[22M] Experiencing recurrent nausea, vomiting, and changes in stool form

Patient Description

A 22-year-old male reports suffering from recurrent episodes of nausea and vomiting every few weeks for the past 6 months. Despite being prescribed acid reflux medication and Zofran for nausea, there has been no improvement in symptoms. Additionally, the patient has observed that their stools are thin, stripe-like, and that they are experiencing increased frequency of bowel movements. No further medical history, current medications other than those mentioned, or additional symptoms have been provided.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. It can lead to nausea, vomiting, and changes in bowel movements. However, it usually resolves within a few days to a week, so it might not explain your symptoms lasting for several months.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. If symptoms persist, a doctor may prescribe antibiotics or antivirals.
  • 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, leading to symptoms like nausea and vomiting.

    • Treatment usually involves lifestyle changes and over-the-counter medications. If these don't help, a doctor may recommend prescription medications or surgery.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause symptoms like changes in bowel movements, abdominal pain, and nausea. The thin, ribbon-like stools you described could be a symptom of IBS.

    • Treatment usually involves long-term management of diet, lifestyle and stress. More-severe symptoms might benefit from medication and counseling.
  • Peptic Ulcer: These are sores that develop on the lining of your stomach, upper small intestine or esophagus. They can cause nausea, vomiting, and changes in bowel movements.

    • Treatment usually involves medications to decrease stomach acid. If an infection with a bacterium called H. pylori is causing your ulcers, you'll need antibiotics.

Please remember that these are just possibilities and not a definitive diagnosis. You should consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Try to identify any triggers for your symptoms. This could be certain foods, stress, or other factors. Avoiding these triggers might help reduce your symptoms.
  2. Stay hydrated, especially if you're vomiting frequently. Dehydration can lead to more severe symptoms.
  3. Maintain a balanced diet. Certain foods might exacerbate your symptoms. You might find it helpful to keep a food diary to identify any patterns.
  4. Over-the-counter antacids might help with your symptoms. However, you should consult with a healthcare professional before starting any new medication.

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 vomit or stool
  • Unintentional weight loss
  • Difficulty swallowing
  • Signs of dehydration, such as dry mouth, feeling dizzy when you stand up, or producing little to no urine.

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

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People Also Ask


What could be causing recurrent nausea and vomiting despite medication?

Recurrent nausea and vomiting despite medication could be due to conditions like gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), or peptic ulcers. It's important to consult a healthcare professional for a thorough evaluation and accurate diagnosis.


Why might someone experience thin, stripe-like stools?

Thin, stripe-like stools can be a symptom of irritable bowel syndrome (IBS) or other gastrointestinal issues. They may indicate changes in bowel habits or intestinal motility. A healthcare professional can help determine the underlying cause.


What are the potential complications of untreated GERD?

Untreated GERD can lead to complications such as esophagitis (inflammation of the esophagus), esophageal strictures (narrowing of the esophagus), Barrett's esophagus (a precancerous condition), and an increased risk of esophageal cancer. It's important to manage GERD symptoms effectively.


How can lifestyle changes help manage symptoms of IBS?

Lifestyle changes such as dietary modifications, stress management, and regular exercise can help manage IBS symptoms. Identifying and avoiding trigger foods, maintaining a balanced diet, and reducing stress can significantly improve quality of life for those with IBS.


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