Nausea caused by Crohn's, anxiety, IBS or something else

Because I have Crohn's Disease with multiple strictures in my small bowel, every time I feel nauseous, I immediately think: Oh, no, small bowel obstruction.

Then, after some research on this forum, I found that may not be the case. Even if I see my GI doctor today, he cannot draw a conclusion that my nausea was caused by partial small bowel obstruction.

Between 2010 and 2017, I had quite several episodes of partial small bowel obstruction based on my own self-diagnosis. Two symptoms were always present during the partial small bowel obstructions: waves after waves of abdominal pain and nausea.

But during the past 2 weeks, I experienced two bad episodes of nausea only, without any obvious abdominal pain. I was also able to pass gas and BM. Like many people here, nausea started in the evening after dinner and made me sleepless for most the nights. But my own research shows that anxiety can also cause nausea for some members of HW community and I was definitely worried lately. What do you think? Thanks

I have had nausea for many years, but it happens first thing in the morning when I wake up. If it's to the point that I am going to start with dry heaves, I take Zofran. I do not take it daily. Like Gumby, I do not eat large meals & I eat very light in the early evening. What veggies I eat are well cooked, not many raw veggies. My gi does not feel the nausea is related & I don't either. I will admit, if I am really stressed & upset over something, first thing that happens is my stomach gets in a uproar & I have a lot of nausea as a result.

I know the difference between my typical nausea or if it's crohns related. When both ends are going & the severe stomach pain hits, it's time for ER & I end up being admitted.

Paul, I am glad to read that you will be having a consult with the surgeon. It's not uncommon to have some anxiety dealing with this disease. The years I was at my worst, I had terrible anxiety & was put on meds. My anxiety was related to food.I had such uncontrolled diarrhea that I got trapped into thinking if I didn't eat or drink anything I could control it. That was very unhealthy thinking.

You went for what, 10 years & didn't have a scope, was that out of fear of perhaps thinking you had gotten worse? Most of the folks that I've read about here dealing with strictures have a lot of pain & nausea & vomiting associated with it. Some don't go to ER for financial reasons, deductible not met or they go & spend a few days in the hospital on bowel rest. The 2 nights you are talking about really doesn't sound like a stricture problem, but I'm not a dr either.

Keep in mind Zofran has great potential for causing constipation. If you have issues with that, this would not be a good choice for you. Phenergran is sedating so you can only take it when you are home for the day. What have you tried OTC? I use a lot of Pepto & Emitrol (?), I try to catch it before it gets bad. Sometimes I will suck on a piece of peppermint or drink peppermint tea. If you haven't tried any of these, you may want to consider it. My dr tells me to use the Zofran as sparingly as possible. Yes, I had a resection & on Imuran. There is no way I would ever risk not being on medication. This disease is just too sneaky & can be doing it's dirty work & causing too much damage.