[27F] Experiencing persistent nausea, vomiting, and other GI symptoms

Patient Description

A 27-year-old female presents with persistent nausea rated 8/10 in severity, occurring before and after meals and worsening immediately after eating. Associated symptoms include dizziness, specifically lightheadedness when up for extended periods, and weakness, which is impacting daily activities. The patient also reports vomiting 5-7 times weekly post-meal, bloating, and early satiety. These symptoms have been ongoing for 3 weeks. The patient's medical history includes gastritis diagnosed at age 24, asthma and a history of seizures since age 4, and GERD since age 12. The patient is currently taking Advil, Tylenol, promethazine, and Dramamine, and reports an allergy to Compazine. No recent injuries or accidents were reported.

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Arora's Assessment

What might be happening

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

  • Gastritis or GERD Flare-up: Your history of gastritis and GERD, combined with your symptoms of nausea, vomiting, and bloating, could suggest a flare-up of these conditions. Gastritis and GERD can cause discomfort and pain in the stomach, as well as nausea and vomiting.

    • Treatment typically involves medications to reduce stomach acid and lifestyle modifications, such as avoiding foods that trigger symptoms.
  • Gastroparesis: This is a condition where the stomach cannot empty itself of food in a normal fashion. It can be caused by damage to the vagus nerve, which regulates the digestive system. Symptoms include nausea, vomiting, feeling full quickly when eating, bloating, and lack of appetite.

    • Treatment typically involves dietary changes and medications to help the stomach empty more effectively.
  • Peptic Ulcer: An ulcer in the stomach or upper part of the small intestine can cause abdominal pain, nausea, vomiting, bloating, and feeling full quickly when eating.

    • Treatment typically involves medications to reduce stomach acid and sometimes antibiotics if the ulcer is caused by a bacterial infection.

What you can do

While you should seek care from a healthcare professional for a formal diagnosis and treatment, here are some things you can do in the meantime:

  1. Avoid foods and drinks that trigger your symptoms. This might include spicy foods, alcohol, caffeine, and fatty foods.
  2. Eat smaller, more frequent meals instead of three large meals a day.
  3. Stay hydrated, especially if you've been vomiting.
  4. Try to rest and avoid activities that make your symptoms worse.
  5. Over-the-counter antacids may help with temporary relief of some of your symptoms, but they should not be used long-term without speaking to a healthcare provider.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your vomit or stool
  • Unintentional weight loss
  • Symptoms that persist despite self-care measures
  • Symptoms that interfere with your ability to eat or drink

Please remember that while I strive to provide accurate information, I am an AI and not a substitute for professional medical advice. It's important 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 symptoms of gastroparesis?

Common symptoms of gastroparesis include nausea, vomiting, feeling full quickly after starting to eat, bloating, and a lack of appetite. These symptoms occur because the stomach is not emptying properly.


How can gastritis or GERD flare-ups be managed at home?

Gastritis or GERD flare-ups can be managed at home by avoiding foods and drinks that trigger symptoms, such as spicy foods, alcohol, caffeine, and fatty foods. Eating smaller, more frequent meals and staying hydrated can also help. Over-the-counter antacids may provide temporary relief.


What dietary changes can help with nausea and vomiting?

Dietary changes that can help with nausea and vomiting include eating smaller, more frequent meals, avoiding foods that are high in fat or difficult to digest, and staying hydrated. Ginger and peppermint tea may also help alleviate nausea.


When should I seek immediate medical attention for digestive issues?

You should seek immediate medical attention if you experience severe abdominal pain, blood in your vomit or stool, unintentional weight loss, symptoms that persist despite self-care measures, or symptoms that interfere with your ability to eat or drink.


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