[22F] Experiencing persistent vomiting and severe stomach pain

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 vomiting, especially when triggered by certain foods or smells. It can also lead to stomach pain and frequent bowel movements. Typical treatments include lifestyle changes, such as avoiding trigger foods, eating smaller meals, and medications like antacids or proton pump inhibitors.

• Gastritis or Peptic Ulcer Disease: Inflammation of the stomach lining (gastritis) or ulcers can cause severe stomach pain, vomiting, and weight loss. These conditions can be diagnosed with an endoscopy and treated with medications to reduce stomach acid and antibiotics if an infection is present.

• Gastroparesis: This condition involves delayed stomach emptying, leading to vomiting, nausea, and stomach pain. It can be associated with conditions like diabetes or POTS. Treatment often includes dietary changes, medications to stimulate stomach motility, and managing underlying conditions.

• Intestinal Obstruction: A partial blockage in the intestines can cause vomiting, severe stomach pain, and changes in bowel movements. This is a serious condition that requires immediate medical attention and may need imaging studies like an X-ray or CT scan for diagnosis.

• Functional Dyspepsia: This is a chronic disorder of sensation and movement in the upper digestive tract, causing pain, bloating, and nausea. Treatment includes dietary changes, stress management, and medications to reduce symptoms.

What you can do

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

1. Stay Hydrated: Drink small sips of water frequently to stay hydrated. Oral rehydration solutions can also help replenish lost electrolytes.
2. Eat Small, Frequent Meals: Try eating small, bland meals like crackers, toast, or rice. Avoid spicy, fatty, or acidic foods that can worsen symptoms.
3. Avoid Triggers: Identify and avoid foods, smells, or activities that trigger your vomiting.
4. Elevate Your Head: When lying down, keep your head elevated to reduce the risk of acid reflux.
5. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help identify patterns and triggers.
6. Manage Stress: Stress can exacerbate gastrointestinal symptoms. Practice relaxation techniques like deep breathing, meditation, or gentle yoga.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or Worsening Symptoms: If your vomiting, stomach pain, or other symptoms become more severe or frequent.
• Signs of Dehydration: Persistent dizziness, dry mouth, dark urine, or feeling faint.
• Blood in Vomit or Stool: If you notice blood in your vomit or stool, seek immediate medical attention.
• Unexplained Weight Loss: Significant weight loss without trying can be a sign of a serious underlying condition.
• Fever or Chills: These could indicate an infection or other serious condition.

Remember, while this advice can help manage your symptoms, it's crucial to consult a healthcare professional for a proper diagnosis and treatment plan.