[28F] Experiencing severe gastrointestinal symptoms

Patient Description

A 28-year-old female has been experiencing severe nausea, bloating, irregular bowel movements, fluctuating weight and appetite, fatigue, and stomach pain for approximately 4 years, with symptoms worsening annually. The nausea is consistent, intensifying during and after meals, and is no longer responsive to treatments previously used. Bloating occurs with every meal and is described as intense. The patient has a scheduled scope to investigate the possibility of stomach cancer. There is no mention of any other medical history, current medications, or known allergies.

Show More

Arora's Assessment

What might be happening

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

  • Gastritis or Peptic Ulcer Disease: These conditions are characterized by inflammation or damage to the lining of the stomach or upper small intestine. They can cause symptoms like nausea, bloating, stomach pain, and changes in appetite.

    • Treatment typically involves medications to reduce stomach acid and, if necessary, antibiotics to treat bacterial infections that can cause these conditions.
  • Gallbladder Disease: Problems with the gallbladder, such as gallstones or inflammation (cholecystitis), can cause nausea, bloating, and stomach pain. These symptoms often occur after meals, especially meals high in fat.

    • Treatment may involve dietary changes, medications, or in some cases, surgery to remove the gallbladder.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. It causes diarrhea and vomiting that lasts for a few days.

    • Treatment involves rest, rehydration, and eating light, bland meals when possible.
  • Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing symptoms like nausea, bloating, and stomach pain.

    • Treatment typically involves lifestyle changes and over-the-counter medications. In severe cases, prescription medications or surgery might be necessary.

What you can do

  1. Keep a symptom diary: Note what you eat, when you eat, when your symptoms occur, and what makes them better or worse. This can help identify any patterns or triggers.
  2. Eat smaller, more frequent meals: Instead of three large meals a day, try eating six small meals to avoid overloading your digestive system.
  3. Stay hydrated: Drink plenty of fluids, especially water, to help prevent dehydration from diarrhea or vomiting.
  4. Over-the-counter remedies: Antacids or acid reducers can help with stomach pain and nausea. However, these should not be used long-term without talking to a healthcare provider.
  5. Consult a healthcare provider: Given the duration and severity of your symptoms, it's important to consult a healthcare provider for a thorough evaluation.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe, persistent abdominal pain
  • Blood in your stool or vomit
  • Unexplained weight loss
  • Difficulty swallowing
  • Persistent vomiting or diarrhea

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

Show More

1
 Hugs
0
 Comments

Save

10 mo ago

People Also Ask


What are the common symptoms of gastritis or peptic ulcer disease?

Common symptoms of gastritis or peptic ulcer disease include nausea, bloating, stomach pain, changes in appetite, and sometimes vomiting. These conditions are caused by inflammation or damage to the stomach lining or upper small intestine.


How can gallbladder disease affect digestion and what are its symptoms?

Gallbladder disease can cause symptoms such as nausea, bloating, stomach pain, especially after eating fatty meals, and sometimes jaundice. It affects digestion by impairing the release of bile, which is necessary for fat digestion.


What lifestyle changes can help manage GERD symptoms?

Lifestyle changes to manage GERD symptoms include eating smaller, more frequent meals, avoiding foods and drinks that trigger reflux (like spicy foods, alcohol, and caffeine), not lying down immediately after eating, and maintaining a healthy weight.


When should someone seek immediate medical attention for gastrointestinal symptoms?

Immediate medical attention should be sought if someone experiences severe, persistent abdominal pain, blood in stool or vomit, unexplained weight loss, difficulty swallowing, or persistent vomiting or diarrhea.


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