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dealing with nausea as a side effect - 10/30/2015 3:16:52 AM

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A potted history - almost a year ago I was diagnosed with psoriatic arthritis (an auto-immune disorder that attacks joints, skin and digestive system). Quite a relief really as I was feeling very poorly and was being told by unsympathetic colleague that I was 'paranoid', 'lazy' and a 'whiner' when I had random aches and pains, horrible skin problems, digestive issues and chronic fatigue.

Good news - no longer work with that colleague (yay!) and have been given methotrexate (20mg injection weekly) to damp down the immune over-reaction. It works really well, but it does have its side effects.

I have little to no appetite, which I can deal with through sensible healthy eating. However I also have pretty much constant nausea, ranging from 'ohmygod I'm gonna hurl!' to 'vaguely seasick'. I take folic acid (5mg) 6 days a week which did help in the beginning but not so much now. I've been prescribe metaclopromide to help with this, and it is going quite a long way to killing the worst of the effects.

My question is - has anyone had something similar and found a way to deal with the problem without taking yet more medication? Dietary advice, any herbs or anything else you use to stop this horrible feeling.

Any advice gratefully received

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RE: dealing with nausea as a side effect - 10/30/2015 4:33:38 AM

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quote:

ORIGINAL: Bunnicula

A potted history - almost a year ago I was diagnosed with psoriatic arthritis (an auto-immune disorder that attacks joints, skin and digestive system). Quite a relief really as I was feeling very poorly and was being told by unsympathetic colleague that I was 'paranoid', 'lazy' and a 'whiner' when I had random aches and pains, horrible skin problems, digestive issues and chronic fatigue.

Good news - no longer work with that colleague (yay!) and have been given methotrexate (20mg injection weekly) to damp down the immune over-reaction. It works really well, but it does have its side effects.

I have little to no appetite, which I can deal with through sensible healthy eating. However I also have pretty much constant nausea, ranging from 'ohmygod I'm gonna hurl!' to 'vaguely seasick'. I take folic acid (5mg) 6 days a week which did help in the beginning but not so much now. I've been prescribe metaclopromide to help with this, and it is going quite a long way to killing the worst of the effects.

My question is - has anyone had something similar and found a way to deal with the problem without taking yet more medication? Dietary advice, any herbs or anything else you use to stop this horrible feeling.

Any advice gratefully received

consider a move to one of the "pot" states, I thought I had Nausea over getting up in the morning and told the Doctor and he prescribed some THC. now no more nausea at the thought of getting up early.

But seriously pot does help, try to take if in an edible form, not as a joint.

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RE: dealing with nausea as a side effect - 10/30/2015 5:54:59 AM

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bunnicula, I don't know that any actual research has been done on the issue (if you want, I can search for that, send me a pm), but certain herbal teas are reputed to deal with nausea.

here's a start:

http://www.livestrong.com/article/479396-the-best-herbal-tea-for-nausea/

(in reply to zombiegurlsos)

RE: dealing with nausea as a side effect - 10/30/2015 8:45:11 AM

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Ginger in all it's form, even helps with the nausea after chemo, the Mayo clinic did a lot of research

All the autoimmune issues seem to be related, in a lot of cases the body sees gluten as the same as antibodies, so it might be worth avoiding that, even if it doesn't seem to give you digestive problems, I'm on tons of B12 and D3, seems it's normal for anybody with an autoimmune problem to be short of them due to absorption problems, which will make you feel really tired and sick.

I was quite "delighted" to hear that with an autoimmune problem the average person gets 7 to 9 other autoimmune problems during the course of their life, so I'm grumbling a bit but living super healthy

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RE: dealing with nausea as a side effect - 10/30/2015 8:48:03 AM

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quote:

ORIGINAL: LadyConstanze

Ginger in all it's form, even helps with the nausea after chemo, the Mayo clinic did a lot of research

^^^ This!

Ginger works wonders when it comes to stomach upset. I lived on ginger ale and ginger tea when going through radiation. I even carried candied ginger pieces in my purse.

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RE: dealing with nausea as a side effect - 10/30/2015 10:57:12 AM

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~FR~

thanks everyone! I will invest in some ginger goodies to carry with me - it's actually one of very few flavours that doesn't make me feel nauseous just thinking about it! lol

I'll also check out the vit B stuff, and the herbal teas.

_____________________________

"You are THE MAN!!" - some_random_internet_asshole
"You're not a very nice bunny" - some_random_internet_asshole's_sock

Wanna chocolate raisin?

