[24F] Experiencing ongoing nausea and acid reflux

Patient Description

A 24-year-old female has been experiencing ongoing nausea, rated at a severity of 5/10, which worsens in the afternoons and is not specifically triggered by lying down or eating, though it sometimes occurs after meals. Accompanying symptoms include a sensation of stomach acid in the throat and dull abdominal pain that alternates sides under the ribs, also rated at a severity of 5/10. The abdominal pain is described as full. The patient has found some relief from nausea with Pepcid and Dramamine. There is no associated heartburn, difficulty swallowing, fever, chills, or changes in bowel movements, which are normal. The patient does not report any specific food triggers or bloating, nor a sensation of feeling full quickly after starting to eat.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that affects the ring of muscle between your esophagus and your stomach. This could explain the sensation of stomach acid in your throat and the nausea.

    • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.
  • Gastritis: This is an inflammation of the stomach lining, which could explain your nausea and abdominal pain.

    • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which helps speed up recovery.
  • Peptic Ulcer: These are sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain, but they can also cause nausea.

    • Treatment usually involves medications to decrease stomach acid. If an H. pylori infection is the cause, antibiotics will also be necessary.

What you can do

You should definitely consult with a healthcare provider about your symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, here are some things you can do:

  1. Avoid foods and drinks that trigger heartburn. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
  2. Try to eat smaller meals. Avoid overeating by eating smaller, more frequent meals throughout the day.
  3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
  4. Elevate the head of your bed if you regularly experience heartburn at night or while trying to sleep.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe, persistent abdominal pain
  • Bloody or black stools
  • Bloody vomit or vomit that looks like coffee grounds

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

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9 mo ago


People Also Ask


What are the common symptoms of Gastroesophageal Reflux Disease (GERD)?

Common symptoms of GERD include a burning sensation in the chest (heartburn), regurgitation of food or sour liquid, difficulty swallowing, and the sensation of a lump in the throat.


How is gastritis typically treated?

Gastritis is typically treated with medications that reduce stomach acid, such as antacids, H2 blockers, or proton pump inhibitors. Avoiding irritants like alcohol and NSAIDs, and eating smaller, more frequent meals can also help.


What are the signs that a peptic ulcer might be present?

Signs of a peptic ulcer include burning stomach pain, bloating, heartburn, nausea, and in severe cases, vomiting blood or having black, tarry stools.


What lifestyle changes can help manage symptoms of acid reflux or GERD?

Lifestyle changes that can help manage acid reflux or GERD include avoiding trigger foods and drinks, eating smaller meals, not lying down immediately after eating, and elevating the head of the bed to prevent nighttime symptoms.

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