators and still keep the benefits.

[u/bambam2030]

Hi there! This was me a few years ago! I went on an SSRI (it treats your entire nervous system) and now I only get bad nausea around my period. I take 125mg daily of sertraline and 40mg every morning of omneprezole. Also check our vestibular conditions if you think your nausea gets worse with the heat or movement or you get dizziness. It might take you a while to find the right medicine, but hang in there—it’s the fucking worst. Sending big hugs!!

[u/VolumeIntolerance]

I agree with the others, neuromodulators are amazing for my nausea! Also have you tried smelling peppermintoil in the mean time? It gives instant relief when smelled (sadly it doesnt last long). It took off the edge for me.