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A few weeks ago in a telephone conversation with my mom, she mentioned that one of my sisters had been having some problems with her stomach for the last month or so. Being concerned, I called my sister directly to talk to her about what was going on.
"I don't know," she said. I'm eating a healthy diet, but for the last month or so I've had a lot of diarrhea and even some vomiting. And my stomach hurts so much after I eat that I just don't want to eat anymore."
"What are you eating?" I asked.
"You know, healthy stuff. Fruits and vegetables and high fiber bread."
I explained to her that a healthy diet isn't healthy if it's making you sick. And if it's making you sick then you have to do something to figure out what is causing the symptoms. First, change what you're eating so that you can eat and get some nourishment into your body. And second, make an appointment with a gastroenterologist to discuss the problems.
"It's especially important to see a GI...
I have a 13 year old daughter that gets nauseated and sometimes stomach cramping with it about 4 times a year that usually lasts 2 days. She won't eat and can't go to school. She feels miserable during these times. i usually give her medicine for acid reflux (Nexium or Prilosec) with Mylanta and it has no positive effect. Could these be abdominal migraines? She has had nausea for the last day and a half with no stomach pain. She has a chronic condition of some sort. What do you suggest? Sara.
Yes, this could be abdominal Migraine. For more information, see Abdominal Migraine - The Basics .
Our suggestion? Take your daughter to the doctor to find out if this is abdominal Migraine or something else and what to do for her when these episodes occur.
Good luck, John Claude Krusz and Teri Robert
To review other questions from our Ask the Clinician Column,
Definition Breath odor is the scent of the air you breathe out of your mouth. Unpleasant, distinctive, or offensive breath odor is commonly called bad breath. Alternative Names Bad breath; Halitosis Considerations Some disorders will produce specific, characteristic odors to the breath. Bad breath related to poor oral hygiene is most common and caused by release of sulphur compounds by bacteria in the mouth. A fruity odor to the breath occurs as the body attempts to get rid of excess acetone through the breathing. This is a sign of ketoacidosis , which may occur in diabetes. It is a potentially life-threatening condition. Breath that smells like feces can occur with prolonged vomiting , especially when there is a bowel obstruction . It may also occur temporarily if a person has a tube placed through the nose or mouth to the stomach to drain the stomach contents (nasogastric tube) in place. The breath may have an ammonia-like odor (also described as urine-like or "fishy") in people with chronic ki...
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