[29F] Experiencing nausea and loss of appetite

Patient Description

A 29-year-old female reports feeling hungry but develops nausea when exposed to the smell of food, which leads to a loss of appetite. The patient is not currently pregnant. Further details regarding the duration and onset of symptoms, associated factors, and any additional symptoms were not provided.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Gastroenteritis: This is an inflammation of the stomach and intestines that can cause nausea, vomiting, and a decreased appetite. It's often caused by a viral or bacterial infection.

    • Treatment usually involves rest, hydration, and eating bland foods when you feel able to.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where 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 nausea.

    • Treatment typically involves lifestyle modifications and over-the-counter medications.
  • Pregnancy: Nausea and a change in appetite can be early signs of pregnancy. Even if you believe you are not pregnant, it may be worth taking a home pregnancy test to be sure.

    • If you are pregnant, you should seek prenatal care as soon as possible.
  • Psychological Conditions: Conditions such as depression, anxiety, or eating disorders can also cause changes in appetite and feelings of nausea.

    • Treatment usually involves a combination of therapy and medication.

What you can do

  1. Rest and stay hydrated. Try to eat small amounts of bland foods, like toast or rice, when you feel able.
  2. Avoid foods that are spicy, fried, or high in fat. These can often exacerbate feelings of nausea.
  3. Consider taking a home pregnancy test to rule out pregnancy as a cause of your symptoms.
  4. If you're feeling stressed or overwhelmed, consider seeking support from a mental health professional.

What you should look out for

Please seek immediate medical attention if you:

  • Have severe abdominal pain
  • Are vomiting blood or have blood in your stool
  • Have a high fever (over 101.5°F)
  • Are unable to keep down liquids for 24 hours

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

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10 mo ago

People Also Ask


What are common causes of nausea when smelling food?

Common causes of nausea when smelling food include gastroenteritis, GERD, pregnancy, and psychological conditions such as anxiety or stress. It's important to consider other symptoms and consult a healthcare professional for an accurate diagnosis.


How can I differentiate between gastroenteritis and GERD?

Gastroenteritis often presents with symptoms like diarrhea, vomiting, and fever, while GERD is characterized by heartburn, acid reflux, and nausea without fever. A healthcare provider can help differentiate between the two based on a detailed history and possibly further testing.


Can psychological conditions really cause physical symptoms like nausea?

Yes, psychological conditions such as anxiety, depression, and stress can manifest as physical symptoms, including nausea and changes in appetite. These symptoms occur due to the complex interaction between the brain and the digestive system.


What lifestyle changes can help manage GERD symptoms?

Lifestyle changes to manage GERD include eating smaller meals, avoiding foods and drinks that trigger reflux (such as spicy foods, caffeine, and alcohol), not lying down immediately after eating, and maintaining a healthy weight. Over-the-counter medications may also help.


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