My wife, Peg, age 49, no prior risk factors, continues to battle nausea
following her January massive myocardial infarct. EF has continued toward
the mid 20′s. Right cath revealed fairly normal pressures 2 weeks ago.
With the absence of all meds (coumadin, Beta, and Ca blocker [for
vasospasm] having been removed since they were suspected causes of her
nausea) but ecotrin and digoxin and ativan, the pattern had resolved to
nausea in the AM, not beginning until she actually got out of bed, but
clearing up by 10am.
Last week a GI consult at Lahey clinic in Boston added nothing new. To
this point in time Pepcid, and Prilosec and Tagamet have not been helpful.
Nor have Reglan, compazine, or Phenergan.
An attempt on 4/3 to add half of a lowest strenght Paxil to deal with the
depression and poor sleep that has followed the coronary,(but I think the
nausea has been most depressing aspect, because until 10 days ago it
didn’t lift til late afternoon, or never lifted) was followed 3 hours
later by a return of the afternoon nausea that we thought was conquered.
She only took the one, so the fact that it hasn’t cleared as of morning on
4/5
All GI studies have been negative. CAT scans of brain, abdomen, negative.
Gastroscopy negative. Liver panels normal.
So, at this later stage, I am asking once again if this pattern is
familiar to anyone, and what treatment may have proven successful.
Thanks again in advance. Being nauseous all the time (no vomitting) is
misery.
Jim Cogan