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I am 49 years old female and weight around 100Kgs.

I have nausea couple of hours after eating.

As my stomach empties I again get nauseous. web-doctor--doctors-advice

I also have bloating and sometimes also feel like I am going to throw up after eating.

I have been diagnosed with gall stones.

Also I have tingling and web-doctor--doctors-advice numbness in my upper thigh when I walk sometimes.

Please help.

Doctor answer

Yes, you certainly noise as if you have gallstones, which is common in midst aged web-doctor--doctors-advice women and even more so if you have higher than normal weight.

You should have an abdominal ultrasound to confirm the presence of gall stones.

The tingling in your upper web-doctor--doctors-advice thigh is coming from your lumbar sacral spine (lower back) .

It is likely that you have some degeneration there particularly at the L1-L2 level.

Wear and tear is common in web-doctor--doctors-advice people of your age, but the more your spine has to carry the greater the probability of symptoms.

If you can loose some weight then the tingling should improve.

Loosing web-doctor--doctors-advice weight volition make no difference to the gall stones, which must now be treated by removing your gall bladder.

You should feel better after this procedure has been done.

Your web-doctor--doctors-advice Blood pressure needs to be checked regularly and you requirement to keep an eye on your blood sugar for diabetes, so a fasting glucose and a glucose tolerance test (GTT) if the glucose web-doctor--doctors-advice conclusion is near the upper boundary of normal.

An X-Ray or CT scan of your lumbar sacral spine to assess degeneration.

Despite the gallstones, your most important problem is your web-doctor--doctors-advice weight.

It is most important that you find someway to deal with this as hypertension, diabetes and ultimately heart disease are almost inevitable if you don’t take solicitude of your weight.

web-doctor--doctors-advice Joint and rear problems develop and are related to the fact that your joints, have to do extra work by carrying more than they should.

A small consolation of existence overweight is web-doctor--doctors-advice that because bone is a dynamic tissue and tries its best to meet the demands placed on it and therefore weight direction does make for stronger bones that tend to have less problems web-doctor--doctors-advice with osteoporosis developing after the menopause.

However this is a small good compared to all the disadvantages.

It is not much benefit to have strong bones if your joints are so web-doctor--doctors-advice riddled with osteoarthritis that you are in too much mental suffering to derive any good

Example Question 2

I was taking about 7 to 9 Advil daily for about 4 years and web-doctor--doctors-advice was getting a sharp mental suffering in my lower leftside of my stomach.

I stopped taking these for about 6 weeks now.

I was wondering if the high doses of Advil web-doctor--doctors-advice I took was the cause of my stomach pain.

I have also lost my appetite, lost some weight, feel tired, have nausea, difficulty swallowing and have anemia.

I am 55 years web-doctor--doctors-advice old and I am male.

Doctor Response

I see why you are concerned - the Advil can certainly play havoc on your gastro-intestinal tract- by causing stomach bleeding which would web-doctor--doctors-advice lead to anemia and loss of appetite.

However: Because you are 55 years old you can only use that as an explanation when you have been investigated to exclude other causes for web-doctor--doctors-advice your symptoms- the most important of which is the anemia.

Because you have no reason to explain the anemia apart from abnormal blood loss and the worrying source is something nasty bleeding web-doctor--doctors-advice in the gastro-intestinal tract.

Bowel cancer is the first place that one would look because bleeds from bowel cancer can sometimes go unnoticed.

However these symptoms of anemia, nausea and loss web-doctor--doctors-advice of appetite can just as easily be explained by a stomach ulcer or gastritis that you may have given yourself by taking Advil.

The weight loss is also very worrying but once web-doctor--doctors-advice again if you haven't eaten properly because of the loss of appetite then this would cause you to loose weight, but a cancer in your gastrointestinal tract that has now possibly spread would web-doctor--doctors-advice be the cause to look out for.

I have discussed the symptoms of nausea, anemia and weight loss but the fact that you have difficulty swallowing is also of concern.

web-doctor--doctors-advice This could be from a stricture in your esophagus, but this also adds the possibility of esophageal cancer to the list of possible causes for you anemia.

The fact that you feel web-doctor--doctors-advice tired is due the anemia.

Some tests that you should consider being done include Endoscopy and Colonoscopy to exclude stomach, esophageal or bowel cancer and to exclude inflammatory bowel diseases (Crohn’s web-doctor--doctors-advice and Colitis) and diverticular disease.

Liver function tests and Abdominal Ultrasound.

This will exclude any secondary spread to the liver by any possible cancer.

It will also give a web-doctor--doctors-advice good look at the pancreas and the kidneys to exclude both cancer and stones.

PSA (Prostate Specific Antigen) - as a baseline should be done

So in summary while you web-doctor--doctors-advice may well have a benign explanation for your problem, namely the Advil, you MUST see a gastroenterologist and be investigated to exclude a more serious disease, such as bowel or stomach cancer.

web-doctor--doctors-advice I cannot stress the importance of this enough.

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