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Subject:
From:
Kermaline Cotterman <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 1 Apr 2006 12:03:56 -0500
Content-Type:
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Pam writes:

<I have a client who is dealing with ongoing unexplained nausea for years
now.  It started 4 years ago with her first child, and is worse now with
 her second.  She has had hospitalization, tests galore.  No one seems  to
be able to
find a solution.  Odd thing...while she is nursing, it  subsides.  I had
heard of nausea during nursing, but never breastfeeding  relieving nausea.>

While she is nursing in which maternal body positions? Sitting up?  Lying
down on a particular side???

Has she ever had x-ray tests (in Trendelenberg position) to R/O sliding
hiatal hernia???

For years, my husband awoke each morning with nausea, and had various other
digestive discomforts (not always heartburn) off and on in an unpredictable
manner. One time he choked on a piece of ham with gristle and my teen son
performed the Heimlich on him. He never told my son, but it hurt a lot, but
then, it also saved his life.  It occurs to me that  it probably
also enlarged an already existing hiatal hernia.

Not many weeks afterward, he called me at work, told me to be out front in
10 minutes to drive him to ER (which was very unlike him) because after a
donut/coffee break, he developed a terrific chest pain while leaning over a
file cabinet. (This was decades ago)

He was kept in coronary care for a few days, and then after they were
satisfied it had nothing to do with his heart, they did x-rays of his
stomach, including watching what happened when his body was tilted into
Trendelenberg position (head and chest downhill from the rest of his body) .
Sure enough, part of his stomach slid upward through either the cardiac
sphincter into his esophagus, or through a fault in his diaphragm, I forget
which, and moved partially through the diaphram into the negative pressure
area of his chest cavity!

Hiatal herna was diagnosed, and conservative management allowed him to take
control of his life and avoid nausea and the other digestive problems that
had plagued him for years. It involved elevating the head of the bed to
utilize gravity to avoid an upward slide of the stomach while he was at
rest, plus avoiding eating anything 3 hours before bedtime, and modifying
his  nicotine use and the size, frequency and content of his meals
(caffeine, fats, spices, especially, in his case, cinnamon, to which he must
have been allergic because it consistently caused problems.)

Just a thought that jumped out at me.

Jean
*****************
K. Jean Cotterman RNC, IBCLC
Dayton, OH, USA

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