[24M] With queasy stomach and gas after eating

Patient Description

A 24-year-old male has been experiencing a queasy stomach and excessive gas for the past three days. The queasy feeling occurs after eating any type of food and tends to last all day. The symptoms started suddenly but have been gradually improving over the three days. The patient has not identified any specific foods or activities that exacerbate the symptoms and has not found any relief measures. There have been no recent changes in diet or lifestyle, no recent travel, and no exposure to sick individuals. The patient has not taken any medications or tried any home remedies. The gas is experienced for more than half of the day and is not related to specific foods. The last bowel movement was a few hours ago and was mushy but not watery. There is no diarrhea or abdominal pain. The patient does not use substances like alcohol, tobacco, or recreational drugs, and has not taken any new medications or supplements recently. There are no pre-existing conditions or chronic illnesses, and the patient is not currently taking any medications.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms can include nausea, vomiting, diarrhea, and abdominal pain. Since you haven't experienced diarrhea or abdominal pain, a mild form of gastroenteritis could still be a possibility.

    • Treatment: Gastroenteritis usually resolves on its own within a few days. Staying hydrated and resting are key. Over-the-counter medications like antacids or anti-nausea medications may help.
  • Indigestion (Dyspepsia): This is a common condition that can cause a queasy stomach, bloating, and gas. It can be triggered by eating too quickly, overeating, or consuming fatty or spicy foods.

    • Treatment: Avoiding trigger foods, eating smaller meals, and not lying down immediately after eating can help. Over-the-counter antacids or digestive enzymes may also provide relief.
  • Food Intolerance: Sometimes, certain foods can cause digestive discomfort even if you don't have a full-blown allergy. Common culprits include lactose, gluten, and certain types of carbohydrates.

    • Treatment: Keeping a food diary to track what you eat and how you feel can help identify any potential triggers. Once identified, avoiding these foods can alleviate symptoms.
  • Functional Dyspepsia: This is a chronic condition characterized by upper abdominal discomfort without an obvious cause. It can be triggered by stress, diet, or other factors.

    • Treatment: Lifestyle changes, stress management, and medications like proton pump inhibitors or H2 blockers can help manage symptoms.

What you can do

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

  1. Stay Hydrated: Drink plenty of water throughout the day to stay hydrated, especially if you're experiencing queasiness.
  2. Eat Smaller, Frequent Meals: Instead of three large meals, try eating smaller, more frequent meals to reduce the strain on your digestive system.
  3. Avoid Trigger Foods: Pay attention to any foods that seem to make your symptoms worse and try to avoid them. Common triggers include fatty, spicy, or acidic foods.
  4. Over-the-Counter Remedies: Consider using over-the-counter antacids or anti-nausea medications to help manage your symptoms.
  5. Rest and Relax: Stress can exacerbate digestive issues, so make sure to get plenty of rest and engage in relaxation techniques like deep breathing or meditation.
  6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

While your symptoms don't seem life-threatening, there are certain signs that warrant more urgent medical attention:

  • Severe Abdominal Pain: If you develop severe or persistent abdominal pain, seek medical attention.
  • Blood in Stool: If you notice blood in your stool, it's important to see a doctor immediately.
  • Fever or Chills: If you develop a fever (temperature over 100.4°F) or chills, it could indicate an infection that needs medical treatment.
  • Persistent Symptoms: If your symptoms persist or worsen despite trying the above measures, consult a healthcare provider for further evaluation.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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3 mo ago


People Also Ask


What are common causes of a queasy stomach and excessive gas?

Common causes of a queasy stomach and excessive gas include gastroenteritis, indigestion, food intolerance, and functional dyspepsia. These conditions can be triggered by infections, dietary habits, or stress.


How can I differentiate between indigestion and food intolerance?

Indigestion often occurs after eating and can be triggered by eating too quickly or consuming fatty foods, while food intolerance is a reaction to specific foods like lactose or gluten. Keeping a food diary can help identify if specific foods are causing symptoms.


What over-the-counter remedies can help with a queasy stomach?

Over-the-counter remedies for a queasy stomach include antacids, which can neutralize stomach acid, and anti-nausea medications. Digestive enzymes may also help if the symptoms are related to food digestion.


When should I seek medical attention for digestive symptoms?

You should seek medical attention if you experience severe abdominal pain, blood in your stool, fever or chills, or if your symptoms persist or worsen despite trying home remedies.


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