[18F] Experiencing nausea and sleep disturbances

What might be happening

Based on the information you've provided, here are some possibilities:

• Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus. Symptoms include heartburn, regurgitation of food or sour liquid, and feeling as if there's a lump in your throat. It's possible that drinking coffee is triggering this reaction, as caffeine is known to relax the lower esophageal sphincter, which can lead to acid reflux.

  • Treatment typically includes lifestyle changes such as avoiding trigger foods (like coffee), eating smaller meals, not lying down for 3 hours after eating, and elevating the head of your bed. Over-the-counter or prescription medications may also be recommended by your doctor.

• Pregnancy: Some of your symptoms, such as nausea, bloating, and changes in your menstrual cycle, can be early signs of pregnancy. Even if you're not sure, it's important to consider this possibility given your age and sex.

  • If you think you might be pregnant, you should take a home pregnancy test. If the test is positive or if you're still unsure, you should see a healthcare provider for further evaluation.

• Stress or Anxiety: While you've indicated that you're not experiencing significant stress or anxiety, these conditions can sometimes cause physical symptoms like nausea, stomach cramps, and sleep disturbances. It's possible that you're experiencing stress or anxiety without fully realizing it.

  • Treatment can involve a combination of lifestyle changes, therapy, and medication. It's important to talk to a healthcare provider if you think this might be the cause of your symptoms.

What you can do

1. Try avoiding coffee and other foods that might trigger your symptoms. This could help determine if GERD is causing your symptoms.
2. Take a home pregnancy test if there's a chance you could be pregnant.
3. Try to identify any sources of stress or anxiety in your life and consider ways to manage them. This could involve relaxation techniques, exercise, or talking to someone you trust about what you're experiencing.
4. If your symptoms persist or worsen, you should see a healthcare provider for further evaluation.

What you should look out for

• If your symptoms worsen or don't improve after making lifestyle changes
• If you have severe abdominal pain or vomiting
• If you have difficulty swallowing or unintentional weight loss
• If you have a positive pregnancy test or continue to have changes in your menstrual cycle

Please remember that while I strive to provide accurate and helpful information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.