[18F] Experiencing nausea, difficulty breathing, and stomach pain

Patient Description

An 18-year-old female has been experiencing persistent nausea that worsens after eating and occurs primarily in the morning and night. The patient reports an inability to vomit, even when attempting to induce it, which causes significant stomach pain. Additionally, the patient is experiencing difficulty breathing described as a 'dull' chest pain rated 5 out of 10 in severity, persisting for a week. There is no presence of blood in vomit or stool, no radiating sharp chest pain, and no severe headaches, but the patient does report shortness of breath. The symptoms are aggravated by walking and laying down, while eating seems to provide some relief to the nausea.

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Arora's Assessment

What might be happening

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

  • 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, causing symptoms like nausea and chest pain.

    • Treatment typically involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or even surgery may be needed.
  • Gastritis: This is an inflammation of the stomach lining. The inflammation can be caused by certain bacteria, long-term use of certain pain relievers, or drinking too much alcohol.

    • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which helps relieve gastritis symptoms and promotes healing.
  • Anxiety Disorders: Anxiety can cause physical symptoms like chest pain, rapid heart rate, and shortness of breath.

    • Treatment often involves a combination of psychotherapy and medication.

What you can do

It's important to seek medical attention to get a formal diagnosis and appropriate treatment. In the meantime, you can try the following to help manage your symptoms:

  1. Avoid foods and drinks that trigger heartburn. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
  2. Try to eat smaller meals. Avoid overeating by eating smaller, more frequent meals throughout the day.
  3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
  4. Try to reduce stress. Techniques such as deep breathing, meditation, and yoga may help manage stress and improve your symptoms.

What you should look out for

Seek immediate medical attention if:

  • Your chest pain becomes severe or is accompanied by pain radiating down your arm, shortness of breath, sweating, or feeling faint. These could be signs of a heart attack.
  • You have bloody or black stools or bloody vomit. These could be signs of internal bleeding.
  • Your symptoms persist or worsen despite trying the above measures.

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for Acid Reflux (GERD): American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of Gastroesophageal Reflux Disease (GERD)?

Common symptoms of GERD include heartburn, regurgitation of food or sour liquid, difficulty swallowing, chest pain, and a sensation of a lump in your throat. Symptoms often worsen after eating or when lying down.


How can anxiety disorders cause physical symptoms like chest pain and shortness of breath?

Anxiety disorders can trigger the body's stress response, leading to physical symptoms such as chest pain, rapid heart rate, and shortness of breath. This is due to the release of stress hormones like adrenaline, which prepare the body for a 'fight or flight' response.


What lifestyle changes can help manage symptoms of gastritis?

To manage gastritis symptoms, it's recommended to avoid irritants like alcohol, spicy foods, and NSAIDs. Eating smaller, more frequent meals, reducing stress, and taking antacids or medications to reduce stomach acid can also help.


When should I seek immediate medical attention for chest pain?

Seek immediate medical attention if chest pain is severe, accompanied by pain radiating down the arm, shortness of breath, sweating, or fainting, as these could be signs of a heart attack. Also, seek help if you experience bloody or black stools or vomit, as these could indicate internal bleeding.


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