[24M] With persistent burping, diarrhea, and lack of appetite

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• 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 and cause heartburn, bloating, and burping.

  • Treatment: GERD is often managed with lifestyle changes such as avoiding trigger foods, eating smaller meals, and not lying down after eating. Medications like antacids, H2 blockers, or proton pump inhibitors (PPIs) can also be prescribed.

• Gastritis: Inflammation of the stomach lining can cause bloating, burping, and a lack of appetite. It can be triggered by various factors, including infections, certain medications, and excessive alcohol use.

  • Treatment: Treatment may involve medications to reduce stomach acid, antibiotics if an infection is present, and lifestyle changes such as avoiding irritants like alcohol and spicy foods.

• Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause symptoms like diarrhea, bloating, and abdominal pain.

  • Treatment: Management of IBS often includes dietary changes, stress management, and medications to relieve symptoms.

• Medication Side Effects: Some of the medications you mentioned, such as Methylprednisolone, can cause gastrointestinal side effects, including bloating, diarrhea, and changes in appetite.

  • Treatment: Discussing these side effects with your healthcare provider is important. They may adjust your dosage or switch you to a different medication.

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 help manage your symptoms:

1. Dietary Adjustments: Avoid foods and drinks that can trigger heartburn and bloating, such as spicy foods, fatty foods, caffeine, and alcohol. Eating smaller, more frequent meals can also help.
2. Stay Hydrated: Drink plenty of water, especially since you are experiencing diarrhea. This will help prevent dehydration.
3. Over-the-Counter Medications: Antacids can help relieve heartburn. However, it's important to use them as directed and not rely on them long-term without consulting a doctor.
4. Avoid Lying Down After Eating: Try to stay upright for at least 2-3 hours after eating to help prevent acid reflux.
5. Use MDandMe: You can use the MDandMe app to journal your symptoms, track your progress, get insights, and share your medical notes with your healthcare provider.

What you should look out for

It's important to seek medical attention if you experience any of the following:

• Severe Abdominal Pain: If your abdominal pain becomes severe or unbearable.
• Blood in Stool: If you notice any blood in your stool.
• Persistent Symptoms: If your symptoms persist or worsen despite trying the above measures.
• Fever: If you develop a fever (temperature over 100.4°F) or chills.

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