[20M] With chronic nausea and gagging sensation

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Gastroesophageal Reflux Disease (GERD): GERD can cause chronic nausea and a sensation of something being stuck in your throat. It often gets worse with stress and anxiety. Typical treatments include lifestyle changes, such as avoiding trigger foods, eating smaller meals, and not lying down immediately after eating. Medications like antacids, H2 blockers, or proton pump inhibitors (PPIs) can also help.

• Functional Dyspepsia: This is a common condition that can cause chronic nausea and a feeling of fullness or discomfort in the upper abdomen. It is often related to stress and anxiety. Treatment typically involves dietary changes, stress management, and medications to reduce stomach acid or improve stomach motility.

• Anxiety-Related Nausea: Anxiety and stress can cause physical symptoms, including nausea and a sensation of a lump in the throat. Managing anxiety through therapy, relaxation techniques, and possibly medications can help alleviate these symptoms.

• Food Intolerance or Allergy: Although less likely given the duration of your symptoms, a reaction to something you ate, like the shin ramen, could have triggered your symptoms. Avoiding the suspected food and keeping a food diary can help identify triggers.

What you can do

While you should consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

1. Dietary Changes: Avoid foods that can trigger nausea, such as spicy, fatty, or acidic foods. Eating smaller, more frequent meals can also help.
2. Hydration: Ensure you stay hydrated, especially if you are eating less solid food. Drink clear fluids like water, herbal teas, or broths.
3. Stress Management: Practice relaxation techniques such as deep breathing, meditation, or yoga to help manage anxiety and stress.
4. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help identify patterns and triggers.
5. Medication Review: Continue taking your prescribed medications, but discuss with your doctor if they are not providing relief. They may need to adjust your treatment plan.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or worsening abdominal pain
• Blood in your vomit or stool
• Unexplained weight loss
• Difficulty swallowing or persistent pain when swallowing
• Fever or chills

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.