[34F] With swollen taste buds, sore gums, and gastrointestinal symptoms

What might be happening

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

Swollen Taste Buds and Sore Gums

• Oral Infections: Conditions like oral thrush or gingivitis can cause swollen taste buds and sore gums. These infections can sometimes lead to a loss of taste and difficulty swallowing.
• Nutritional Deficiencies: Given your history of gastric bypass surgery, you might be at risk for deficiencies in vitamins and minerals, such as B vitamins, iron, and zinc, which can affect oral health.
• Medication Side Effects: Some medications, including those you are taking (Celexa, Adderall, Abilify), can cause dry mouth, which can lead to swollen taste buds and sore gums.

Upset Stomach (Nausea, Heartburn, Diarrhea)

• Gastroesophageal Reflux Disease (GERD): Heartburn and acid reflux are common symptoms of GERD, which can also cause nausea and difficulty swallowing.
• Dumping Syndrome: This is a common complication after gastric bypass surgery, where food moves too quickly from your stomach to your small intestine, causing nausea, diarrhea, and other gastrointestinal symptoms.
• Infections or Food Intolerances: Gastrointestinal infections or intolerances to certain foods can cause nausea, diarrhea, and other stomach issues.

What you can do

Swollen Taste Buds and Sore Gums

• Maintain Good Oral Hygiene: Brush your teeth twice a day, floss daily, and use an antiseptic mouthwash to reduce the risk of infections.
• Stay Hydrated: Drink plenty of water to keep your mouth moist and reduce irritation.
• Avoid Irritants: Stay away from spicy, acidic, or very hot foods and beverages that can further irritate your mouth.
• Consult a Dentist: If the symptoms persist, see a dentist to rule out any oral infections or other dental issues.

Upset Stomach (Nausea, Heartburn, Diarrhea)

• Eat Smaller, Frequent Meals: This can help manage symptoms of dumping syndrome and GERD.
• Avoid Trigger Foods: Stay away from foods and drinks that can trigger heartburn, such as caffeine, alcohol, chocolate, and fatty or spicy foods.
• Stay Upright After Eating: Avoid lying down immediately after meals to reduce the risk of acid reflux.
• Consult a Doctor: Given your history of gastric bypass surgery and the severity of your symptoms, it's important to consult a healthcare provider to rule out any serious complications and to adjust your treatment plan if necessary.

What you should look out for

Given the complexity of your symptoms and your medical history, you should seek medical care if you experience any of the following:

• Severe or Worsening Symptoms: If your symptoms become more severe or do not improve with home care.
• Signs of Infection: Such as fever, pus, or increased pain in your mouth.
• Dehydration: Signs include dark urine, dizziness, and extreme thirst.
• Unexplained Weight Loss: This could indicate a more serious underlying condition.

Remember, while I can provide some guidance, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.