[18F] Experiencing decreased appetite, nausea, and abdominal discomfort

Patient Description

An 18-year-old female reports a significant decrease in appetite and feeling of fullness and nausea after eating small amounts of food. She experiences these symptoms consistently throughout the day and has been ongoing for approximately 2 weeks. The patient also mentions a sensation of her stomach being full of air and has frequent gas, particularly after meals. She has noticed a change in her stool, which appears hard yet disintegrating, and is consistently green or yellow in color. The patient reports a recent unintended weight loss from 133 to 110 pounds. She denies any abdominal pain, fever, chills, changes in taste, heartburn, vomiting, or yellowing of the skin or eyes. No family history of gastrointestinal diseases is reported, and she does not consume alcohol, tobacco, or recreational drugs. The patient has no known drug allergies, is not on any medications, and does not have any pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Gastritis: This is an inflammation of the stomach lining, which can cause a feeling of fullness after eating, nausea, and gas. The fact that you've previously been diagnosed with gastritis could mean that your current symptoms are a flare-up of this condition.

    • Treatment typically involves medications to reduce stomach acid and inflammation.

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can cause symptoms like decreased appetite, nausea, and changes in stool.

    • Treatment usually involves rest and rehydration. Antibiotics may be needed if the cause is bacterial.

  • Gallbladder disease: Problems with the gallbladder, such as gallstones, can cause symptoms like pain after eating, especially fatty foods, and changes in stool color.

    • Treatment can range from dietary changes to surgery, depending on the severity and cause.

  • Irritable Bowel Syndrome (IBS): This is a chronic disorder that affects the large intestine and can cause symptoms like gas, bloating, and changes in bowel habits.

    • Treatment typically involves dietary changes, stress management, and sometimes medications.

Please note that these are possibilities based on the information you've provided, and not a definitive diagnosis.

What you can do

  1. Try to eat small, frequent meals instead of large meals. This can sometimes help with feelings of fullness and nausea.
  2. Avoid foods that seem to make your symptoms worse, such as fatty foods.
  3. Stay hydrated. This is especially important if you're experiencing changes in your stool.
  4. Over-the-counter antacids may help with some of your symptoms, but you should consult a healthcare professional before starting any new medication.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Unexplained weight loss
  • Yellowing of your skin or eyes
  • Persistent vomiting or inability to keep down fluids
  • Fever or chills

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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9 mo ago

People Also Ask

What could cause a significant decrease in appetite and feeling of fullness after eating small amounts?

A significant decrease in appetite and feeling of fullness after eating small amounts can be caused by conditions such as gastritis, gastroenteritis, or gallbladder disease. These conditions can lead to inflammation or irritation of the stomach lining, affecting digestion and appetite.

Why might someone experience frequent gas and changes in stool color?

Frequent gas and changes in stool color can be associated with digestive issues such as irritable bowel syndrome (IBS), gastroenteritis, or gallbladder problems. These conditions can alter the normal digestion process, leading to gas production and changes in stool appearance.

What are the potential causes of unintended weight loss in young adults?

Unintended weight loss in young adults can be due to various factors, including gastrointestinal disorders like gastritis or gastroenteritis, stress, changes in diet, or increased physical activity. It is important to investigate further if the weight loss is significant and unexplained.

How can one manage symptoms like nausea and bloating at home?

To manage symptoms like nausea and bloating at home, one can try eating small, frequent meals, avoiding trigger foods (such as fatty or spicy foods), staying hydrated, and using over-the-counter antacids if appropriate. However, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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