[26F] Experiencing chronic nausea, vomiting, and diarrhea

Patient Description

A 26-year-old female has been suffering from chronic nausea, vomiting, and diarrhea for the past three years. The nausea is severe, with an intensity of 8 out of 10, worsens on an empty stomach, and typically improves after consuming carbohydrates. Vomiting occurs approximately twice a week, with the stomach emptying completely, and there are no specific food triggers identified. Diarrhea is described as loose and occurs multiple times per week. There is no recent travel history, fever, chills, blood in stool or vomit, or significant weight loss. Abdominal pain and bloating are random and not specifically related to meal intake. The patient uses THC daily, which does not seem to affect the symptoms. Current medications include Lexapro (20mg) and Daysee (birth control pill), with an allergy to sulfa medications. There is no significant past medical history apart from the current conditions.

Show More

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 virus, bacteria, or parasites. It can cause nausea, vomiting, and diarrhea. However, gastroenteritis usually resolves on its own within a few days, which doesn't align with your long-term symptoms.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to alleviate symptoms.
  • Gastroparesis: This is a condition where the stomach can't empty itself of food in a normal way, which can cause nausea and vomiting. Gastroparesis can be caused by damage to the vagus nerve, which controls the digestive system. However, you haven't mentioned any conditions that might cause this nerve damage.

    • Treatment typically involves dietary changes and medications to help the stomach empty more effectively.
  • Cannabis Hyperemesis Syndrome (CHS): This is a condition that can occur in some heavy long-term users of THC, a component of cannabis. Symptoms include severe nausea, vomiting, and abdominal pain. These symptoms can be relieved by hot showers or baths and typically resolve within days to weeks after discontinuing cannabis use.

    • Treatment involves stopping the use of cannabis.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. However, you haven't mentioned any constipation.

    • Treatment typically involves long-term management of diet, lifestyle and stress. More-severe symptoms can be treated with medication and counseling.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Keep a food diary to track what you eat and how you feel afterwards. This can help identify any food triggers.
  2. Stay hydrated. This is especially important if you're experiencing vomiting and diarrhea, as these can cause dehydration.
  3. Consider reducing or eliminating your use of THC to see if this helps alleviate your symptoms.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms worsen or don't improve
  • If you notice blood in your stool or vomit
  • If you experience severe abdominal pain
  • If you have difficulty swallowing or feel full quickly when eating
  • If you experience unexplained weight loss

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.

Show More

1
 Hugs
0
 Comments

Save

10 mo ago

People Also Ask


What is Cannabis Hyperemesis Syndrome (CHS) and how is it related to THC use?

Cannabis Hyperemesis Syndrome (CHS) is a condition that can occur in some long-term users of THC, a component of cannabis. It is characterized by severe nausea, vomiting, and abdominal pain. Symptoms often improve with hot showers or baths and typically resolve after stopping cannabis use.


How can gastroparesis affect digestion and what are its common symptoms?

Gastroparesis is a condition where the stomach cannot empty food properly, leading to symptoms like nausea, vomiting, feeling full quickly, and bloating. It can be caused by nerve damage, such as to the vagus nerve, which controls stomach muscles.


What lifestyle changes can help manage symptoms of Irritable Bowel Syndrome (IBS)?

Managing IBS often involves dietary changes, such as increasing fiber intake, avoiding trigger foods, and eating smaller, more frequent meals. Stress management and regular exercise can also help alleviate symptoms. In some cases, medications or counseling may be necessary.


Why is it important to keep a food diary when experiencing chronic digestive issues?

Keeping a food diary helps identify potential food triggers that may worsen symptoms. By tracking what you eat and how you feel afterwards, you can better understand the relationship between your diet and your symptoms, which can aid in managing your condition.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback