ibs and nausea

Nausea isn't usually listed as a side effect of IBS, although a number of people on here experience it in the middle of a bad bowel session. Just random nausea, though, would, I think, be a sign of something else. Has anyone suggested acid reflux? It's a symptom of that. You might see if you can link the nausea to any certain food--that would be a good sign of acid reflux. And watch for weird stuff; for instance, orange juice gives me definite heartburn in the morning. But drunk at night, it's okay (at least it was before the old gall bladder went bad). Because you have nothing but acid on your stomach, a lot of things can bother you in the morning that don't bother you later in the day. Also, a lot of things can bother you if you go to sleep on them that don't bother you earlier.

Gall bladders also cause random nausea.

The strict definition of IBS is outlined in the ROME III criteria and includes only this:

IBS is a functional bowel disorder in which abdominal pain or discomfort is associated with defecation or a change in bowel habit, and with features of disordered defecation.

Clinically it is described this way:
Diagnostic Criteria* for Irritable Bowel Syndrome
Recurrent abdominal pain or discomfort** at least 3 days per month in the last 3 months associated with 2 or more of the following:
1. Improvement with defecation
2. Onset associated with a change in frequency of stool
3. Onset associated with a change in form (appearance) of stool
*Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis.
**Discomfort means an uncomfortable sensation not described as pain. In pathophysiology research and clinical trials, a pain/discomfort frequency of at least 2 days a week during screening evaluation for subject
eligibility.

But all this is basically only useful to tell you that you have IBS, which circularly means you have these symptoms. Not at all helpful. If you have IBS symptoms and nausea, you can probably find out what is causing your problems and treat it. But you will need to work with a doctor who pays attention to the research and actually does the (unfortunately rare) testing for all the known causes of IBS symptoms, nausea, GERD, etc. I always recommend the IBS Treatment Center in Seattle (IBSTreatmentCenter.com) because they helped my wife and a number of my friends. It is the nation's leading center for the treatment (not just diagnosis) of IBS.

UnderstandTheCause said...
The strict definition of IBS is outlined in the ROME III criteria and includes only this:

IBS is a functional bowel disorder in which abdominal pain or discomfort is associated with defecation or a change in bowel habit, and with features of disordered defecation.

Clinically it is described this way:
Diagnostic Criteria* for Irritable Bowel Syndrome
Recurrent abdominal pain or discomfort** at least 3 days per month in the last 3 months associated with 2 or more of the following:
1. Improvement with defecation
2. Onset associated with a change in frequency of stool
3. Onset associated with a change in form (appearance) of stool
*Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis.
**Discomfort means an uncomfortable sensation not described as pain. In pathophysiology research and clinical trials, a pain/discomfort frequency of at least 2 days a week during screening evaluation for subject
eligibility.

But all this is basically only useful to tell you that you have IBS, which circularly means you have these symptoms. Not at all helpful. If you have IBS symptoms and nausea, you can probably find out what is causing your problems and treat it. But you will need to work with a doctor who pays attention to the research and actually does the (unfortunately rare) testing for all the known causes of IBS symptoms, nausea, GERD, etc. I always recommend the IBS Treatment Center in Seattle (IBSTreatmentCenter.com) because they helped my wife and a number of my friends. It is the nation's leading center for the treatment (not just diagnosis) of IBS.

Um, I live in Seattle and I've never heard of this place.  Where is it?

I have never heard of this center and don't know who assigned the #1 ranking to it. It appears to be one Doctor but Icould not find any credentials so I don't know what he is a Doctor of. Since Colonoscopies, and endo aren't mentinoned I would doubt that he is a gastro Dr. He may not even be a MD but Ididn't see anything that seemed outrageous about the site. Mostly blood work. If someone can help someone that is great. My worry is always to make sure that everything else has been ruled out before being treated for IBS.

I will ask the consultant next Friday to explain gall bladder symptoms more fully and hopefully eliminate that as a cause. I did have a quite fatty meal (very unusual for me but it was all they had in veggie fare at the restaurant when we took some friends there for a birthday do). Mushrooms in a rich sauce in pastry with chips and ice cream to follow. Could this have been sufficient to disrupt the working enough to cause some queasiness?

Well, that meal would have done me in from the mushrooms(gassy) to the sauce, pastry, chips and ice cream. Would have been a nightmare for me and I don't have a bad gall bladder but my IBS would have been in a uproar for days.