[27F] Experiencing nausea, lethargy, and bloating

Patient Description

A 27-year-old female presents with symptoms of nausea rated 7 out of 10 in severity, lethargy, and bloating. The nausea has been persistent throughout the morning for a few hours and is notably exacerbated by the consumption of gluten. The patient finds some relief through medication, although specifics of the medication were not provided. There is no reported pregnancy, and the patient has not indicated any other concurrent symptoms or relevant medical history at this time.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gluten Intolerance or Celiac Disease: This is a condition where your body reacts to gluten, a protein found in wheat, barley, and rye. Symptoms can include bloating, nausea, and fatigue.

    • Treatment typically involves a strict gluten-free diet.
  • 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 lethargy.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Gastritis: This is an inflammation of the stomach lining, which can cause nausea and bloating. It can be caused by various factors, including long-term use of certain medications, excessive alcohol consumption, stress, or an autoimmune reaction.

    • Treatment typically involves medications to reduce stomach acid and possibly antibiotics if an infection is present.

Please note that these are potential explanations for your symptoms, but they are not exhaustive. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Try to maintain a gluten-free diet. If your symptoms are due to gluten intolerance or celiac disease, they should begin to resolve after a few days of strictly avoiding gluten products.
  2. Stay hydrated and rest. If your symptoms are due to gastroenteritis, these measures can help your body recover.
  3. Avoid alcohol and foods that can irritate your stomach, such as spicy or fatty foods. This can help if your symptoms are due to gastritis.
  4. Over-the-counter medications can help manage your nausea. However, it's important to consult with a healthcare professional before starting any new medication.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your vomit or stool
  • High fever (temperature over 100.4°F)
  • Signs of dehydration, such as dry mouth, feeling very thirsty, not urinating much, or severe weakness
  • Your symptoms worsen or do not improve after a few days

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of gluten intolerance or celiac disease?

Common symptoms of gluten intolerance or celiac disease include bloating, nausea, diarrhea, fatigue, and sometimes weight loss or anemia. Symptoms can vary widely among individuals.


How can I differentiate between gastroenteritis and gastritis based on symptoms?

Gastroenteritis often includes symptoms like nausea, vomiting, diarrhea, and lethargy, typically due to an infection. Gastritis, on the other hand, involves inflammation of the stomach lining and can cause nausea and bloating, often without diarrhea. Gastritis may be related to medication use, alcohol, or stress.


What dietary changes can help alleviate symptoms of gluten intolerance?

To alleviate symptoms of gluten intolerance, it is important to follow a strict gluten-free diet. This means avoiding foods that contain wheat, barley, and rye, and opting for gluten-free alternatives such as rice, quinoa, and gluten-free oats.


When should I seek medical attention for nausea and bloating?

You should seek medical attention if you experience severe abdominal pain, blood in vomit or stool, a high fever, signs of dehydration, or if your symptoms worsen or do not improve after a few days.


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