[27F] With chronic nausea, vomiting, and abdominal pain

What might be happening

Based on the symptoms you've described, here are some possible explanations:

• Gastroesophageal Reflux Disease (GERD): GERD can cause nausea, vomiting, and stomach pain, especially after eating. It occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus).

  • Treatment: Lifestyle changes such as eating smaller meals, avoiding spicy and fatty foods, and not lying down immediately after eating can help. Medications like antacids, H2 blockers, or proton pump inhibitors may also be prescribed.

• Gastroparesis: This condition affects the stomach muscles and prevents proper stomach emptying, leading to nausea, vomiting undigested food, and bloating.

  • Treatment: Dietary changes such as eating smaller, more frequent meals and avoiding high-fat and high-fiber foods can help. Medications to stimulate stomach muscles or manage nausea may also be prescribed.

• Peptic Ulcer Disease: Ulcers in the stomach or the first part of the small intestine can cause stomach pain, nausea, and vomiting.

  • Treatment: Medications to reduce stomach acid and antibiotics if an infection is present. Avoiding NSAIDs and other irritants is also recommended.

• Irritable Bowel Syndrome (IBS): IBS can cause a variety of gastrointestinal symptoms, including stomach pain, gas, and changes in bowel habits.

  • Treatment: Dietary changes, stress management, and medications to manage symptoms.

• Food Intolerances or Allergies: Certain foods can cause gastrointestinal symptoms, including nausea, vomiting, and stomach pain.

  • Treatment: Identifying and avoiding trigger foods.

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 manage your symptoms:

1. Dietary Changes: Try eating smaller, more frequent meals and avoid foods that are spicy, fatty, or acidic. Keeping a food diary can help identify any potential triggers.
2. Stay Hydrated: Drink plenty of fluids, especially if you're vomiting frequently. Oral rehydration solutions can help maintain electrolyte balance.
3. Rest: Ensure you get plenty of rest and avoid strenuous activities that may exacerbate your symptoms.
4. Over-the-Counter Medications: Antacids or anti-nausea medications may provide temporary relief. However, consult a healthcare provider before starting any new medication.
5. 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

Seek medical attention if you experience any of the following:

• Severe or Worsening Symptoms: If your symptoms become more severe or do not improve with self-care measures.
• Blood in Vomit or Stool: This could indicate a more serious condition that requires immediate medical attention.
• Unexplained Weight Loss: Significant weight loss without trying can be a sign of an underlying health issue.
• Dehydration: Signs of dehydration include dark urine, dizziness, and dry mouth.

Remember, while this information can help you understand your symptoms, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.