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Once and for all, IS nausea a symptom of IBS or not?

746 Views 12 Replies 9 Participants Last post by  flux
Everything I read on the subject says no. It is never listed on any list describing IBS. Yet many, many of us are having this symptom on a nearly daily basis. My GI doc says yes, it is a secondary symptom of IBS. Currently I am having normal BM's every day and having very little intestinal cramping, if any. Yet, this nausea is the lingering symptom I can NOT seem to get rid of. What gives?
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The only time I experience nausia as an IBS related symptom is during a very severe IBS episode, when the pain from cramping is so intense that it makes me nausious. Once the intense episode of pain is gone, the nausia leaves with it. I think it may be possible that you have another condition causing your nausia, but I'm far from an expert at all of this.
It turns out that nausea is reported as a symptom by people who have been officially diagnosed with ROME I criteria. This was discovered only recently, http://www.ncbi.nlm.nih.gov:80/entrez/quer...t_uids=12492200 In the past, I posted incorrect information about this, claiming it could not be due to "IBS".
What they found here is that abdominal pain was not being reported as the primary symptom, but that instead it was nonpainful discomfort. That essentially means vague and generalized sensations such as bloating and nausea.Since IBS is defined by symptoms and not by pathophysiology, it is almost certainly the case that there can either be 1) a single underlying disease process that gives rise to all the symptomsor2) differing diseases processes among IBSers. In other words, some people diagnosed with IBS don't actually have the thing we are calling IBS.Specifically, delayed gastric emptying (gastroparesis) is a more specific dieases process that almost always causes nausea and there can be others as well. Therefore, it makes sense to be thoroughly tested to see if a specific disease process can be found as the cause.
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I had nausea for a long time. It turned out to be related to the H. Pylori bacteria I had. Since the bacteria is gone I still occationally have some nausea, but not as severe nor is it everyday like it used to be. Usually comes on with a bout of C.Hope this helps,Joyce
Help, I'm new and perplexed about IBS. I have just been diagnosed with IBS .... My symptoms include bloating, pain, diarrhea, always followed by extreme nausea. I usually end up in the hospital after each episode for 3 days plus....I become severely dehydrated and also have lost lots of weight. Have been hospitalized 6 times and had major surgery since last July. I need to know if anyone else has the vomiting with their IBS. Three physicians (one a GI) are all trying to rule out all the possibilities....have had all the tests that can be run and still no help!!!
Three physicians (one a GI) are all trying to rule out all the possibilities....have had all the tests that can be run and still no help!!! Have you had a (GES) gastric emptying test?
I think nausea is more of a secondary symptom as well. My IBS triggers GERD which then makes me feel nauseas constantly. If I get the GERD under control (with prilosec) then the nausea disappears.
Although I do not suffer from it at the moment I have been badly affected by nausea in the past particularly when I had GERD problems. I used to take tablets that were meant for patients on chemotherapy - they worked a treat and I was able to eat.
I have also been diagnosed with "mild GERD" but no PPI's or H2 blockers or antacids have ever helped with the nausea, and believe me I have tried them all. Most caused other problems so I don't take any of them anymore except for the occasional gulp of Gaviscon or Pepto Bismol.Flux, what are the differences between Rome I and Rome II and why the two different criterea? Or am I confusing myself - not sure which is which.
I don't care what any study says, nausea is a symptom. Doctors are stupid when it comes to IBS, they all just guess and pull things from the sky.
quote:what are the differences between Rome I and Rome II and why the two different criterea?
One of the critical differences is that in Rome I requires the pain or discomfort always be relieved by defecation. Rome II relaxed that requirement.
quote:I don't care what any study says, nausea is a symptom. Doctors are stupid when it comes to IBS
Actually, this is a straw man argument.
Thanks for the info, Flux. Rome II makes more sense to me as I have had plenty of pain episodes not relieved by BM.
quote:I have had plenty of pain episodes not relieved by BM.
The way this conclusion is arrived at is by looking people who are believed to have IBS and those believed to have some "organic" disease and statistically, those with an "organic" disease are more likely to have pain that is not relieved by defecation. So there are IBSers in that category as well as people with "organic" diseases whose pain is. They are just trying to force things into neat categories even though reality is not that way. Hopefully, in Rome III the categories will be even more closer to reality.
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