[24F] Experiencing nausea postprandial
Patient Description
A 24-year-old female reports experiencing nausea during or immediately after eating for the past few weeks. The severity of the nausea varies. Zofran has been found to alleviate the symptoms. Occasionally, the patient experiences heartburn or regurgitation of food but has not identified any specific food or drink triggers. The patient has no history of vomiting, severe abdominal pain, or unintentional weight loss. The patient's medication regimen includes Adderall, with a dosage of 40mg once daily in the morning and sometimes an additional 10mg in the afternoon, as well as Congilar for several years. The patient also takes vitamins. Known allergies include Penicillin, Trilipix, and Focalin. No other symptoms or significant medical history were reported.
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Arora's Assessment
What might be happening
Based on the information you've provided, here are a few possibilities:
- Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that affects the ring of muscle between your esophagus and your stomach. This could explain your nausea and occasional heartburn. Treatment typically involves lifestyle changes and over-the-counter medications.
- Gastroparesis: This condition causes a delay in the stomach emptying, which can cause nausea and vomiting. It's often found in people with diabetes, but can also be caused by certain medications.
- Medication side effects: Both Adderall and Congilar can cause nausea. If the onset of your symptoms coincides with a change in your medication regimen, this could be the cause.
- Functional dyspepsia: This is a chronic disorder of sensation and movement in the upper digestive tract. It's called "functional" because the digestive tract appears normal when examined, but it doesn't work as it should.
What you can do
- Lifestyle changes: Try eating smaller, more frequent meals instead of three large meals a day. Avoid foods that trigger your symptoms. Stay upright for a few hours after meals. Don't eat within 3 hours of bedtime.
- Over-the-counter medications: Antacids can provide quick relief for heartburn. There are also medications available that can reduce acid and help your stomach to empty more quickly.
- Consult a healthcare professional: If your symptoms persist or worsen, you should consult a healthcare professional. They can provide a formal diagnosis and appropriate treatment.
What you should look out for
- Severe abdominal pain
- Vomiting blood or having black, tarry stools
- Difficulty swallowing
- Unintentional weight loss
These symptoms could indicate a more serious condition and you should seek immediate medical attention.
Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.
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1 yr ago
