age 46 fem,c/o 1...vomiting while sitting & walking,and while traveling on motorcycle, also while traveling in bus too.but while lying down no complaints 2...c/o fuel of cars and bikes smells odd to her. 3...headache too with vertigo while sitting and walking,while lying down no complaints. 3...no appetite for 12 days,forceful eats 1 chapati. after eating food she vomits.how to manage.no h/o trauma.

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I think its Motion sickness... However should rule out achalasia by OGD scopy ...

TB EMIGO MD 8MG SOS (ONDANSETRON )FR VOMITTING, ,TB PAN -40 MG 1-1 1 HR BF DAILY, ,TB AVOMINE 1 TB HALF AN HOUR PRIOR TO TRAVELLING FR MOTION SICKNESS, ,TB VERTIN -16 MG 1-1-1 FR 7-10 DAYS, ,,

All these t.t.has been given. But no response.
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Need to evaluate her first, clinical examination, does she have any nystagmus while doing extra ocular movements, any tinnitus, need to check for cerebellar signs, need to rule out between a central and peripheral vertigo, will need an imaging of her brain, preferably a ct or MRI if affordable, audiogram, as well and vestibular sedative drugs, sometimes epileys maneuver will help, so kindly do a good clinical examination and yr answers will be simple

Motion Sickness

Traveling fobia . Cpm tab used

To be rule out cervical spondilits X Ray ca spine ap & lt view