Discussions By Condition: I cannot get a diagnosis.

extreme nausea

Posted In: I cannot get a diagnosis. 4 Replies
  • Posted By: Laura H
  • June 8, 2009
  • 00:40 AM

I am 52, female, have chronic pain from spine - nerve damage by surgery - and hands hurt. I tend to get lightheaded. (I have Hypertension - on Hdchlorz/Potass.I drink water and eat fruit every day.) A few days ago I was seen for some NEW- 8week old underarm lumps - Doc thinks they are "lymph nodes" maybe enlarged, not to worry. I told her I have been very nauseated for three weeks and it is getting worse. No response from her. This year I began having occassional 'nerve' freakouts I call them - where my body cannot relax, my head and neck get intensely stiff. I have intolerance for being cold - I get out of control shakes. Either that or I get intermittent overheating that weakens me badly and I sweat. I am sleeping 9-10 hours a night. My friend thinks my stomach muscle seems hard and is protruding.

Any ideas as to what I should be looking at?

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4 Replies:

  • Hi there Laura. I have a couple of ideas for you.When I think about this, I see not one, but a series of a few possibilities. Firstly, the pain and nerve damage could lead to the tingling fingers (paresthesia), and I wonder at what point of the spine you had surgery (lumbar, thoracic, or cervical). The lightheadedness could be caused by drop in blood pressure, due to the hydrochlorthiazine doing its job as intended, or maybe a little too well. The nausea is a generalized symptom which could be caused by any or all of the other problems. The nerve freakouts could be spinally related, especially if your surgery was cervical spine or high thoracic, but can also be a symptom of temporary potassium imbalance (which I think is the more likely, and could also be responsible for the finger tingling, which is more likely if your surgery was low thoracic or lumbar). As for the temperature imbalances, lymph nodes, and excessive sleeping, I see some possibilities. The first is menopause, as you are the right age for it (unless it has already happened, in which case disregard this theory). The hormonal imbalance could cause swollen lymph, sleeping and temperature imbalances, and even a protruding uterus. The other possibility is an infection, which again can cause swollen lymph, sleeping and temperature imbalances, or abdominal distention if the infection is in fact in that area. There is also an outside possibility that it is both of these things at once. Also there is the possibility that any problem in your abdomen is responsible for the nausea.That’s what I see when I look at this. I don’t see any single thing myself, but perhaps someone with more knowledge than I might. If any of this rings true to you though, I'm glad I could help in advance.-Regards, Q
    technoticq 7 Replies Flag this Response
  • Thank you for replying so soon. I reached menopause two years ago. I had the bad resulting surgery in 05 on my lumbar, and in 1989 on my cervical. The 'stomach' is literally the muscle itself. I do think the nerve freakouts are from my neck - it snaps a few days in a row at the base/medula area and then ... (btw: when I took a muscle relaxant (flexoril) for this - it burned inside my scull!) strange.How often should I be having my potassium level checked? I only had it done once in 4 months.BTW the hctz/potass has not really lowered my BP but by about 5 points. Hardly worth it. I am ultra drug sensitive and was not able to take beta-blockers or the other type (both gave me chest pain). So I gave in to the water pill.I am seeking a new doctor; my DH thinks I should.
    Laura H 1 Replies Flag this Response
  • LauraTo first address the issue of the drugs and potassium, unfortunately, both have short term, fluctuating natures, which is to say, your potassium can change drastically day to day, and the hydrochlorthiazine can effect your blood pressure drastically depending on a number of factors. Having dropped five points on average is actually clinically quite good; water pills are not a be-all-end all blood pressure fix and were designed to be used in conjunction with other treatments. I wonder what are your baseline vitals? What is your resting heart rate and blood pressure, and do you test them daily? Because of these facts as I’ve stated them, I’m not so quick to rule them out as possible causes to some of your problems.As for the other issues, the stomach, if taken as truly just the muscle, sounds like a tear or pull, which can cause the nausea. If the stomach muscles are strained because of underlying herniation, (and you wouldn’t necessarily feel this in the organs because there are very few pain receptors in them, but you might feel the strain in the muscle above it) you would almost definitely have nausea from it. For the rest, I see no reason to rule out my earlier hypothesis of infection, now that we can rule out menopause.As for your doctor, it sounds to me like he wasn’t very aggressive in his treatment, and a new one could indeed help, but don’t be fooled into thinking the grass is always greener. With doctors, it almost never is, or at least that has been my experience.-Regards, Q
    technoticq 7 Replies Flag this Response
  • I am 52, female, have chronic pain from spine - nerve damage by surgery - and hands hurt. I tend to get lightheaded. (I have Hypertension - on Hdchlorz/Potass.I drink water and eat fruit every day.) A few days ago I was seen for some NEW- 8week old underarm lumps - Doc thinks they are "lymph nodes" maybe enlarged, not to worry. I told her I have been very nauseated for three weeks and it is getting worse. No response from her. This year I began having occassional 'nerve' freakouts I call them - where my body cannot relax, my head and neck get intensely stiff. I have intolerance for being cold - I get out of control shakes. Either that or I get intermittent overheating that weakens me badly and I sweat. I am sleeping 9-10 hours a night. My friend thinks my stomach muscle seems hard and is protruding.Any ideas as to what I should be looking at?Are you sure it it the muscles?Could you have ascites and this is what your friend is feeling as that would also give a sensation like stomach tenseness.Also after the 9-10 hours sleep do you feel refreshed or still tired?Do you have dry mouth during the night?How long do the shakes last for?Do you notice the overheating is more prominent during the day or the night or can be at anytime?Do you think you might have a few different things going on at the same time?Ie:could the nerve freakouts be from the surgery damage and the lymphnode enlargement be seperate?This might sound strange,but if you want also tell me what your tongue looks like-what colour,any cracks etc.This is what TCM uses to diagnose illnesses.I'm not a practitioner but can give you a lead as to what might be going on which you could then take to a TCM doctor to look into deeply.
    Anonymous 42789 Replies Flag this Response
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