[20M] Experiencing persistent nausea without vomiting

Patient Description

A 20-year-old male has been experiencing persistent nausea without vomiting for a couple of weeks. The nausea, which he rates as a 6 out of 10 in terms of severity, is exacerbated by the consumption of spicy and fried foods. There has been no relief from the nausea despite various attempts. The patient has no known pre-existing conditions, allergies, or adverse reactions to medications and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possible causes for your nausea:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually caused by a viral or bacterial infection. It can cause nausea, and often includes other symptoms like vomiting, diarrhea, and abdominal pain.

    • Treatment typically involves rest and rehydration. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Gastritis: This is an inflammation of the stomach lining, which can be caused by factors like excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or infection with bacteria such as H. pylori.

    • Treatment usually involves medications to decrease stomach acid, which allows your stomach lining to heal.
  • Food intolerances or allergies: Certain foods can cause nausea in some people. You mentioned that spicy and fried foods seem to worsen your nausea. This could indicate a food intolerance or allergy.

    • Treatment typically involves avoiding the foods that cause symptoms.
  • Peptic ulcers: These are sores that develop on the lining of your stomach, upper small intestine or esophagus. They can cause a burning stomach pain, but nausea is also a common symptom.

    • Treatment usually involves medications to decrease stomach acid, which allows the ulcer to heal.

What you can do

While it's important to see a healthcare professional for a formal diagnosis, here are some things you can do in the meantime:

  1. Try to identify any foods or activities that worsen your nausea and avoid them.
  2. Stay hydrated. Dehydration can worsen feelings of nausea.
  3. Try eating smaller, more frequent meals instead of three large meals a day.
  4. Avoid lying down or going to bed immediately after eating.

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
  • High fever (temperature over 100.4°F)
  • Signs of dehydration, such as dark urine, dry mouth, and feeling lightheaded when standing up

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

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1 yr ago

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People Also Ask


What are common causes of persistent nausea without vomiting?

Common causes of persistent nausea without vomiting include gastroenteritis, gastritis, food intolerances or allergies, and peptic ulcers. It's important to consult a healthcare professional for an accurate diagnosis.


How can I manage nausea that worsens with certain foods?

To manage nausea that worsens with certain foods, try to identify and avoid those foods. Eating smaller, more frequent meals and staying hydrated can also help alleviate symptoms.


What are the symptoms of gastritis and how is it treated?

Symptoms of gastritis include nausea, abdominal pain, and bloating. Treatment typically involves medications to reduce stomach acid, allowing the stomach lining to heal. Avoiding irritants like alcohol and NSAIDs is also recommended.


When should I seek medical attention for nausea?

Seek medical attention for nausea if you experience severe abdominal pain, blood in your stool or vomit, a high fever, or signs of dehydration such as dark urine and dizziness when standing.


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