[29F] Experiencing acid reflux, vomiting, and unintentional weight loss

What might be happening

Based on the symptoms you've described, here are a few possibilities:

• 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 and cause symptoms like heartburn, acid reflux, and vomiting. GERD is a chronic condition that requires long-term management.

  • Treatment typically involves lifestyle changes and over-the-counter medications. If these aren't enough, prescription medications or even surgery might be recommended.

• Peptic Ulcers: These are sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain, but they can also cause vomiting, especially when it's severe or accompanied by blood.

  • Treatment usually involves medications to decrease stomach acid, allowing the ulcer to heal.

• Gastroparesis: This is a condition that affects the stomach muscles and prevents proper stomach emptying. Symptoms include nausea, vomiting, and acid reflux.

  • Treatment typically involves dietary changes and medications to help the stomach empty more effectively.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

You should definitely see a healthcare provider for your symptoms. They can perform a physical exam and possibly order tests like an endoscopy or a barium swallow to get a better idea of what's causing your symptoms.

In the meantime, here are some things you can do to help manage your symptoms:

1. Avoid foods and drinks that trigger your acid reflux. You've mentioned that spicy foods and onions seem to make your symptoms worse.
2. Try to eat smaller meals more frequently throughout the day instead of three large meals.
3. Don't lie down or go to bed for at least a few hours after eating.
4. Elevate the head of your bed if you notice your symptoms are worse at night or when you're lying down.
5. Continue taking your Prilosec as directed by your healthcare provider.

What you should look out for

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

• Severe abdominal pain
• Vomiting blood or material that looks like coffee grounds
• Black, tarry stools
• Difficulty swallowing or feeling like food is getting stuck in your throat
• Unexplained weight loss

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