[22F] Experiencing persistent nausea, stomach cramps, and anxiety attacks

What might be happening

Based on the information you have 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. Symptoms include heartburn, regurgitation of food or sour liquid, and nausea.

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

• Gastritis: This refers to inflammation, erosion, or irritation of the lining of the stomach. It can be caused by excessive alcohol use, chronic vomiting, stress, or the use of certain medications. Symptoms include nausea, vomiting, a feeling of fullness in your upper abdomen after eating, and indigestion.

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

• Anxiety Disorders: Anxiety can cause physical symptoms such as nausea, stomach cramps, and disassociation. Given that you've mentioned experiencing anxiety attacks, this could be a contributing factor to your symptoms.

  • Treatment for anxiety disorders can involve psychotherapy (counseling), medications, or both.

Please remember that these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

1. Lifestyle modifications: Avoid foods and drinks that trigger heartburn, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine. Try to eat smaller meals and avoid eating 2-3 hours before bedtime.

2. Medication: Continue taking your prescribed medication. Famotidine is a type of antacid that can relieve symptoms of acid reflux and gastritis. Promethazine can help with nausea.

3. Manage stress: Since stress and anxiety can exacerbate gastrointestinal symptoms, consider stress management techniques such as deep breathing, meditation, yoga, or talking to a mental health professional.

What you should look out for

You should seek immediate medical attention if:

• Your symptoms persist or worsen despite treatment
• You experience severe abdominal pain
• You start vomiting blood or have bloody or black stools
• You have difficulty swallowing
• You experience unexplained weight loss

Remember, this advice is intended to be general in nature, and specific causes may need different approaches. Always consult with a healthcare provider for appropriate treatment.