Conversation: The conversation between human and AI assistant.
[|Human|] Hi - my son always nauseated and tired - almost 4 years now - he has hypothyroidism - only TSH levels a problem - he isB12 and vitamin D deficient - taking pills and getting injections - has had a colonoscopy and endoscopy - couldn t find much. Had H PYlori and was given 3-pills to take for 12 days. He is still very very nauseated - has missed so much school - what can we do for the nausea? No one has any answers and I am desperate for help. Thanks.
[|AI|]  HI...by what you quote I feel that the kid is having severe form of GER (gastroesophageal reflux).  Your son will need - 1. Antireflux therapy - Proton pump inhibitors + antiemetics2. Always make him lie down in a propped up position - as in the care seat. She should not be sleeping completely flatly.3. Avoid heavy feeding and feeding more times and in small liquors.4. This type of GER is the root cause for the constipation she is having. He needs expert gastroenterology consultation. Regards -