[21M] Experiencing vomiting and upset stomach without fever

Patient Description

A 21-year-old male reports an inability to keep food down, leading to nausea and vomiting over the past 4 days. The patient describes the vomiting as projectile, occurring approximately one hour after eating, with no specific relief measures identified. The patient also experiences an upset stomach and burping associated with the ingestion of food. There is no reported fever or chills, and the patient has an empty stomach due to the ongoing issue. No other symptoms or relevant medical history were provided.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible conditions:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. It can cause nausea, vomiting, and sometimes fever.

    • Treatment usually involves rest, hydration, and eating bland foods when you can tolerate them.
  • Gastritis: This is an inflammation of the stomach lining, which can be caused by certain medications, excessive alcohol consumption, chronic stress, or certain bacterial infections. Symptoms can include nausea, vomiting, and a feeling of fullness in your upper abdomen after eating.

    • Treatment usually involves antacids and medications to decrease stomach acid. In some cases, antibiotics may be necessary.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where 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 and cause symptoms like heartburn, chest pain, difficulty swallowing, dry cough, and regurgitation of food or sour liquid (acid reflux).

    • Treatment usually involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or surgery may be necessary.

Remember, I'm an AI and not a doctor. You should seek care from a health professional to receive a formal diagnosis and treatment.

What you can do

While you're waiting to see a doctor, here are some things you can do to help manage your symptoms:

  1. Stay Hydrated: Dehydration can make nausea and vomiting worse. Try to sip small amounts of water or suck on ice chips if you're having trouble keeping fluids down.

  2. Eat Bland Foods: When you can eat, try foods that are easy on the stomach like rice, bananas, and toast.

  3. Avoid Triggers: If certain foods or smells make your nausea worse, try to avoid them.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your vomit
  • Dehydration signs, such as excessive thirst, dry mouth, deep yellow urine, little or no urine, and severe weakness, dizziness or lightheadedness
  • Rapid, pounding heart rate
  • Confusion or difficulty focusing
  • Fainting or becoming unconscious

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1 yr ago

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People Also Ask


What are the common causes of nausea and vomiting in young adults?

Common causes of nausea and vomiting in young adults include viral infections (such as gastroenteritis), food poisoning, gastritis, stress, and sometimes more chronic conditions like GERD. It's important to consider recent dietary changes, stress levels, and any other symptoms that accompany the nausea and vomiting.


How can I differentiate between gastroenteritis and gastritis based on symptoms?

Gastroenteritis often presents with nausea, vomiting, diarrhea, and sometimes fever, usually due to an infection. Gastritis, on the other hand, involves inflammation of the stomach lining and may cause nausea, vomiting, and a feeling of fullness or burning in the upper abdomen, often without diarrhea. A medical evaluation is necessary for an accurate diagnosis.


What lifestyle changes can help manage symptoms of GERD?

Lifestyle changes to manage GERD symptoms include eating smaller meals, avoiding foods and drinks that trigger reflux (such as spicy foods, caffeine, and alcohol), not lying down immediately after eating, maintaining a healthy weight, and elevating the head of the bed. These changes can help reduce the frequency and severity of acid reflux.


When should I seek medical attention for vomiting and nausea?

You should seek medical attention if you experience severe abdominal pain, blood in your vomit, signs of dehydration (such as excessive thirst, dry mouth, or little to no urine), a rapid or pounding heart rate, confusion, or fainting. These symptoms could indicate a more serious condition that requires prompt medical evaluation.


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