[21M] Experiencing stomach churning, belching, and flatulence

Patient Description

A 21-year-old male reports stomach churning that sounds like overactive digestion, which started today and fluctuates throughout the day. Despite eating full meals and taking a peppermint oil pill, the symptoms persist. The patient also experiences belching and flatulence, with some mild constipation over the past couple of days but no nausea or vomiting today. There is no blood in the stool or changes in its appearance. The patient had an episode of food poisoning or a stomach bug in December, has a food allergy, but no known medication allergies, and is not on any medications apart from the peppermint oil pill taken for stomach discomfort.

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Arora's Assessment

What might be happening

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

  • Overeating or Eating Too Quickly: Consuming large amounts of food or eating too quickly can cause your stomach to stretch, leading to discomfort and excessive gas.

    • Treatment typically involves lifestyle modifications such as eating smaller meals, eating slowly, and avoiding foods that cause gas.
  • Indigestion: This is a common condition that can cause discomfort or pain in the stomach, belching, and gas. It can be caused by overeating, eating too quickly, or consuming fatty, greasy or spicy foods.

    • Treatment usually involves lifestyle modifications and over-the-counter medications to reduce stomach acid.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause symptoms such as cramping, abdominal pain, bloating, gas, and diarrhea or constipation.

    • Treatment typically involves long-term management of the condition through diet, lifestyle changes, and medication.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. It can cause symptoms such as diarrhea, stomach cramps, nausea, and vomiting.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.

What you can do

While you should consult a healthcare professional for a formal diagnosis, here are some general suggestions that may help alleviate your symptoms:

  1. Try to eat smaller meals and eat slowly to avoid overstretching your stomach.
  2. Avoid foods that you know cause you gas or indigestion.
  3. Stay hydrated and rest as much as possible.
  4. Over-the-counter medications may help manage your symptoms.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Unexplained weight loss
  • Persistent or worsening symptoms

Remember, I'm an AI and this advice is based on the information you've provided. It's always best to 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 excessive gas and stomach churning?

Common causes of excessive gas and stomach churning include overeating, eating too quickly, consuming gas-producing foods, and digestive disorders like indigestion or IBS.


How can I differentiate between indigestion and irritable bowel syndrome (IBS)?

Indigestion typically involves discomfort or pain in the stomach after eating, while IBS is a chronic condition that affects the large intestine and can cause cramping, bloating, and changes in bowel habits. A healthcare professional can help differentiate between the two based on symptoms and medical history.


What lifestyle changes can help reduce symptoms of indigestion?

Lifestyle changes that can help reduce symptoms of indigestion include eating smaller meals, eating slowly, avoiding fatty or spicy foods, and identifying and avoiding foods that trigger symptoms.


When should I seek medical attention for stomach discomfort and gas?

You should seek medical attention if you experience severe abdominal pain, blood in your stool or vomit, unexplained weight loss, or if your symptoms persist or worsen despite self-care measures.


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