[19F] Experiencing body aches, eye pain, bloating, and acid reflux

Patient Description

A 19-year-old female is experiencing a full constant body ache rated 8/10 in severity, mostly in the legs, which started last night and worsens with walking. She also has eye pain that began last night, rated 6/10. The patient reports painful bloating in the upper middle abdomen, which has been occurring on and off for 3 years, and is exacerbated by spicy and greasy food. She has been suffering from acid reflux for the same duration, with a burning sensation in her throat, especially severe in the morning, rated 8/10. The patient describes her stomach ache as feeling like it's stretching and about to burst, with a severity of 10/10. She has chills but no means to check her temperature and no recent bowel movements. The patient has a history of anemia diagnosed a year ago and possible gastritis diagnosed three years ago. She is currently taking iron supplements and a stool softener, with no known drug allergies.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is also known as the stomach flu. Your symptoms of stomach ache, bloating, and chills could be related to this condition.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Gastritis: Given your previous diagnosis, your symptoms of upper abdominal bloating and pain could be due to gastritis, which is inflammation of the stomach lining. This can be caused by various factors such as certain medications, alcohol, stress, or infections.

    • Treatment usually involves medications to decrease stomach acid, which should help with the pain and bloating. It's also important to avoid foods and substances that worsen your symptoms.
  • Iron-deficiency anemia: Your diagnosis of anemia and symptoms of body aches could be related. Anemia can cause fatigue and weakness, which may manifest as body aches. Your eye pain could also be related, as anemia can cause sensitivity to light in some cases.

    • Treatment involves iron supplementation, which you are already taking, and addressing the underlying cause of the anemia.
  • Acid Reflux/GERD: Your symptoms of a burning sensation in your throat in the morning and after eating spicy or greasy foods are characteristic of acid reflux or gastroesophageal reflux disease (GERD). This is a condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus).

    • Treatment typically involves lifestyle changes, such as avoiding foods that trigger symptoms, and medications to reduce stomach acid.

What you can do

While you should seek care from a healthcare professional for a formal diagnosis and treatment, here are some things you can do in the meantime:

  1. Stay hydrated: This is particularly important if you have gastroenteritis, as diarrhea and vomiting can lead to dehydration.
  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can help.
  3. Eat bland foods: When you feel ready, start with easy-to-digest foods such as rice, applesauce, or crackers.
  4. Avoid foods that trigger your symptoms: You mentioned that spicy and greasy foods worsen your bloating and acid reflux. Try to avoid these foods.
  5. Over-the-counter remedies: Antacids can help with your acid reflux and stomach ache. There are also over-the-counter medications available that can help with diarrhea and bloating.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Persistent vomiting and inability to keep liquids down
  • Signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • Your symptoms persist for more than a few days or worsen

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of gastroenteritis and how can it be treated?

Common symptoms of gastroenteritis include diarrhea, vomiting, stomach pain, cramping, fever, and chills. Treatment typically involves staying hydrated, resting, and using over-the-counter medications to relieve symptoms. If the cause is bacterial, antibiotics may be necessary.


How does gastritis differ from acid reflux, and what are the treatment options for each?

Gastritis is the inflammation of the stomach lining, often causing upper abdominal pain and bloating, while acid reflux involves stomach acid flowing back into the esophagus, causing a burning sensation. Gastritis treatment may include medications to reduce stomach acid and avoiding irritants, while acid reflux is managed with lifestyle changes and medications to reduce acid production.


What are the potential causes of iron-deficiency anemia and how can it affect the body?

Iron-deficiency anemia can be caused by blood loss, insufficient iron intake, or poor absorption of iron. It can lead to symptoms like fatigue, weakness, pale skin, and body aches. Treatment involves iron supplements and addressing the underlying cause of the deficiency.


What lifestyle changes can help manage acid reflux or GERD symptoms?

Lifestyle changes to manage acid reflux or GERD include avoiding trigger foods (such as spicy or greasy foods), eating smaller meals, not lying down immediately after eating, maintaining a healthy weight, and elevating the head of the bed to prevent nighttime symptoms.


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