[19M] Experiencing nausea and diarrhea upon waking

What might be happening

Based on the information you've provided, possible diagnoses 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 heartburn, acid reflux, nausea, and sometimes diarrhea.

  • Treatment typically involves lifestyle modifications and over-the-counter medications. If these don't help, or if you have severe or frequent symptoms, you may need stronger medications or even surgery.

• Gastritis: This is an inflammation of the stomach lining, which can cause nausea, vomiting, a feeling of fullness in your upper abdomen after eating, and indigestion. It can be caused by factors such as long-term use of certain pain relievers, infections with bacteria, or excessive alcohol use.

  • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which helps relieve gastritis symptoms and promotes healing.

• Functional Dyspepsia: This is a chronic disorder of sensation and movement (peristalsis) in the upper digestive tract. It's not related to any identifiable, structural, biochemical, or infectious cause. Symptoms can include pain or discomfort in the upper abdomen, feeling full too soon while eating, and feeling uncomfortably full after eating.

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

What you can do

Here are some things you can do to help manage your symptoms:

1. Avoid foods and drinks that trigger your symptoms. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
2. Try to eat smaller meals more frequently, rather than three large meals a day.
3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
4. Elevate the head of your bed if you regularly experience heartburn at night or while trying to sleep.
5. Don't smoke, and if you already do, try to quit. Smoking decreases the lower esophageal sphincter's ability to function properly.

What you should look out for

You should seek immediate medical attention if you experience:

• Severe, persistent abdominal pain
• Bloody or black stools
• Bloody or black vomit or vomit that looks like coffee grounds
• Difficulty swallowing

Remember, while I strive to provide accurate information, I'm not a doctor. You should consult with a healthcare professional for a formal diagnosis and treatment.