[26M] Experiencing gastrointestinal symptoms with nausea and vomiting

Patient Description

A 26-year-old male presents with a 2-week history of gastrointestinal symptoms following excessive alcohol consumption. Symptoms include bloating, nausea, and dull to cramping stomach pain, predominantly in the middle of the abdomen. The patient experiences a worsening of symptoms while eating, leading to a feeling of needing to vomit, followed by actual vomiting of undigested food, sometimes reddish in color. Vomiting episodes occur mostly in the morning and postprandially, about two to three times daily. The patient also reports liquid, greenish diarrhea over the past 2 days and a runny nose. There is a history of dairy sensitivity and spider allergy, with a specific medication allergy to penicillin. The patient has not been on any recent trips, has a past smoking history but quit 2 years ago, and is not on any medications except occasional acid reducers for stomach discomfort. No chronic illnesses or other medications were reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is highly infectious. Symptoms can include diarrhea, vomiting, and stomach pain.

    • Treatment for gastroenteritis is mainly supportive, including rest, drinking plenty of fluids, and eating light meals when you can. Antibiotics are not usually necessary unless it's caused by bacteria.
  • Gastritis: This is an inflammation of the stomach lining. It can be caused by several factors, including long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), infection with the bacteria Helicobacter pylori, or excessive alcohol consumption.

    • Treatment for gastritis usually involves taking antacids or other medicines to reduce stomach acid and thereby help relieve symptoms and promote healing.
  • Peptic Ulcer Disease: This is a condition where painful sores or ulcers develop in the lining of the stomach or the first part of the small intestine (the duodenum). It's usually caused by long-term use of NSAIDs or infection with H. pylori.

    • Treatment for peptic ulcers depends on the cause, but may involve proton pump inhibitors to reduce stomach acid, antibiotics to treat H. pylori, and avoiding certain foods that can aggravate the ulcer.
  • Food Poisoning: This occurs when you eat food that is contaminated with bacteria, viruses, parasites, or toxins. Symptoms can include diarrhea, vomiting, and stomach pain.

    • Treatment for food poisoning typically involves rest, hydration, and eating when you can. Most people recover without needing any specific treatment.

Please note that these are potential explanations for your symptoms, but other conditions could also be responsible. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Stay hydrated: Diarrhea and vomiting can cause you to lose a lot of fluids and electrolytes, which can lead to dehydration. It's important to drink plenty of fluids, especially water, oral rehydration solutions, or sports drinks.

  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can give your body the rest it needs.

  3. Eat light: When you feel ready to eat again, start with bland foods like rice, crackers, or bananas.

  4. Avoid certain foods: Dairy products, caffeine, alcohol, nicotine, and fatty or highly seasoned foods can make diarrhea and vomiting worse.

  5. Over-the-counter medication: You can consider over-the-counter medication to help manage your symptoms. For example, bismuth subsalicylate can help with diarrhea and upset stomach, and loperamide can help slow down diarrhea.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal or rectal pain
  • Blood in your stool or black, tar-like stools
  • High fever (above 101.5°F)
  • Symptoms of dehydration, such as dry mouth and throat, feeling dizzy when standing up, or producing little to no urine
  • Diarrhea or vomiting that lasts more than a few days

Remember, I'm an AI and this advice is based on the information you gave me. It's always a good idea to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of gastrointestinal symptoms after excessive alcohol consumption?

Excessive alcohol consumption can irritate the stomach lining, leading to symptoms like nausea, vomiting, and stomach pain. It can also exacerbate conditions like gastritis or peptic ulcers.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis is often caused by viral infections and is highly contagious, while food poisoning results from consuming contaminated food. Both can cause similar symptoms, but food poisoning often has a more sudden onset after eating contaminated food.


What are the signs that my gastrointestinal symptoms require immediate medical attention?

Seek immediate medical attention if you experience severe abdominal pain, blood in your stool, high fever, signs of dehydration, or if symptoms persist for more than a few days.


Can a history of dairy sensitivity affect my current gastrointestinal symptoms?

Yes, a history of dairy sensitivity can contribute to gastrointestinal symptoms. It's important to avoid dairy products if they worsen your symptoms and discuss this with your healthcare provider.


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