Previously known as 'myotherself' or simply 'da bunny'

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RE: dealing with nausea as a side effect - 10/30/2015 11:06:57 AM

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peppermint and ginger has worked for me, in many of their forms. hope you will be feeling better soon honey dabunny

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(in reply to Bunnicula)

RE: dealing with nausea as a side effect - 10/31/2015 10:33:44 PM

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doctor here.

sorry to hear about the psoriatic arthritis. you definitely want to keep treating your disease because it can be very damaging to your bones and joints.

you are maxed out on your folic acid. the good thing about folic acid is that it should be reducing your symptoms. the downside is that is is thought to reduce the effectiveness of methotrexate in the treatment of rheumatologic diseases. as you may know, methotrexate is some serious stuff. it can even be used to treat cancer in high doses. low dose therapy like yours now is reserved for immunologic disease. all cells need folic acid. your body produces a lot of rapidly proliferating immune cells that attack your body, so methotrexate works to slow them down by inhibiting folate metabolism.

one other option is to consider folinIC acid, which is a derivative of folic acid. this will most certainly reduce the effectiveness of the methotrexate. dosing is tricky and i would not recommned unless your symptoms are unbearable despite using reglan metoclopramide.

(in reply to Bunnicula)

RE: dealing with nausea as a side effect - 11/1/2015 1:29:27 AM

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Thanks Haidara :)

The methotrexate is working beautifully for my skin and joints so I'm very reluctant to stop using it. The folic acid does help in that I rarely get to the point of throwing up, but there is a constant low level of nausea which is manageable most days but does drag me down. The metoclopramide is helping, but every now and then I get a very queasy feeling.

I want to find a way to deal with the bits of nausea that occur (usually without warning) without switching from meds that really are helping. So it seems to be ginger all the way!

_____________________________

"You are THE MAN!!" - some_random_internet_asshole
"You're not a very nice bunny" - some_random_internet_asshole's_sock

Wanna chocolate raisin?

Previously known as 'myotherself' or simply 'da bunny'

(in reply to haidara)

RE: dealing with nausea as a side effect - 11/1/2015 5:19:38 AM

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Apart from the ginger and peppermint, have you considered looking into aromatherapy?

For some odd reason I started to get car sick (never had this before) and having essential oils and smelling them seems to help, for some weird reason citrus and grapefruit works really well for me. If you find out which one works for you, you could have a little bottle with the essential oil with you (not the chemical stuff, that will give you a horrendous headache), just put it on a tissue and wave it under your nose.

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Those who do and those who don't!

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(in reply to Bunnicula)

RE: dealing with nausea as a side effect - 11/1/2015 9:33:04 AM

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That's an idea, LadyC. I do have a bit of a problem in that some strong smells make me barf. No warning, just...yuck. I wanted to go swimming again because it's great for arthritic joints. I got as far as the changing rooms and the smell of the pool finished me off.

_____________________________

"You are THE MAN!!" - some_random_internet_asshole
"You're not a very nice bunny" - some_random_internet_asshole's_sock

Wanna chocolate raisin?

Previously known as 'myotherself' or simply 'da bunny'

(in reply to LadyConstanze)

RE: dealing with nausea as a side effect - 11/1/2015 10:01:59 AM

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I'm with you, the chlorine is horrendous.

Some smells make me gag, others kind of relax me but in moderation, if I would sniff straight from the bottle it possibly would be too much, but a bit of the essential grapefruit oil on my wrists when I know we have a long drive ahead, works great, especially since I can bring the wrists as close to my nose as I'm comfy with and it's not too pungent.

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There are 10 kinds of people who understand binary
Those who do and those who don't!

http://exdomme.blogspot.com/2012/07/public-service-announcement.html

(in reply to Bunnicula)

RE: dealing with nausea as a side effect - 11/20/2015 12:12:23 PM

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I take zofran and it helps quite a bit. Still can only get down maybe 300-600 calories a day but it's at least stopped the liver/kidney failure from the constant vomiting. Hope you feel better soon!

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RE: dealing with nausea as a side effect - 11/20/2015 4:31:50 PM

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Cold showers always helped me with nausea I get from being in the sun, or standing up too fast(autoimmune anemia... my white blood cells attack any iron in my blood). Used to get migraine nausea but removing salty stuff from my diet fixed that... no more sunflower seeds or smoked fish :(

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RE: dealing with nausea as a side effect - 11/20/2015 5:24:53 PM

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FR

Zofran got me through chemo with maybe one twinge of nausea. That was mild enough that I could tell my body, "We're in bed, and we're not throwing up."

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RE: dealing with nausea as a side effect - 11/20/2015 5:45:52 PM

quizzicalkitten

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I add to the ginger group. I found a place that makes candied ginger that makes a great tea. The one super market makes this powder that you add to water tastes decent as well.

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RE: dealing with nausea as a side effect - 11/27/2015 2:47:47 PM

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I found the Zofran wore off before the morphine and/or codeine did. So after four hours, I was vomiting anyway.

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