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    Constant nausea
    jscdi posted:
    just now Constant nausea My 15 yr old son has been "diagnosed" with functional nausea. This all began 10 mos ago with occasional bouts of "sick to my stomach" & progressed from there. In additional to the nausea he also was very fatigued. It was found that be was severely constipated & after a good cleaning out with magnesium citrate he seemed to improve. The improvement lasted only for a few weeks & has gotten progressively worse. We saw a pediatric gi specialist who performed a blood & stool labs, stomach emptying test, gallbladder test, complete abdominal ultrasound, upper gi, upper endoscopy, colonoscopy & brain mri over a 4 month time period. Each test came back negative or normal. In October he was put on periactin (antihistimine) for the nausea. It seemed to help but after several weeks he is worse than ever. A few weeks ago we started on a low dose antidepressant. Mostly since then he feels worse than ever. We have regular communication (2x per week) with the gi regarding his condition. We have also started to see an accupuncturist who is doing allergy clearing as well as suggesting a candida diet to eliminate as many common allergy triggers as possible. No needles are being used at this point since my son doesn;t want it so she is doing accupuncture. It seems that most people on these groups fall away when their child is better. Any suggestions or ideas would be greatly appreciated. He has been out of school (10th grade) for this entire school year.
    momuv4girls responded:
    Since all of your son's tests came back negative and they started him on a low dose antidepressant, are they thinking the nausea is due to anxiety?
    What Dr. prescribed the antidepressant? AND, since it doesn't seem to be helping him, why is he still on it?

    As for the school............
    What are they doing to support your son? Is he receiving instruction at home?

    Sorry for all the questions, just trying to clarify before I offer up some suggestions.
    jscdi replied to momuv4girls's response:
    We have started on home/hospital this week for school. A teacher actually comes to the house. As for the anti depressant it is the most commonly used treatment for this condition. Based on the Rome criteria which is the gastrointestinal meeting of the minds. It has something to do with the gut - brain connection.
    momuv4girls replied to jscdi's response:
    Well, it sounds like you've done a lot of work and testing - that's great.

    You state " A few weeks ago we started on a low dose antidepressant. Mostly since then he feels worse than ever"

    I just want you to know that medication can make a child worse and since you report this, I highly suggest you talking to the Dr. about this asap. While my daughter doesn't hold your son's diagnosis, she did trial antidepressants (for anxiety) with a worse result.

    I am familiar with Home & Hospital Instruction, and do know its a temporary solution - I hope the school district is onboard to help your son transition back to school soon.
    Take care, I know how stressful this is on the parents!!
    jscdi replied to momuv4girls's response:
    The doses of the anti depressant that are used for this condition are a fraction of what they actually use for depression or anxiety. I have been giving the dr updates 2x per week via email and he usually replies within an hour or so. He is a pediatric gastrointestinal specialist. We may be increasing the dose.
    jscdi replied to jscdi's response:
    Good news on the nausea problem front. The antidepressant (amitriptyline) that the dr prescribed seems to have helped a lot. Since increasing the dose to 30mg at 6 weeks from 20mg all his symptoms have disappeared. We will continue on the current path & see the dr again in 3 months. We have also been continuing with the acupressure & a very clean diet. No gluten, dairy or sugar. His diet consists of grass fed beef & organic everything else.
    jscdi replied to jscdi's response:
    6 weeks into our disappearance of symptoms they returned. The only changes made during the time was the addition of gluten free bread & few other gf treats.

    We saw the gi who performed lactose breath test=negative, fructose breath test=positive & glucose = negative.

    We are now on a no fructose diet & he seems to be improving. It has been a week since the fructose test which left him very sick for several days. He has severe nausea & dizziness which began 30 minutes into the test. His numbers went from -17 to 40. We are also using a probiotic that is specialized for those with GI issues.

    I will update as we move through this new treatment plan. We are hoping that the new food modifications help him to continue to improve. PS: I asked for this test in October of 2014.......

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